Saturday, April 13, 2024

Surgery To Remove Nasal Polyps

How Do They Remove Polyps From The Nose

Nasal Polyp Removal Surgery

Surgery for the removal of a nasal polyp is called a nasal polypectomy. It is done when conservative treatment, such as steroids, does not provide relief. Nasal polyp removal is generally done by using a thin, long, and a flexible instrument called an endoscope . The surgery is often done as an outpatient procedure. It removes the polyps and corrects problems with the sinuses, which make individuals vulnerable to inflammation and the development of polyps.

Endoscopic polyp removal surgery involves the insertion of the endoscope through the nostril into the sinus cavity. The endoscope also carries tiny instruments for polyp removal.

Corrections are done for the removal of other substances blocking fluid flow from the sinuses.

The sinus openings between the sinuses and nasal passages may also be enlarged to facilitate drainage.

Your doctor may prescribe steroid nasal spray to help manage symptoms and prevent the recurrence of nasal polyps.

Saltwater or saline rinse may be prescribed to promote healing after surgery.

Functional Endoscopic Sinus Surgery

If a patient does not respond to medication, sinus surgery is the next best alternative for nasal polyps removal. The most common method of nasal polyps surgery is the functional endoscopic sinus surgery, or FESS procedure. In this minimally invasive procedure, the otolaryngologist inserts an endoscope through the patients nostril in order to remove nasal polyps and widen nasal passages. In her nasal polyps patient, Dr. Loftus prefers to perform a full house FESS in order to open all the sinuses. She does not recommend using balloon dilation because it does not clean out mucus or remove nasal polyps. Turbinate surgery is sometimes performed in conjunction with FESS. In this surgery, the otolaryngologist uses the endoscope to shave down the inferior turbinate, one of three body projections in the airway, to further open the patients airway. Dr. Loftus notes that turbinate reduction surgery may be unnecessary, as turbinate swelling is often a symptom of sinusitis once sinus swelling ceases, the inferior turbinate usually reduces naturally as well.

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What To Avoid After Endoscopic Sinus Surgery

  • Nose-blowing, heavy lifting and straining: You should avoid straining, heavy lifting and nose-blowing for at least 10 days after surgery, as these activities may cause bleeding. You can resume 50% of your regular exercise regimen one week after surgery and your normal routine two weeks after surgery.
  • Aspirin or non-steroidal anti-inflammatory medications: Stop taking aspirin and NSAIDs such as ibuprofen and naproxen two weeks before surgery, and avoid using them for two weeks after surgery.
  • Steroid nasal sprays: If you were taking nasal steroid sprays before surgery, you should avoid using these for at least two weeks after sinus surgery to allow the lining of the nose and sinuses to heal. Your doctor will tell you when it is safe to restart this medicine.

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What Treatments Are Available For Nasal Polyps

When it comes to choosing the best treatment, shared decision-making is key we will give you all the options and make recommendations for what we think will be most effective for you. However, it is your choice which treatment method to pursue.

Steroid medication

Anti-inflammatory steroid spray is the first line of treatment. Steroids reduce the volume of white blood cells involved in the inflammation that causes nasal polyps.

Medications such as Flonase, Nasacort, or Nasonex, which are also used treat seasonal allergy symptoms, can be delivered straight to the problem area and, because they are given in such small doses, they can be used long term.

One drawback is that nasal steroid sprays can only treat the areas they touch. So, if polyps are hidden within the nooks and crannies within your sinuses, the spray may not reach them.

If nasal sprays do not reduce the inflammation enough, we may recommend an oral or injectable steroid, such as prednisone. This can be highly effective, dissolving polyps and temporarily restoring your sinuses to normal. We rarely recommend long-term use of higher doses of steroids, which can cause serious systemic side-effects such as:

  • Cataract formation
  • Necrosis of the hip joint

Advanced sinus surgery

At UT Southwestern, which has state-of-the-art operating room equipment, we collaborate with colleagues in other fields, such as neuroradiology, neurosurgery, and ophthalmology.

