Nasal polyps

Question 1

Associations of nasal polyps

Answer 1

Asthma
Aspirin sensitivity
Infective sinusitis
Cystic fibrosis
Kartagener’s syndrome
Churg-Strauss syndrome

Association of asthma, aspirin sensitivity and nasal polyposis = Samter’s triad

Question 2

Features

Answer 2

Nasal obstruction
Rhinorrhoea and sneezing
Poor sense taste/smell

Investigations include anterior rhinoscopy and nasal endoscopy
Unusual features e.g. unilateral or bleeding (may indicate malignancy) – require further investigation – referral to ENT specialist

Question 3

Management

Answer 3

All patients with suspected polyps referred ENT for full examination
Topical corticosteroids shrink polyps in 80% patients
If non-responsive to treatment – intranasal or endoscopic polypectomy (endoscopic if further in nose/sinuses)