Fast Five Quiz: Nasal Polyps Presentation and Diagnosis

Arlen D. Meyers, MD, MBA; Flavia Cecilia Lega Hoyte, MD


February 17, 2022

Figure 1. Colored frontal radiograph of the skull of a patient with a polyp.

In cases involving solitary polyps, patients frequently present only with symptoms of nasal obstruction, which may change with a shift in position. For example, patients in an upright position may experience more nasal obstruction, whereas lying flat may cause the polyp to swing posteriorly and open up the nasal cavity.

Regardless of the number of polyps, patients may have symptoms of acute, recurrent, or chronic rhinosinusitis if the polyps obstruct the sinus ostia. This can occur even in the presence of a single polyp.

Common symptoms in patients with massive nasal polyposis include increasing nasal congestion, hyposmia to anosmia, changes in perception of taste, and chronic postnasal drainage. Headaches as well as facial pain and discomfort may be found in the periorbital and maxillary regions.

Learn more about the presentation of nasal polyps.


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