Nasal Polyps

Question 1

What are Nasal Polyps?

Answer 1

Growths of the nasal mucosa that can occur in the nasal cavity or sinuses.

Question 2

Associations of Nasal Polyps (5).

Answer 2

1. Chronic Rhinitis/Sinusitis.
2. Asthma.
3. Samter’s Triad.
4. Cystic Fibrosis.
5. EGPA (Churg-Strauss Syndrome).

Question 3

What is Samter’s Triad?

Answer 3

1. Nasal Polyps.
2. Asthma.
3. Aspirin Intolerance/Allergy.

Question 4

Clinical Features of Nasal Polyps (5).

Answer 4

1. Bilateral (Red Flag : Unilateral).
2. Difficulty Breathing Through Nose.
3. Snoring.
4. Nasal Discharge - Rhinorrhoea.
5. Anosmia.

Question 5

Investigations of Nasal Polyps (3).

Answer 5

1. Nasal Speculum.
2. Otoscope with Large Speculum.
3. ENT Specialist : Nasal Endoscopy - Round Pale Grey/Yellow Growths on Mucosal Wall.

Question 6

Medical Management of Nasal Polyps.

Answer 6

Intranasal Topical Steroid Drops or Spray.

Question 7

Surgical Management of Nasal Polyps (2).

Answer 7

1. Intranasal Polypectomy - if close to Nostrils.

2. Endoscopic Nasal Polypectomy - further in the nose/sinuses.