Removal of nasal polyps. Why do polyps occur,disease symptoms

Update: December 2018

Polyps in the nose today are diagnosed in 1-4%
population, moreover, in men 4 times more often than in women. it
benign neoplasms that form on the mucous
sheath of the paranasal sinuses and in the nasal cavity.

The cause of the growth of polyps in the nose are most often inflammatory.
processes in the nasal cavity of bacterial and allergic
nature, as well as the curvature of the nasal septum. With a gradual
growth of polyps in the nose, symptoms appear gradually and lead to
pronounced impaired smell and difficulty in nasal breathing. With
in the absence of treatment of nasal polyps in humans is significantly worsened
quality of life, headaches, severe sleep disturbances,
appetite, reduced performance, and children manifested
violation of bite, hearing, speech development. Diagnosis of the disease
включает  эндоскопический осмотр, КТ, рентгенографию
paranasal sinuses. The treatment offered by otolaryngologists can
be both conservative and surgical.

Withчины появления полипов

With длительном воспалительном процессе в носовой полости, когда
mucous membrane begins to deplete, begins to turn on
compensatory mechanism. It occurs as a response.
organism on the inflammatory process, the growing mucous membrane,
increasing its area, trying to stop in this way
inflammatory process in the nose.

This happens not only in infectious processes – frontal sinusitis,
sinusitis, sinusitis, but also in allergic reactions. To whom
should constantly monitor the state of the nasal cavity, in time
be examined by an otolaryngologist, people with which pathological
processes in the nose have the risk of polyp growth:

  • Persons with chronic ethmoiditis, sinusitis, frontitis, with
    кистами paranasal sinuses.
  • Persons suffering from allergic rhinitis, pollinosis,
    bronchial asthma.
  • Persons with narrow nasal passages, with hypertrophic rhinitis, with
    curvature of the nasal septum.

The true cause of polyps in each
case is difficult to determine, usually causes
several, most often it is the combination of these diseases
lead to this pathology. Withчем, самым основным
predisposing factor is considered the nasal curvature
partitions and severe forms of allergic reactions.

How to recognize that these are nasal polyps – symptoms of growth
neoplasms

Как отличить безобидный насморк при простуде, аллергии  —
from a cold that threatens to nasal polyposis? Symptoms
vasomotor rhinitis is periodically laying the left,
then the right side of the nasal passages, as well as a sign of a maturing
polyposis is the appearance of allergic rhinitis. Usually,
any powerful allergic reaction is accompanied by a minor
inflammation, and a strong inflammatory process causes, in its
queue, though not a big, but an allergic reaction. therefore
The main symptoms of nasal polyps are the following.
signs:

  • Nasal congestion or difficulty breathing through the nose Полипы в носу
  • Frequent sneezing, itching, frothy clear nasal discharge
  • Partial or complete loss of smell and even taste
  • With очень крупных размерах полипов и их опускании в носоглотку
    eating problems may arise
  • Sinus pain and headaches
  • Snoring, sleep disturbance due to breathing difficulties
  • Disorders occurring in the nasopharynx lead to the risk of developing
    infectious-inflammatory processes, which manifests as purulent and
    mucopurulent secretions

Treatment options for nasal polyps

Conservative drug treatment of polyps in the nose in the first
the queue is aimed at minimizing the impact of predisposing
factors causing mucosal growth. May also include
the whole complex of procedures is warming and laser therapy, and
injections, and oral medication.

The number of procedures, doses of drugs should be prescribed
together an allergist-immunologist and an otolaryngologist surgeon.
An allergist can refer to blood tests that will help accurately
determine sensitivity to specific allergens – knowing the enemy in
face, it will be easier to fight him. Conservative treatment
implies:

  • Elimination of provoking factors that stimulate
    the proliferation of polypous tissue is professional allergens,
    allergy drugs, household allergens, pollen
    allergens
  • Treatment of infectious and inflammatory processes in the nasopharynx
  • Observance of a hypoallergenic diet, elimination of alcohol, coffee,
    acute, salty. With поллинозе следует исключить из рациона
    products that cause cross-allergy (see tables in articles
    allergy to poplar fluff and allergic cough), exclude NSAIDs and
    products containing salicylates, dyes, food additives,
    preservatives as they are often provocateurs
    allergies.
  • Rinsing with saline solutions -Aqua-Maris, Quicks,
    Aqualor, Gudvad, Dolphin, Marimer, Physiomer, Atrivin-More, Allergol
    Dr. Theis.
  • Strelnikova gymnastics, breathing method Buteyko,
    self-massage of the trigeminal nerve, (on the side of the wings of the nose to produce
    acupressure)
  • Bury the oil of thuja, sea buckthorn oil, wild rosemary,
    St. John’s wort oil (in the absence of allergies to these plants)
  • Immunotherapy, antiallergic therapy (see list
    modern allergy pills, Cetrin -instructions)

This conservative method includes the treatment of thermal
impact. When a patient has contraindications to
surgical removal:

  • Blood clotting disorder
  • Hypertension
  • Heart failure, ischemic heart disease
  • Respiratory failure, severe bronchial asthma

then apply thermal effects up to 60-70C, it
produced by introducing into the nasal cavity a thin
quartz fiber. After irradiation, the polyps become white,
and after 3 days exfoliate from the mucous membrane, then they or the patient
высмаркивает самостоятельно, либо  врач удаляет пинцетом.

