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Nasal Polyps

Reviewed 06/2020
 


BASICS

  • Chronic benign inflammatory lesion of nasal mucosa

  • Arise from ethmoidal cells but can arise from maxillary sinus mucosa although less common

DESCRIPTION

  • Appearance of edematous pedunculated mass i...

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 drainag...

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

P...

REFERENCES

1
Hopkins C. Chronic rhinosinusitis with nasal polyps. N Engl J Med.  2019;381:55–63.
2
Poetker DM, Jakubowski LA, Lal D, et al. Oral corticosteroids in the management of adult chronic rh...

ADDITIONAL READING

Håkansson K, Thomsen SF, Konge L, et al. A comparative and descriptive study of asthma in chronic rhinosinusitis with nasal polyps. Am J Rhinol Allergy.  2014;28(5):383–387. 

CODES

ICD10

  • J33.9 Nasal polyp, unspecified

  • J33.0 Polyp of nasal cavity

  • J33.8 Other polyp of sinus

  • J33.1 Polypoid sinus degeneration

ICD9

  • 471.9 Unspecified nasal polyp

  • 471.0 Polyp of nasal cavity

  • 471.8 Other p...

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 and/or doxycycline may ...

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