Mr. Wang, who is 42 years old, recently had a physical examination and found an edema-like swelling in his nose. Mr. Wang insisted on further examination with an apprehensive heart, and the result was a nasal polyp, which the doctor suggested he have removed surgically. Hearing the doctor said there is something in the nose, but also surgery, Mr. Wang’s heart was not good at that time.
What is nasal polyp?
Nasal polyp is a non-recoverable swelling formed by long-term edema of the nasal mucosa. In the early stages of nasal mucosal edema, if the causes of mucosal edema can be removed, the edema subsides and polyps may not be formed. When the cause of mucosal edema cannot be removed, the edema persists and develops to a certain extent, due to gravity, a swelling connected by a thin root tip is formed, which is continuous with the mucosa of the nose or sinus, and becomes a polyp. Polyp tissue is generally irreversible, and polyps will not disappear even if the cause is removed after the polyp is formed.
What are the usual symptoms of nasal polyps?
1, the patient will appear persistent nasal congestion, the sense of smell is obviously reduced, nasal sound is heavy, but also shows frequent open-mouth breathing and snoring.
2.After the appearance of the disease, patients also have symptoms such as runny nose, tinnitus, stuffy ears and hearing loss.
3, after examination, if it is a mucus polyp, similar to lymphoid flesh, the surface is smooth and pink.
4.Hemorrhagic nasal polyp, with smooth surface, very soft and easy to bleed.
5.The volume of nasal polyp keeps increasing, if not treated in time, it can lead to the widening of the dorsum of the nose to form a “frog nose”.
The main symptom of nasal polyps is nasal blockage, the degree of blockage varies with the size of polyps.
When the polyp is small, the patient may not feel it significantly or may only have symptoms of allergic rhinitis;
When the polyp develops to a certain extent, the patient feels that the nasal passage is not clear and there is a feeling that the secretion cannot be drained;
As the polyp grows larger, the symptoms of nasal blockage gradually become obvious, eventually leading to complete nasal blockage.
Large nasal polyps can compress and destroy the nasal-maxillary sinus structure, resulting in widening of the nasal root, distant separation of the eyes, and lateral to lateral expansion of the nose.
Can nasal polyps become cancer?
There is no medical evidence that nasal polyps can become malignant, so there is generally nothing to worry about. However, because chronic rhinitis and nasal polyps can cause chronic irritation to the mucous membrane of the nasal cavity and sinuses for a long time, so from this perspective, although they are not clearly carcinogenic, chronic rhinitis and nasal polyps need timely treatment.
In addition, many originally malignant nasal sinus masses, the beginning of symptoms such as nasal congestion is similar to nasal polyps, or the junction of malignant masses and normal nasal mucosa, the mucosa will become like a polyp, and only nasal polyps can be seen during physical examination, so further examination is needed to identify, so if you find something growing in your nose, you should seek medical advice in time.
Do nasal polyps need to be treated?
If a nasal polyp is found, it should be treated promptly and regularly. Nasal polyps can cause discomfort due to nasal congestion, runny nose and other symptoms, affecting work, study and social life;
Nasal congestion causes snoring and breath-holding at night, which is medically called snoring and can cause cardiovascular disease and memory loss;
Nasal congestion causes children to breathe with their mouths open for a long time and lack of oxygen, which may also affect intellectual development and make the five senses poorly developed.
Do nasal polyps have to be operated?
Except for a few smaller nasal polyps that can be treated with medication, most nasal polyps require surgery.
After nasal polyp surgery, the polyps inside the nose are removed, leaving a large traumatic surface, and after surgery, the scabs will be repeatedly formed on the traumatic surface, together with mucosal edema, there will be small polyps regeneration. And the scabs may block the sinus opening again together with the secretions. Therefore, postoperative review of nasal polyps is as important as surgery.
The cleaning of the nasal cavity after surgery needs the help of a doctor, otherwise it will affect the results of the surgery and can easily recur. A timely visit to the hospital for a change of medication will allow timely cleaning of scabs and secretions, removal of new small polyps, and opening of the sinus opening. Generally after the surgery, depending on the recovery of each patient, it may be necessary to visit the hospital for a few more reviews.