The Surgical Removal of Nasal Polyps

Nasal polyps are teardrop-shaped, non-cancerous growths that develop in the lining of nasal passages and sinuses. Polyps particularly affect those with asthma and allergies. Large polyps can cause complications such as blocked passages, breathing difficulties and frequent sinus infections. These larger nasal polyps may require surgical removal.

Surgery

• Two types of surgeries are effective when removing nasal polyps: polypectomy and endoscopic sinus surgery. The type of surgery will depend upon the size, number and location of nasal polyps.

  Polyectomies are usually for smaller or more isolated polyps and uses local anesthetic. A nasal speculum holds the nose open while polyps are clamped and removed with a wire loop or forceps.

  Endoscopic sinus surgery is for people with more or larger-sized polyps and is conducted under either local or general anesthetic. A surgeon will use a small tube with a magnifying lens or camera called an endoscope into the nasal passage and use tiny instruments to remove the polyps.

Recovery

• Patients usually go home the same day of either surgery. Dressing is applied to the nose after surgery and sometimes splints are put into place to avoid clogging. Doctors discourage energetic activity for two to three weeks post surgery in order to prevent bleeding.

Recovery

• Generally, doctors will want to try non-surgical procedures to eliminate smaller or fewer polyps first. Potential complications of nasal polyps removal surgery include meningitis, intracranial hemorrhage, optic nerve injury or eye muscle injury. It is possible that polyps will recur even after surgery.