Dealing With The Costs

Nasal Polyp Surgery Photograph by Mark Thomas/science Photo Library ...

Financial problems with nasal polyps surgery costs are the main concern for most patients due to recurring checkups, treatments, and procedures. Know that there are health insurance companies ready to engage with you on how to deal with this. Setting aside a budget for the continuous appointments and even your recovery may help address your financial concerns. Check the network of your health insurance company and consult with the hospitals included in their health insurance packages and plans.

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Going Home After Nasal Polypectomy

You will not be able to drive so please arrange for someone to drive you home when you are discharged.

It is normal for you to experience some bleeding from your nose the night of your procedure after the nasal packs are removed. If the bleeding increases or cannot be stopped contact your GP or your nearest A& E department.

Avoid blowing your nose for 2-3 days after your surgery. Use over the counter pain relief such as paracetamol

Your nose will feel blocked for several days after your polypectomy. This should ease within 2-3 weeks.

It is normal for the mucus produced by your nose to be slightly bloody for a few days. If you experience any fever or the mucus from your nose is a strange colour you should seek medical attention.

Most patients can return to normal activities 1-2 weeks after nasal polypectomy. You should avoid smoky areas or crowded places where you might be exposed to a cold or flu during your recovery.

Be sure and discuss any return to work with your consultant.

Most people recover well from nasal polypectomy. As with any procedure there can be complications such as:

Specific complications of nasal polypectomy may include:

  • Bruising around your eyes

Why not print this treatment page so you can discuss any concerns with your consultant?

What Is An Endoscopic Polyp Removal

Removal of nasal polyps used to be an extensive procedure. Now, with modern endoscopic techniques, they can be safely removed as an office procedure. In our office, under IV sedation, a small telescope is used to visualize the polyps and a special suction instrument can be used to vacuum the polyp away. This is typically done in conjunction with balloon sinuplasty and a sinus wash to clear the associated sinus infection.Dr. Daniel Slaughter explains what it means to have nasal polyps and how it can be treated at Sinus & Snoring Specialists.

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Recovery Process/expectation After Hospital Discharge

  • Instructions provided by the doctor must follow at home.
  • The doctor will probably ask the patient to avoid these things in the first few days after the operation:
  • Blowing the nose
  • Lifting anything heavy
  • Bending over so far that your head goes below your waist
  • The patient might be given a nasal steroid spray to prevent the recurrence of similar conditions in the future.
  • Looking At The Success Rate

    Device to combat nasal polyps

    With the advancement in machines and medical devices, surgeries have become more reliable and generally safer. The advent of laparoscopic or colonoscopic polypectomy techniques has significantly reduced the bleeding associated with regular polyp removal surgeries. Hence, the appearance of polyps nowadays should not torment you. With reliable instruments and skillful surgeons, polyp removal is even possible in your initial checkup.

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    On The Day Of Nasal Polyp Surgery

  • The patient must reach the hospital before the scheduled time for the surgery.
  • The patient will be asked to sign a consent form before the surgery.
  • The staff will instruct the patient to remove jewellery, dentures, and contact lenses before the surgery.
  • The staff will ask the patient to change their clothes and wear gowns.
  • The staff will also wrap a hospital information band on the patient’s wrist. This band will have information about the patient’s characteristics and the procedure he/she will undergo.
  • A nurse will place an intravenous catheter in the patients hand or forearm, and then general anaesthesia will be administered.
  • The vitals of the patient will also be monitored.
  • The patient will be shifted to the operation theatre for the procedure.
  • The surgeon might also start by cleaning and drying the surrounding area of the nose to reduce the risk of any infection.
  • How To Remove Nasal Polyps

    Nasal polyps are fluid-filled, sac-like growths seen on the mucosal lining of the nasal passages and sinus cavities. People with such mucosal overgrowths complain of a stuffy nose, difficulty breathing, postnasal drip, constant headaches, mouth breathing, and snoring problems.

    Once the presence of nasal polyps is confirmed, it is managed either with medical therapy or by employing surgical methods.

    The first choice will of course remain medical treatment methods, starting with topical corticosteroids.

