Nasal Polyps

Tharani Ravi, MD and Carolina Sanchez, MD Reviewed 06/2022

BASICS

Chronic benign inflammatory lesion of nasal mucosa
Arise from near the ethmoid sinus but can infrequently arise from maxillary sinus mucosa

DESCRIPTION

Appearance of edematous pedunculated mass in...

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

HISTORY

Symptoms

Rhinorrhea
Nasal congestion
Postnasal draina...

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% (1)
Use of intranasal corticosteroids after polyp removal surgery has shown effectiveness against recurrence.
Recurrence twice as likely in those with asthma

PROGNOSIS

...

REFERENCES

Hopkins C. Chronic Rhinosinusitis with Nasal Polyps. N Engl J Med. 2019;381:55-63.

DeMarcantonio MA, Han JK. Nasal polyps: pathogenesis and treatment implications...

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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