Hormonal drugs are also used in cases where
surgery is excluded or the patient refuses
operations. itт альтернативный метод заключается в назначении
corticosteroid drugs orally in high doses for 2-3
weeks, either as infections directly into the polyps. itт
the method is not the best because after such treatment the risk
recurrence is very high.

With высоких дозах гормонов у различных пациентов может
depression of adrenal function, as well as development
addictive, any corticosteroids are immunosuppressive
action, which can cause exacerbation of other chronic
diseases. And with seemingly rapid effect, hormonal
drugs over a short period of time worsen the condition and
bring tremendous harm to the body. If you use such
means often and for a long time – in the future this is necessarily negative
affects the health of patients.

 Surgical methods for removing polyps in the nose

How not sad, but rarely, when conservative treatment
nasal polyps brings lasting effect. therefore его обычно назначают
as a preparatory stage combined preoperative
treatment.

Usually, когда обнаруживаются полипы в носу, врач предлагает
their prompt removal. Most often with long-term chronic
polyposis without surgical intervention is indispensable, especially
учитывая риск злокачественного перерождения таких neoplasms.
After removing the polyp, the doctor prescribes a supportive
anti-relapse therapy that should stop further
progression of polyposis.

Otolaryngologists today offer several
options for removal of polyps in the nose, which we detail
We tell in our other article.  The most
эффективным, малотравматичным и безопасным методом большинство
Doctors consider functional endoscopic endonasal
operation when it is possible to remove the polyps in the sinuses under
navigation control using a special suction unit
devices – shaver or debreder (see endoscopic removal
nasal polyps with a pedigree description of preoperative preparation and
postoperative treatment). With единичном полипе показано удаление
polyps in the nose with a laser, in some cases using a polypotomy
or removal using a polyp loop.

When is the question of removing polyps?
  • With хроническом полипозном риносинусите, гайморите,
    front
  • no nose breathing
  • persistent sense of smell, snoring
  • polyposis with severe bronchial asthma
  • polyps and curvature of the nasal septum

Surgery is contraindicated in:

  • bleeding disorders,
  • acute infectious and inflammatory diseases of internal
    organs,
  • during exacerbation of asthma, pollinosis, allergic
    rhinitis,
  • with decompensation of diabetes, cardiovascular
    pathologies
  • oncological diseases.

The operation of any method produced in a planned manner, after
the delivery of all tests by the patient, CT, on the background of
предоперационного treatment. After surgery jointly by doctors
an immunologist-allergist and otolaryngologist appointed
conservative postoperative therapy that prevents
recurrence development.

In our time with inflammatory processes, medicine can somehow
to cope, but allergies – no matter how specialists tried,
scientists find out the root causes of its occurrence and methods
therapy, this disease is truly considered the plague of our time,
because there is practically nothing to treat it. Using
antihistamine drugs only reduce symptoms, and the use of
corticosteroids – the most dangerous treatment, fraught with a bomb
time lapse.

and free selling such strong sprays with corticosteroids without
prescriptions and doctor’s appointments, sometimes leading to the fact that a person is not
controls the frequency of use, dose and duration of treatment, in the future
worsening condition. Long and uncontrolled use
local hormonal drugs can lead to systemic
side effects:

  • mucosal atrophy
  • perforation of the nasal septum (holes in the septum)
  • oppression of local immune processes
  • increase intraocular pressure
  • reduce taste
  • sleepiness
  • cough

You can not abruptly cancel the use of such funds,
apply only the methods of pulse therapy with the gradual abolition of
precise control of the doctor in dynamics.

It is also necessary to know that inhaled corticosteroids, such
as Nazarel, Nasobek, Benorin, Aldecine, Beconaze, Fliksonaze,
Nasonex, Beclomethasone, Rinoclenil, Avamis, Asmanex, Polydex
used only after endoscopic nasal microsurgery,
since in the presence of polyps, the drug will
reach only the mucous in the nasal cavity, not reaching the sinuses,
moreover, given the minimal absorption into the blood, hormonal
drug can not penetrate into the polyp. After removing polyps when
the natural nasal passages become passable to the sinuses, their
application is shown as postoperative,
anti-relapse treatment to lengthen the remission period.

More information about unconventional and popular methods of treatment after
removal of polyps can be found in our article Polyps in the nose –
treatment of folk remedies.

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