According to the causes of recurrence of nasal polyps after surgery, the following targeted methods can be used to prevent its recurrence: 1. In Chinese medicine, it is called “the root of the disease”.
2, the use of appropriate surgical methods: the need for doctors according to the specific circumstances, the use of appropriate surgical methods, currently more commonly used nasal endoscopic surgery, it can not only reach deeper and hidden parts, can clearly observe the origin of the polyp site, reduce blindness, conducive to the complete removal of nasal polyps, but also through the surgical operation in line with the human physiological function, compared to the traditional nasal polyp removal surgery, reduce recurrence rate of nasal polyps.
3, after surgery to regular follow-up: during the patient’s hospitalization, there will be medical staff for nasal cavity cleaning, and after discharge from the hospital, regular visits to the doctor to understand the situation of the surgical cavity, if necessary, should be cleaned. In general, sinus endoscopy should be performed at least once a week within 1 to 2 months after discharge to clean and rinse the nasal cavity and sinuses; every 2 weeks within 2 to 6 months after discharge, chronic inflammation, regenerative polyps, sinus stenosis, middle nasal tract adhesions, etc. should be dealt with; sinus endoscopy should be performed regularly within 1 to 2 years after surgery for outpatient follow-up.
4, drug to prevent recurrence: glucocorticoids have a strong anti-inflammatory effect, it can make nasal polyps large become small, small become none, so there are “drug surgery”, but the mechanism has not been fully elucidated, may be related to its role on inflammatory cells, inflammatory mediators, cytokines, nasal blood vessels and other multi-target. The main routes of drug administration are oral, intravenous drip, and topical application in the nasal cavity. Considering the large adverse effects of systemic drugs, for the prevention of postoperative recurrence, local nasal drug route is generally used. Currently, the commonly used drug is budesonide nasal spray (trade name Rayocort), which can be used generally one week after surgery. When spraying, be careful not to spray directly into the nasal septum. Long-term application of hormones is not recommended for children under 6 years of age. This product has few adverse reactions and is relatively safe.
Standard myrtle oil (trade name Genotone), which can thin mucus, promote secretion, has anti-inflammatory and bactericidal effects, and can produce β-sympathomimetic effect, stimulate mucosal cilia movement and enhance mucosal cilia clearance function. The postoperative application of Genoton helps to reduce the local inflammatory reaction and promote the normal epithelialization of the operated cavity.
For patients with nasal polyps accompanied by sinusitis, the application of erythromycin or azithromycin can be considered, which is taken for its anti-inflammatory effect rather than antibacterial effect, and patients are advised not to apply it without authorization and consult their doctors.
5, Chinese medicine conditioning: Chinese medicine believes that this disease belongs to the spleen and stomach dampness on the nasal orifice, some patients can also be due to dampness over time into heat, so the treatment or prevention of recurrence should be taken to strengthen the spleen and stomach, aromatic dampness, and then according to the actual situation of the patient add reduction and tailoring. The basic formula: Poria 30g, 12g, 12g, 12g, 30g, 12g, 12g, 12g, 12g, 3g, 9g, 6g, 6g, if accompanied by allergic rhinitis, spray, nasal congestion, runny nose, can add 30g, 12g, 12g, 9g, 9g, catkin, 30g; with sinusitis, nasal congestion, headache, yellow pus, add If it is accompanied by sinusitis, nasal congestion, headache, yellow pus flow, add 30g of mulberry bark, 9g of catkin, 3g of dahurica, 12g of hedgehog, 12g of bamboo rhizome. Generally, one month after the removal of nasal polyps, start taking one dose daily for two months; then one dose every other day for two months; then one dose every three days for two months; then one dose every week for one year. Or a daily dose for two months, with the above 10 times the dose, ask the Chinese medicine store into powder, twice a day, each time to take 9-12g, each time add 100ml of water boiling and then boil 5-10 minutes, moderate temperature drink, Chinese medicine is called boiled powder, long-term use of about 1 year.
However, Chinese medicine is about diagnosis and treatment, and the prescriptions are selected and used depending on the person, time and place. If patients want to prevent recurrence of nasal polyps with Chinese medicine, please go to a regular Chinese medicine hospital.
Positive through the above methods, for most people, the recurrence of nasal polyp surgery can be basically controlled, but completely guarantee that no recurrence is unrealistic, this, patients should have a psychological preparation.