Nasal polyp

Jump to navigation Jump to search
https://https://www.youtube.com/watch?v=9rnxdFYmqUo%7C350}}
Nasal polyps
ICD-10 J33
ICD-9 471
MedlinePlus 001641
eMedicine ent/334  ent/335
MeSH C09.603.557

WikiDoc Resources for Nasal polyp

Articles

Most recent articles on Nasal polyp

Most cited articles on Nasal polyp

Review articles on Nasal polyp

Articles on Nasal polyp in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Nasal polyp

Images of Nasal polyp

Photos of Nasal polyp

Podcasts & MP3s on Nasal polyp

Videos on Nasal polyp

Evidence Based Medicine

Cochrane Collaboration on Nasal polyp

Bandolier on Nasal polyp

TRIP on Nasal polyp

Clinical Trials

Ongoing Trials on Nasal polyp at Clinical Trials.gov

Trial results on Nasal polyp

Clinical Trials on Nasal polyp at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Nasal polyp

NICE Guidance on Nasal polyp

NHS PRODIGY Guidance

FDA on Nasal polyp

CDC on Nasal polyp

Books

Books on Nasal polyp

News

Nasal polyp in the news

Be alerted to news on Nasal polyp

News trends on Nasal polyp

Commentary

Blogs on Nasal polyp

Definitions

Definitions of Nasal polyp

Patient Resources / Community

Patient resources on Nasal polyp

Discussion groups on Nasal polyp

Patient Handouts on Nasal polyp

Directions to Hospitals Treating Nasal polyp

Risk calculators and risk factors for Nasal polyp

Healthcare Provider Resources

Symptoms of Nasal polyp

Causes & Risk Factors for Nasal polyp

Diagnostic studies for Nasal polyp

Treatment of Nasal polyp

Continuing Medical Education (CME)

CME Programs on Nasal polyp

International

Nasal polyp en Espanol

Nasal polyp en Francais

Business

Nasal polyp in the Marketplace

Patents on Nasal polyp

Experimental / Informatics

List of terms related to Nasal polyp


Overview

Nasal polyps are polypoidal masses arising mainly from the mucous membranes of the nose and paranasal sinuses.

Diagnosis

They are overgrowths of the mucosa that frequently accompany allergic rhinitis. They are freely moveable and non-tender. Nasal polyps are usually classified into antrochoanal polyps and ethmoidal polyps. Antrochoanal polyps arise from the maxillary sinuses and are much less common, ethmoidal polyps arise from the ethmoidal sinuses. Antrochoanal polyps are usually single and unilateral whereas ethmoidal polyps are multiple and bilateral.

History and Symptoms

Symptoms of polyps include nasal block, sinusitis, anosmia or loss of smell, and secondary infection leading to headache. [1]

Physical Examination

Ear Nose and Throat

Left nasal polyp [1]

The pathogenesis of nasal polyps is unknown. Nasal polyps are most commonly thought to be caused by allergy and rarely by cystic fibrosis although a significant number are associated with non-allergic adult asthma or no respiratory or allergic trigger that can be demonstrated.

These polyps have no relationship with colonic or uterine polyps. Irregular unilateral polyps particularly associated with pain or bleeding will require urgent investigation as they may represent an intranasal tumour.




CT

CT images demonstrate a right nasal polyp

Treatment

Nasal polyps are most often treated with steroids, topical or oral, but can also be treated with surgical methods.

Pre-post surgery, sinus rinses with a warm water (240ml / 8oz) mixed with a small amount (teaspoon) of salts (sodium chloride & sodium bicarbonate) can be very helpful to clear the sinuses. This method can be also used as a preventative measure to discourage the polyps from growing back and should be used in combination with a nasal steroid.

Mometasone furoate, commonly available as a nasal spray for treating common allergy symptoms, has been indicated in the United States by the FDA for the treatment of nasal polyps since December 2004.

External links

Template:Respiratory pathology

de:Nasenpolyp


Template:WikiDoc Sources