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Nasal Polyps

Andrew Dinh, DO, Monica Ramirez, MD and Tharani Ravi, MD Reviewed 06/2018
 


BASICS

  • Chronic inflammatory lesion of nasal mucosa

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

  • Appearance of edematous pedunculated mass in the nasal cavity...

DIAGNOSIS

  • Symptoms present >12 weeks (2).

  • Two or more symptoms, one of which is either nasal blockage/obstruction/congestion OR nasal discharge

  • Nasal obstruction/restricted nasal airflow: persistent ...

TREATMENT

  • Intranasal corticosteroid use has been demonstrated to reduce polyp size and recurrence as well as improvement in nasal congestion based on controlled studies (1)[A].

  • Treat for a minimum of 1...

ONGOING CARE

  • Acute/chronic sinus infection

  • Heterotropic bone formation within the sinus cavity

  • Recurrence:

    • Twice as likely in those with asthma

REFERENCES

1
Poetker DM, Jakubowski LA, Lal D, et al. Oral corticosteroids in the management of adult chronic rhinosinusitis with and without nasal polyps: an evidence-based review with recommendations...

ADDITIONAL READING

  • Bachert C. Evidence-based management of nasal polyposis by intranasal corticosteroids: from the cause to the clinic. Int Arch Allergy Immunol.  2011;155(4):309–321. [View Abst...

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.

  • Asthma is a common concomitant diagnosis and is often pre...

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