Fast Five Quiz: Nasal Polyps Presentation and Diagnosis

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

Disclosures

February 17, 2022

How nasal polyps manifest is largely dependent on their size and location. Small polyps may be asymptomatic and identified only during routine examination when they are located anterior to the anterior edge of the middle turbinate. Conversely, large polyps and small polyps in or near the middle meatus may produce symptoms and block the outflow tract of the sinuses, resulting in chronic or recurrent acute sinusitis symptoms.

Snoring may be a symptom of nasal polyps. Other symptoms include nasal airway obstruction, postnasal drainage, dull headaches, rhinorrhea, hyposmia, or anosmia.

Epistaxis may occur with nasal polyps. However, epistaxis that does not arise from irritation of the anterior nasal septum (ie, Kiesselbach plexus) is not usually associated with benign polyps and should trigger investigations for other, more serious, nasal lesions.

Learn more about the manifestation of nasal polyps.

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