Nasal Polyps

Question 1

Nasal polyps

Answer 1

are benign pedunculated tumors formed from edematous, usually chronically inflamed nasal mucosa.

Question 2

(antrochoanal polyp)

Answer 2

maxillary antrum polyps can extend to the nasopharynx, represent
4-6% of all nasal polyps in the general population, but 33% in the pediatric population.

Question 3

The polyps originating from the ethmoidal sinus are usually_________&_________

Answer 3

smaller and multiple, as

compared with the large and usually single antro-choanal polyp.

Question 4

_____________is the most common childhood cause of nasal polyposis

Answer 4

Cystic fibrosis

Question 5

⏺ Samter triad,

Answer 5

nasal polyps + aspirin sensitivity + asthma.

Question 6

 Nasal polyposis is associated with

Answer 6

chronic sinusitis and allergic rhinitis, seasonal allergy, asthma
Also with primary ciliary dyskinesia

Question 7

CLINICAL MANIFESTATIONS

Answer 7

▶️hyponasal speech and mouth breathing.
▶️ Profuse unilateral mucoid or mucopurulent rhinorrhea
▶️ fever and headache.
▶️snoring
▶️sleep apnea
▶️decrease smell👃

Question 8

Treatment

Answer 8

🔴 Intranasal steroid sprays, and systemic steroids, may provide some shrinkage of nasal polyps with symptomatic relief and have proved useful in children with cystic fibrosis .
🔴Local or systemic decongestants are not usually effective in shrinking the polyps

Question 9

⏺Polyps should be removed surgically if:

Answer 9

1- Complete obstruction uncontrolled rhinorrhea
2- deformity of the nose appears
3- Antrochoanal polyps: these types are not associated with any other disease process
recurrence rate is low.

Question 10

If associated with chronic disease

Answer 10

recurrence rate is high