Nasal Polyps: Symptoms, Treatment, and Surgery Options

There is a polyp in the nostril?

Hello, Doctor.
When I clean the inside of my nose, I feel two fleshy lumps inside.
Sometimes they retract into the nasal cavity, but when I feel unwell, one of the larger lumps enlarges and blocks my left nostril.
When I scrunch my nose, a small part of it protrudes outside the nostril, and at this time, mucus definitely builds up, causing the other nostril to become blocked.
My nose feels completely congested, and I can only breathe through my mouth.
The other lump feels like it is in the middle of my nostrils, which is very uncomfortable.
Could this be a nasal tumor? Is my nose suffering from a deviated septum? If surgery is performed, can it treat and cure this condition? What types of surgeries are available? Are they laser surgeries or traditional surgical procedures? If traditional surgery is performed, will it affect my appearance? If hospitalization is required, how many days would I need to stay? What would be the estimated cost of treatment? Additionally, I snore loudly while sleeping, which makes me hesitant to stay with friends when traveling.
How can this be treated? Please help me with my concerns.
Thank you.

Xiao Leng, 20~29 year old female. Ask Date: 2005/02/18

Dr. Hu Kexin reply Otolaryngology

Hello, based on your description, your symptoms may be caused by swollen inferior turbinates or an intranasal tumor (such as nasal polyps, etc.).
The surgical approach and length of hospitalization will depend on the underlying cause of the condition.
If it is not a malignant tumor, it generally should not lead to significant cosmetic issues.
Nasal congestion can certainly cause snoring, but there are many potential causes for snoring, so it is important to seek assistance from an otolaryngologist to clarify the true underlying issue.
Hook Sin.

Reply Date: 2005/02/18

More Info

Nasal polyps are soft, painless, noncancerous growths that develop on the lining of your nasal passages or sinuses due to chronic inflammation. They can vary in size and may appear as small bumps or larger masses that can obstruct airflow, leading to various symptoms. Understanding the symptoms, treatment options, and surgical interventions for nasal polyps is crucial for managing this condition effectively.

Symptoms of Nasal Polyps
Common symptoms associated with nasal polyps include:
1. Nasal Congestion: A feeling of blockage in the nasal passages, often leading to difficulty breathing through the nose.

2. Runny Nose: Increased nasal discharge, which may be clear or thick.

3. Loss of Smell: A reduced ability to smell or taste, which can significantly impact quality of life.

4. Facial Pain or Pressure: Discomfort or pain in the face, particularly around the eyes and forehead.

5. Snoring: Due to nasal obstruction, many individuals experience snoring during sleep.

6. Frequent Infections: Chronic sinus infections may occur as a result of blocked sinuses.

Treatment Options
Treatment for nasal polyps typically begins with conservative measures, including:
1. Medications:
- Nasal Corticosteroids: These are the most common treatment and can help reduce inflammation and shrink polyps. Examples include fluticasone and mometasone.

- Oral Corticosteroids: In cases of severe inflammation, a short course of oral steroids may be prescribed.

- Antihistamines: If allergies are contributing to the inflammation, antihistamines may help alleviate symptoms.

- Saline Nasal Irrigation: Rinsing the nasal passages with saline can help clear mucus and allergens.

2. Surgery: If medications are ineffective, surgical options may be considered. The primary surgical procedure for nasal polyps is called endoscopic sinus surgery. This minimally invasive technique involves using a thin, flexible tube with a camera (endoscope) to remove polyps and clear blocked sinuses.
- Types of Surgery:
- Endoscopic Sinus Surgery: This is the most common approach and is performed under general anesthesia. It typically does not require a hospital stay, and recovery is relatively quick.

- Laser Surgery: Some surgeons may use lasers to remove polyps, but this method is less common than traditional endoscopic techniques.

Recovery and Considerations
- Hospital Stay: Most endoscopic procedures are outpatient, meaning you can go home the same day. However, if complications arise or if additional procedures are performed, a short hospital stay may be necessary.

- Cost: The cost of surgery can vary widely based on location, the complexity of the procedure, and whether you have insurance. It’s essential to discuss these details with your healthcare provider and insurance company.

- Scarring: Concerns about scarring or changes in appearance are valid, but endoscopic surgery is designed to minimize trauma to surrounding tissues, and most patients do not experience significant cosmetic changes.

Addressing Snoring and Sleep Issues
Snoring can be a result of nasal obstruction caused by polyps. Treating the underlying nasal blockage often alleviates snoring. In addition to medical and surgical treatments, lifestyle changes such as sleeping on your side, maintaining a healthy weight, and avoiding alcohol before bedtime can also help reduce snoring.

Conclusion
If you suspect you have nasal polyps, it’s essential to consult with an ENT specialist for a thorough evaluation. They can provide a definitive diagnosis, discuss the best treatment options tailored to your situation, and address any concerns you may have regarding surgery and recovery. Remember, managing nasal polyps effectively can significantly improve your quality of life, including better sleep and reduced symptoms.

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