Fast Five Quiz: Nasal Polyps

Arlen D. Meyers, MD, MBA


February 06, 2020

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.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.