    But even before starting this, nasal polyp sufferers may be put on a course of decongestants, and their only goal will be to clear the nasal stuffiness occurring from mucus buildup, because of the obstruction from the polyps. In no way, will decongestants be effective in decreasing the polyp size.

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    How To Prevent Formation And Recurrence Of Nasal Polyps

    Some basic preventive tips the patient can follow for nasal polyp prevention are:

    • Manage your allergies and asthma properly, as per the doctorâs instructions. If your current treatment strategy isnât effective, then consult your doctor to update it.
    • Avoid nasal irritants like known allergens, pollens, tobacco smoke, chemical fumes, dust, fine debris, etc., that can contribute to nasal inflammation.
    • Maintain cleanliness and good hygiene around you to avoid infections.
    • If you live in dry regions, use a humidifier to aid your breathing and airflow.
    • Use a neti pot or similar nasal rinse kits to clean your nasal passages with lukewarm salt water/saline water.

    How To Improve Recovery After Nasal Polyp Treatment

    Procedure For Nasal Polyps Operation Learn More Here Now.

    If youâve recently undergone nasal polyp surgery, you should follow the given tips to aid your recovery:

    • Avoid straining or blowing your nose for at least 10 days to prevent the incision from reopening.
    • Avoid strenuous activities, lifting heavy weights, etc., for at least 2 weeks. You can start performing your day to day activities within a few days of the surgery but should wait before attempting more difficult tasks.
    • Take your medications as prescribed. Do not take any medicines or supplements without approval from your doctor.
    • Use a saline nasal spray every 2-3 hours for a few days after the surgery.
    • Use a sinus rinse kit to irrigate and cleanse your sinuses at least twice a day.

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    What To Expect Long

    Still, despite surgical removal, nasal polyps will likely return. While the exact timeline isnt certain, research suggests that recurrence may be expected within a decade . Symptoms, though, will often remain improved.

    If you experience new symptoms of nasal polyps, discuss next steps with your doctor. This may include repeat surgery or medications, depending on how large the polyps are.

    Nasal corticosteroids and nasal saline irrigations are still recommended long-term to help stop polyps from coming back even after surgery.

    While you cant prevent nasal polyps from occurring, medications may help reduce their growth. In some cases, nasal steroid treatment may help shrink polyps to help prevent the need for surgery or a repeated operation.

    Treating underlying conditions, such as allergies and aspirin sensitivity, may also be important.

    During your treatment plan, take note of any symptoms, and whether they have gotten better or worsened during medication use.

    If you experience frequent nasal symptoms such as congestion or loss of smell, see a medical professional for an evaluation. Even if youve already had nasal polyp surgery, remember that these growths may come back.

    Your healthcare professional will diagnose nasal polyps and make treatment recommendations based on the following:

    • a history of your symptoms
    • a physical exam, including your nasal passages

    How Will My Doctor Make A Diagnosis

    After reviewing your answers to his or her questions, and scrutinizing your symptoms, your ENT doctor will complete a physical exam of your nose with the help of a headlight and nasal speculum to check for a deviated nasal septum and nasal polyps.

    A nasal endoscope helps your doctor examine inflammation in the sinuses.

    Nasal Endoscopy

    If your doctor is unable to view the polyp after a basic physical exam, he or she may use a nasal endoscope for a more thorough examination. A nasal endoscope is a thin flexible or rigid tube with a lighted magnifying glass & camera attached to the end. After slowly inserting the tube into each of your nostrils, your doctor has a much closer view of your sinus cavity to visualize the polyps.

    CT and MRI scans

    Polyps can also be located through various imaging techniques. Both computerized tomography and magnetic resonance imaging are able to show your doctor a very detailed picture of your sinuses. These imaging techniques are used to evaulate areas of the sinuses that can not be seen on endoscopy. A sinus CT shows bone and polyps and is usually the only imaging test required. The sinus CT shows the severity of the polyps inflammation, as well as its general size and location within the sinuses. If there is a question of the polyps entering the brain or eyes then an MRI may be ordered as well.

