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Nasal Polyps

Daniel Perez, MD and Sagar Saoji, M.D. Reviewed 04/2024
 


BASICS

  • Painless benign inflammatory and hyperplastic lesions of sinonasal mucosa (1).

  • Arise from near the ethmoid sinus but can infrequently arise from maxillary sinus mucosa.

  • Usually associated with c...

DIAGNOSIS

  • Made on the basis of the presence of sinonasal symptoms for more than 3 months and the visualization of polyps in the nasal cavity, usually initially via nasal endoscopy.

  • CT or MRI scans of t...

TREATMENT

GENERAL MEASURES

  • Goal is to reduce the size or eliminate nasal polyps because they can obstruct the nasal cavity and impair sense of smell, restrict breathing ability through nose, and obstru...

ONGOING CARE

  • Recurrence up to ~40% (3)

  • Use of intranasal corticosteroids after polyp removal surgery has shown effectiveness against recurrence.

  • Recurrence twice as likely in those with asthma

PROGNOSIS

...

REFERENCES

1
del Toro E, Portela J. Nasal Polyps. [Updated 2023 Feb 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 
2
Raciborski F, Arcimowicz M, Samoliñski B, et ...

CODES

ICD10

  • J33.9 Nasal polyp, unspecified

  • J33.0 Polyp of nasal cavity

  • J33.8 Other polyp of sinus

  • J33.1 Polypoid sinus degeneration

SNOMED

  • 52756005 Nasal polyp (disorder)

  • 373605001 Nasal polyp - posterior (d...

CLINICAL PEARLS

  • Intranasal corticosteroid use has been demonstrated to reduce polyp size and recurrence as well as to improve nasal congestion.

  • Short-course oral corticosteroids may be considered in th...

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