Fast Five Quiz: Nasal Polyps Surgical Management and Polypectomy

Arlen D. Meyers, MD, MBA


December 09, 2020

Figure 1. MRI of nasal polyp and pneumatization.

In cases that may include intracranial involvement or extension of benign nasal polyps, MRI is justified.

CT of the sinuses without contrast is the recognized criterion standard for preoperative assessment. Results should be evaluated with particular attention to the anterior ethmoid artery, orbital and skull base anomalies, optic nerve and carotid in posterior ethmoidal (Onodi) cells, and sphenoid sinus.

Nasal and sinus endoscopy for the evaluation of anatomy, site of origin, past surgical changes, and evidence of other disease-causing polyps (eg, tumor, infection, systemic diseases) may be appropriate for some patients.

Preoperative assessment of nasal polyps may include relevant laboratory studies, such as nasal smears or cultures for fungus and bacteria or allergy or asthma studies if indicated.

Learn more about the preoperative assessment of patients with nasal polyps.


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