Functional endoscopic sinus surgery may be required in the management of nasal polyposis. The goal of this surgery is to remove nasal polyps, enlarge the sinus ostia, remove bony partitions and osteitic bone, and improve sinus drainage. A Cochrane review was unable to determine whether isolated nasal polypectomy or more extensive sinus surgery is a superior surgical treatment for chronic rhinosinusitis with nasal polyps.
Nasal polypectomy is contraindicated in patients with significant comorbidities, including but not limited to cardiac and pulmonary disease, significant bleeding disorders, or poorly controlled diabetes or asthma.
Nasal polypectomy is not usually the first-line treatment of nasal polyps. When patients experience uncontrolled symptoms or symptoms that do not resolve with maximum medical therapy, surgery may be considered.
Many patients will require continued medication after surgery to avoid relapse and reduce inflammation.
Learn more about the surgical treatment of nasal polyps.
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Cite this: Arlen D. Meyers. Fast Five Quiz: Nasal Polyps - Medscape - Feb 06, 2020.