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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

1
Hopkins C. Chronic Rhinosinusitis with Nasal Polyps. N Engl J Med. 2019;381:55-63.
2
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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