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Nasal Polyps

Andrew Dinh, DO and Tharani Ravi, MD Reviewed 06/2019
 


BASICS

  • Chronic 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 in the n...

DIAGNOSIS

  • Symptoms

    • Rhinorrhea

    • Nasal congestion

    • Postnasal drainage

    • Hyposmia

    • Inability to breathe through nose

    • Dull headaches

    • Facial pain/pressure over the middle third of the face

    • In some cases, there may be n...

TREATMENT

  • 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 obstruct drainage of s...

ONGOING CARE

  • Acute/chronic sinus infection

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

  • Recurrence twice as likely in those with asthma

  • Hetero...

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 Abstr...

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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