Chronic sinusitis patient Lao Wang after suffering from nasal polyps, the effect of medication is getting worse. This is because there is no special medicine for nasal polyps, it is difficult to cure with drugs. Surgery is the most effective way to treat chronic sinusitis and nasal polyps. But it is not the case that you do not need to take drugs, direct surgery can be? The answer is no, the following we will say: a, polyps smaller, can be the first drug treatment If the polyps are small, did not cause nasal congestion, headaches and other symptoms, you can use nasal spray hormone, 2 times a day, for about 4 weeks. If the polyps become smaller and the symptoms are relieved, nasal spray hormone can be gradually reduced and stopped according to medical advice; if the effect is not good after 4 weeks, then consider surgery.
Second, polyps larger or positioned to block the sinuses, must be surgical treatment When nasal polyps grow to block the nasal cavity, or are growing out of the nostrils, should be taken to surgery. In addition, some polyps are not large, but block the opening of the sinuses, sinus secretions can not be discharged smoothly, then also need surgery. At present, the surgery is mostly performed under the nasal endoscope, which is very traumatic.
The preoperative medication can improve the efficacy of the surgery, but even if the surgery, preoperative medication is also needed. Foreign treatment is recommended, first with 3 months of medication before surgery, domestic at present it is difficult to do 3 months of standardized treatment, but try to do 1~2 weeks of short-term medication. Preoperative application of antibiotics and steroid hormones have good effect on controlling infection and inflammatory edema and other reactions, which can reduce intraoperative and postoperative bleeding to different degrees, and the vision during surgery will be clearer, which facilitates doctors to operate instruments more precisely and remove lesions completely, thus reducing the recurrence rate. The following is a list of drugs that need to be used before surgery: 1. Oral hormones Glucocorticoids are good for reducing the inflammatory response of the mucosa of the nasal cavity and sinuses before surgery, and reducing the size of nasal polyps. For patients with more nasal polyps, heavier inflammatory response in the nasal cavity, and no contraindications to glucocorticoids, you can take 30 mg of prednisone orally every day for 7 to 10 days.
2.Nasal spray hormone Use glucocorticoid to spray nasal cavity for 7~10 days, or longer.
3.Antibiotics Inflammation of the sinuses causes varying degrees of vasodilation of the nasal mucosa, submucosal tissue, and periosteum, leading to increased intraoperative bleeding. Therefore, patients with more severe sinus inflammation are required to use antibiotics before surgery.
4. Mucus promoter Helps to reduce the viscosity of sinus secretions, which is helpful for the recovery of sinus.
5.To reduce recurrence, postoperative medication is essential Adherence to nasal spray hormone can reduce the inflammatory response of the nasal cavity, thus reducing the recurrence rate. Because of the adverse effects of oral medicine hormone, so in order to prevent postoperative relapse, nasal spray is generally used.