Nasal Polyps

Nasal polyps are soft, non-cancerous growths that develop on the lining of the nose or sinuses. They are the end product of chronic inflammation that may result from a viral or bacterial infection, allergies, or an immune system response to fungus. Chronic inflammation causes the blood vessels in the lining of the nose and sinuses to become more permeable, allowing water to accumulate in the cells. Over time, as gravity pulls on these waterlogged tissues, they develop into polyps.

Polyps are generally soft and pearl colored, with a consistency like jelly. Polyps may be single or several, clustered together like grapes on a stem.

SYMPTOMS

OF NASAL POLYPS MAY INCLUDE:

It is unusual for small nasal polyps to cause any symptoms. Signs and symptoms of larger nasal polyps include:

  • Nasal obstruction
  • Runny nose
  • Chronic sinus infections
  • Loss or diminished sense of smell
  • Dull headaches
  • Snoring

TREATMENT

Treatment of nasal polyps depends on the size of the polyps and symptoms. Medications are the most common treatment for small nasal polyps. Surgery may be needed to remove larger growths, but if the underlying cause of the polyps is not treated, the polyps frequently return. Below are various treatment options for nasal polyps:

  • Inhaled Nasal Steroids.
  • Oral Corticosteroids.
  • Medications to Control Allergies or Infections.
  • Antifungal Medications.
  • Allergy Shots (Immunotherapy).
  • Surgery. If medical treatments are not effective, surgical removal of the nasal polyps may be of benefit.
Surgery for Nasal Polyps

ENDOSCOPIC SINUS SURGERY TO

REMOVE POLYPS

To remove larger nasal polyps, Dr. Darakshan can perform endoscopic sinus surgery. In this procedure, endoscopic fiber-optics surgical techniques are used to unblock obstructions, open the natural drainage areas of the sinuses, and remove nasal polyps. Increased ventilation and drainage can relieve congestion and sinus headaches, improve nasal breathing, and enhance the patient’s sense of smell in many cases.

During endoscopic sinus surgery, Dr. Darakshan uses previously-performed CT imaging and computers intra-operatively to minimize risk. This technology allows him to view live images of the procedure and, at the same time, have a real-time three-dimensional CAT scan image of the surgical area. Intra-operative CT guidance provides Dr. Darakshan with important anatomical information and gives him better insight into the field of the operation, reducing the risks and improving the results of surgery.

When nasal polyps are surgically removed, they are likely to recur if the underlying source of the problem is not treated. Dr. Darakshan always tests the polyps to evaluate the underlying cause, and in the post-operative period he treats this source to help prevent polyp recurrence.