Nasal polyp is a common disease of the nose and is also associated with certain systemic diseases. It is the result of tissue edema caused by a long-term inflammatory response in the nasal mucosa. Nasal polyps mostly originate from the sinus opening of the middle nasal tract, the nasal tract complex and the sieve sinus. The highly edematous nasal mucosa expands and sags from the middle nasal tract and sinus opening to the nasal cavity to form polyps, which occupy an important position in rhinological diseases due to the multiplicity of causes and the obvious tendency of recurrence after surgery.
First, the danger of nasal polyps nasal polyps can cause many complications, such as pharyngitis, otitis media and heart, lung and other organs functional damage; a few huge polyps can cause invasive complications.
Since nasal polyps are the result of long-term inflammatory reaction of nasal respiratory mucosa, they can be treated with adrenal corticosteroids. Corticosteroids can not only make polyps smaller or even disappear, but also delay or prevent recurrence of polyps when applied after surgery. This short term surprise therapy does not cause significant systemic side effects in clinical practice. In some cases, the nasal congestion is relieved after a few days of oral administration, and the improvement of the sense of smell is also obvious. At this time, it can be surgically removed or changed to intranasal local application.
The advantage of intranasal local application of corticosteroids is that it can avoid the systemic side effects of corticosteroids and maintain the effective concentration of drugs in the local area. Local application is suitable for: 1.The polyps are small in size and do not go beyond the lower edge of the middle turbinate at the time of initial diagnosis.
2.After oral prednisone response is good, the patient is willing to continue medical treatment.
3.After surgical removal to prevent recurrence. The intranasal application of adrenocorticosteroids in the form of aerosol is the most common and convenient to use.
Surgical treatment For those whose nasal cavity is largely or completely blocked and seriously affects the physiological function, surgical treatment should be performed first. The patient should be examined before the operation, such as cardiovascular disease, asthma attack, etc., should wait for the condition to stabilize before the operation. At present, the main surgical methods are endonasal sinus excision.
Intranasal septal sinus excision is mainly suitable for those whose mucosa of septal sinus has been replaced by polyp tissue and who have a history of multiple nasal polypectomies. Thorough surgery can significantly reduce the recurrence rate of polyps. The nasal endoscopic sinus surgery carried out in recent years provides a fine, accurate and effective method for septal sinus resection, which significantly reduces the recurrence rate of nasal polyps after surgery.
Fourth, do I need surgery?
1, the first diagnosis of patients, such as polyps larger, seriously affect the function of the nose, should be first surgical treatment; polyps smaller, less nasal congestion symptoms, feasible medical treatment, 1 month after the efficacy of surgery.
2.For recurrent nasal polyps, septal sinus excision should be performed, and corticosteroids should be applied in the nose for 1-2 years after surgery.