Nasal Polyps

Question 1

Epidemiology

Answer 1

1% adults
2-4 times common in men
Often not seen in children or elderly

Question 2

Associations

Answer 2

Asthma*
Aspirin sensitivity*
Infective sinusitis
Cystic fibrosis
Churg-Strauss syndrome

*SAMTER’S TRIAD

Question 3

Features

Answer 3

• Nasal obstruction
• Rhinorrhoea, sneezing
• Poor sense taste and smell

Unilateral or bleeding (red flag)

Question 4

Management

Answer 4

ENT referral
Topical corticosteroids to shrink polyp size

SURGICAL
-Endoscopic sinus surgery, polypectomy