What is Nasal Polypectomy?
Nasal polypectomy is a surgery performed to remove nasal polyps, which are non-cancerous, fleshy growths that develop in the mucosal lining of the nasal and paranasal sinuses. Small nasal polyps usually do not cause any symptoms, but larger polyps or groups of polyps can obstruct the nasal passages and cause problems with breathing.
Indications for Nasal Polypectomy
Nasal polypectomy may be indicated when the nasal polyps are associated with swelling and irritation of mucosal membranes causing persistent nasal stuffiness, facial pain, headache, snoring, altered smell and taste, upper tooth pain, and nosebleeds.
Preparation for Nasal Polypectomy
Specific instructions will be provided by your surgeon. In general, you should:
- Inform your surgeon about any health conditions, allergies, and medications you are taking.
- Avoid smoking as it will hinder the healing process.
- Follow the eating and drinking restrictions as instructed prior to surgery.
Nasal Polypectomy Procedure
- The procedure can be performed under local or general anesthesia.
- A topical decongestant is used to reduce congestion.
- The surgeon will insert the endoscope through the nostrils to obtain a magnified view of the sinus tissues.
- Polyp forceps and cutting instruments will be inserted through the endoscope to excise and remove the nasal polyps.
- Absorbable packing will be placed in the area of excision and vasoconstrictors will be used to control bleeding.
- Following the procedure, you will be moved to the recovery room for a short period of observation.
Recovery after Nasal Polypectomy
- You may require 1 to 2 hours to recover from the effects of general anesthesia, after which you may be discharged home.
- There may be temporary stuffiness, discomfort, and a slight bloody nasal discharge. Your surgeon will provide medications to alleviate symptoms as necessary.
- Sinus irrigations may be recommended during your recovery. Your doctor will give you instructions on how to perform them.
- Blowing your nose and strenuous activity should be avoided for two weeks after surgery.
- Keep your follow-up visits as recommended to ensure a positive surgical outcome.
Risks of Nasal Polypectomy
Nasal polypectomy is a very safe procedure which can greatly improve your breathing and quality of life; however, as with any other surgery, there is a minimal risk of complications such as infection, bleeding, delayed healing, altered sense of smell, and airway obstruction.