Nasal polyps are nasal redundancies formed under the effect of inflammation, either unilaterally or bilaterally, or singly or repeatedly, and often co-exist with sinusitis. Chronic sinusitis with nasal polyps is an extremely common nasal disease, which mostly manifests as nasal congestion, pus, headache, loss or disappearance of smell, or even dizziness, memory loss, dry mouth, coughing and phlegm, snoring, breath-holding, insomnia, upper abdominal distension and other multi-system symptoms, affecting patients’ academic performance, daily work and life. From the clinical point of view, chronic sinusitis with nasal polyps often requires surgery-based comprehensive treatment in order to receive more satisfactory clinical results.
Drugs alone or surgery alone are not advisable. So, in order to reduce the recurrence of nasal polyps after surgery, what precautions need to be paid attention to by both doctors and patients?
1, the necessary preoperative anti-inflammatory treatment: preoperative adequate anti-inflammatory, can effectively control nasal-sinus inflammation, reduce bleeding during surgery, provide a good surgical field of view, to facilitate the safe operation of surgery; 2, removal of nasal polyps for the second, open sinus is the main. The root of nasal polyps in sinusitis, if only remove polyps, but not completely open sinuses, like “cut leeks”, and did not “pull the root”, polyps are prone to recurrence. Therefore, the opening of the diseased sinuses must be comprehensive and meticulous, leaving no dead ends as far as possible.
3, the post-operative cleaning and medication to last. It is worth emphasizing that many patients mistakenly believe that sinusitis nasal polyps treatment is over after surgery, in fact, far from it, sinusitis nasal polyps surgery is not like appendix, gall bladder, removal means the end of treatment. The sinus surgery only removes the polyps, diseased mucosa, part of the turbinates and sinus bone, completely opening the sinus drainage channels, the real sinuses are not removed, the sinus “inflammatory lesions” still exist, the final recovery depends on a period of post-operative medication and regular cleaning of the surgical cavity. Clinical practice shows that this follow-up needs to last at least six months. Our practice is weekly for the first month, biweekly for the second month, and monthly from the third month. After six months 1 time every 2-3 months is sufficient if there are no special circumstances.