Fast Five Quiz: Nasal Polyps Nonsurgical Management

Arlen D. Meyers, MD, MBA


December 08, 2020

Medical management should be the first-line treatment of patients with nasal polyps. However, when patients are refractory to maximal medical management, surgical treatment may be required. In such cases, it is essential that patient education be provided regarding the long-term treatment plan, with emphasis on the need for long-term medical management to prevent recurrence of polyposis.

Oral corticosteroids are the mainstay of medical treatment for nasal polyps. These nonspecific anti-inflammatory agents work quickly to significantly reduce the size of inflammatory polyps and improve symptoms. When patients are responsive to oral corticosteroids, they can be safely treated with them three to four times a year, particularly if they are not surgical candidates.

Intranasal steroid sprays may diminish or slow the growth of small nasal polyps, but they are relatively ineffective in massive nasal polyposis. They may be most effective in the postoperative period to prevent or delay polyp regrowth.

Learn more about the medical care of nasal polyps.

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