What Are the Most Common Treatments for Nose Polyps?
Nasal polyp removal is the best way to completely treat nasal polyps. Nasal polyps are more common in adults and are caused by long-term edema of the nasal mucosa. The main causes are allergic reactions and chronic inflammation.
Basic Information
- Chinese name
- Nasal polyp removal
- Anesthesia
- Superficial anesthesia, general anesthesia for children
- Indication
- Polyps affecting breathing or suspected malignancy
- Contraindications
- Acute upper respiratory infections and infectious diseases
- complication
- Bleeding, pharyngitis, otitis media, etc.
Nasal polyp removal anesthesia
- Nasal surface anesthesia is the main method, and children use general anesthesia.
Preoperative preparation for nasal polyp removal
- 1. Cut off the nose hair and shave, clean the face and nose, wash the nose with warm saline.
2. X-ray or CT examination of the sinuses, to understand the scope of nasal polyps lesions and sinus conditions.
Indications for nasal polyp removal
- 1. Nasal polyps affect nasal breathing and sinus drainage.
2. For malignant changes in nasal polyps, the above purpose may not be considered.
Contraindications for nasal polyp removal
- 1. Acute upper respiratory infections and infectious diseases.
2. Hypertension and atherosclerosis should be evaluated for surgical risk with the collaboration of internal medicine.
3. Unexplained high fever.
4. Hematological disease or hemorrhagic constitution (preferably cryotherapy).
5. Cachexia.
6. Menstrual period.
Nasal polyp removal surgery steps
- The procedure is as follows:
1. Routine disinfection and shop order.
2. Use a probe to determine where the polyp pedicle is located. Use a snare device to trap the nasal polyps from the upper and rear ends, and move them up to the root pedicle of the polyp. Tighten the wire to remove the polyp. If multiple polyps are present, they should be removed one by one from the front to the back with a snare until the nasal cavity is fully ventilated.
3. There are multiple polyps without pedicles, which occur frequently in the sieve room. Use polyps forceps to bite the polyps one by one, and need to do ethmoid sinus fenestration.
4. If the posterior nostril polyps can see the pedicle, you can use nasal polyps forceps to pull them out; if you see polyps-like new creatures at the back of the nasal cavity that move with the breath, you can place the nasal snare on a long hemostatic forceps Extend into the back of the nasal cavity, let the patient exhale or blow his nose, clamp it as the polyp moves forward, and then snare the snare with the snare and remove it at the pedicle.
5. After the operation, there is no polyp residue or cotton piece left. Fill the nasal cavity with vaseline gauze or medical expansion sponge.
Complications of nasal polypectomy
- Bleeding is the most common, especially in the elderly with high blood pressure and arteriosclerosis; pharyngitis and otitis media also occur occasionally and should be closely observed and treated in time.
Precautions for nasal polyp removal
- 1. Avoid sieve plate damage when removing polyps on the top of the nose to prevent intracranial complications.
2. Don't pull the polyps violently during the operation, so as not to damage the mucosa and cause bleeding.
3. When clogging the nasal cavity, the gauze should be moderately tight, too loose can easily cause bleeding, too tight may cause ischemic necrosis of the septal mucosa, and even perforation.
Nursing after nasal polyp removal
- 1. After the operation, the patient should take a sitting or supine position, and those with unfilled nasal cavity should pay attention to the bleeding and give nasal drops of furosem.
2. Nasal packers should take out gauze strips 24 hours after surgery, change the dressing daily after surgery, and observe the nasal bleeding and adhesion. If there is any residue, it can be observed for 2 weeks. If it does remain, it should be removed again.