After chronic sinusitis patients suffer from nasal polyps, the effect of medication becomes less and less effective. This is because there is no specific medicine for nasal polyps and it is difficult to cure them with medication. 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 medication, direct surgery can be? The answer is no, we will say the following. 1, the polyps are small, can first drug therapy: 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 polyp becomes smaller and the symptoms are relieved, the 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 surgically treated: When the nasal polyps grow to block the nasal cavity, or are growing out of the nostrils, surgery should be taken. In addition, some polyps are not large, but blocked 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 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: ● Oral hormones: glucocorticoids are good for reducing the inflammatory reaction 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 reaction in the nasal cavity, and no contraindications to glucocorticoids, they can take prednisone 30 mg orally every day for 7-10 days. ● Nasal spray hormone: Spray the nasal cavity with glucocorticoids for 7 to 10 days or longer. ● 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 given antibiotics preoperatively. ● Mucus promoter: It helps to reduce the viscosity of sinus secretions, which is helpful for sinus recovery.4. To reduce recurrence, postoperative medication is essential: Adhering to the use of nasal spray hormone can reduce the inflammatory response of the nasal cavity, thus reducing the recurrence rate. Because of the adverse reactions of oral medicine hormone, so in order to prevent postoperative relapse, nasal spray is generally used.