MDT NOSE Nasal polyps

Question 1

_____ are benign nasal tumors arising from the mucosa of the nasal passages, including the paranasal sinuses.

Answer 1

Nasal polyps

Question 2

Nasal polyps are commonly seen in patients with what?

Answer 2

patients with allergic rhinitis

Question 3

If you have a pt with an asthma, Aspirin intolerance, Alcohol intolerance, Nonallergic and allergic rhinitis and rhinosinusitis. What are they at risk for?

Answer 3

Nasal polyps

Question 4

What are some DDx for NAsal Polyps

Answer 4

(1) Papilloma
(2) Pyogenic granuloma
(3) Nasopharyngeal carcinoma

Question 5

What meds can you give for Nasal polyps?

Answer 5

-Topical intranasal corticosteroids for 1–3 months
(also shrinks nasal mucosa and nasal polyps)

-short course of oral corticosteroids
Prednisone 6-day course using 21 [5mg] tablets: 6 tablets [30 mg] on day 1 and tapering by 1 tablet [5 mg] each day)

Question 6

What is done for massive nasal polyps

Answer 6

Surgical removal

Question 7

Recurrent nasal polyps are treated how?

Answer 7

Ethmoidectomy (more complete procedure)