Treatment of sinusitis combined with nasal polyps

1.Small polyps can be treated medically first: If the polyps are small and do not cause nasal congestion, headache and other symptoms, you can use nasal spray hormone twice a day for about 4 weeks. If the polyp becomes 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.

2, 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 smoothly discharged, then also need surgery. At present, the surgery is mostly performed under the nasal endoscope, which is very traumatic.

3, pre-operative medication can improve the effectiveness of surgery: However, even if surgery, pre-operative medication is also required. 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 varying degrees, and the field of vision during surgery will be clearer, which facilitates doctors to operate instruments more precisely and remove lesions completely, thus reducing the recurrence rate.