    Allergy Tests Skin Prick Method and Blood Test

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    How To Remove Nasal Polyps With Medical Therapy

    It is only steroid therapy that has found to successfully shrink the size of polyps in many individuals, but again this will depend on the size of the polyps.

    Aqueous based steroid nasal drops or sprays, like fluticasone and beclomethasone can not only effectively relieve symptoms associated with nasal polyps, when used long term, may successfully reduce the polyp size largely. They are free from harm or risk when used for an extended period of time. However, these have found to be effective only when used to treat small-sized polyps they have no effect on large polyps. Also, their large size will make it difficult to instill these medications to see any curative signs.

    Hey!. Do not feel dejected if you are suffering from large-sized polyps. There is help in the form of oral corticosteroid tablets used in combination with either nasal sprays or drops. A 5 mg tablet of prednisone along with betamethasone nasal drops is generally prescribed to eliminate large polyps from the nasal cavity. But, steroid tablets are never used for a long period they are given for only about 5 or 10 days after which they have to be stopped to avoid secondary side effects.

    Intrapolyp corticosteroid injections also reduced the need for sufferers to undergo any surgical interventions for polyp removal, but this is not widely in use because of possible severe complications that can erupt.

    Sinus Revision Surgeries: Endoscopic Maxillary Mega

    Learning About Nasal Polyps

    In patients who have undergone a failed FESS, there are two options for revision surgery: a mega antrostomy or a Draf III. A mega antrostomy involves removing the posterior two-thirds of the inferior turbinate and drilling the medial wall all the way down to the nasal floor. A Draf III consists of a superior septectomy and drilling out the intersinus septum and the floor of the frontal sinuses over to the orbit. Dr. Loftus notes that with patients who have ciliary disorders, such as cystic fibrosis or primary ciliary dyskinesia, she may perform a mega antrostomy instead of FESS in order to increase the efficacy of their nasal rinses.

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    When Is Nasal Polyp Treatment Required

    Nasal polyps are often mistaken for common cold, flu, sinusitis, etc., as their symptoms are so similar. The most obvious sign of a nasal polyp is that the symptoms are worsening instead of improving despite medical treatment. If the symptoms persist for over 10 days, then the patient should consult an ENT specialist for treatment immediately.

    Not getting treatment on time can lead to serious complications like difficulty in breathing, double or reduced vision, severe facial swelling, headache, etc. A general or primary care physician can perform the initial consultation, but only an ENT specialist will be able to treat nasal polyps properly for long-term relief.

    Am I At Risk Of Developing Nasal Polyps

    Some people are more at risk than others of developing nasal polyps. Those who suffer from chronic sinus infections are more likely to develop polyps than someone with milder symptoms. However, there are a variety of other conditions and disorders that are linked with the development of nasal polyps. Read below for a list of some examples.

    Always inform your doctor of your past family medical history.

    • Asthma tightening and swelling of the airways
    • Pain Reliever Allergies inflammation of nasal cavities after taking ibuprofen and naproxen
    • Fungus Allergies inflammation after an allergic reaction to fungi particles indoors or outdoors
    • Cystic fibrosis a gene mutation disorder where the body produces an irregularly high amount of thick mucus from the sinus membranes those diagnosed with cystic fibrosis are 40% more likely to develop nasal polyps
    • Churg-Strauss Syndrome a rare syndrome that causes the blood vessels to become swollen
    • Immune System Characteristics you may be at a higher risk of developing nasal polyps if your DNA carries a genetic permutation linked to the specific immune system function that causes polyps
    • Tip: Whether or not you suspect you suffer from nasal polyps, make sure you always have an extensive report of your family history before visiting your doctor

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    Why Is Nasal Polyps Surgery Needed

    Nasal polyps are common in adults due to the daily stress and unhealthy environment from the pollution, traffic, and habits formed. Most medications can help alleviate the issue but does not fully eliminate any potential risks in the future. Depending on how big the nasal polyps are, some would prefer to have their treatments via nasal sprays or medicine. However, nasal polyps surgery costs less for both your time and money so this is commonly preferred by the doctors.

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