Nasal polyp is a common disease among ENT patients, it is a translucent lymphoid-like swelling, the patient has nasal congestion, a lot of mucous or purulent nasal discharge, pronounced nasal sounds in speech, nasal distension and discomfort, tinnitus, hearing loss, and can be complicated by asthma, sinusitis, and secretory otitis media.
Nasal polyps are inflammatory tissues that protrude from the nasal mucosa due to edema and prolapse in the nasal passages, caused by a variety of reasons, with an incidence of about 1-4%, mostly in middle age and above, more in men than in women. The pathogenesis of nasal polyps is unknown, and there are several theories, including the microenvironmental theory of the middle nasal tract, the metaplasia and bacterial superantigen theory, and the cytokine-mediated eosinophilic inflammation theory. Nasal polyps should be differentiated from nasal malignancies, fibrovascular tumors, involuted papillomas, and meningeal brain expansions.
Nasal polyps are very easy to recur, the treatment is more difficult, it is recommended that comprehensive treatment, simple surgery and drugs can not play a radical role, for the first small polyps in the middle nasal tract, you can drop nasal hormones for 1 to 2 months, larger polyps can be oral hormones, and then drop nasal hormones, the effect is better. For the polyps that cannot disappear by the above methods can be treated surgically, the recurrence rate after surgery is about 15%.