Clinical conversation: Questions and answers about nasal polyps

English

Nasal polyps are not cancer -like neoplasms that develop in the nose or in their paranasal sinuses. Although nasal polyps are usually painless, you can create unpleasant symptoms such as pressure and nasal congestion, which create the nose, breathing problems and loss of smell and touch covered with thick and colorless secretion.

Everyone can develop nasal polyps, although they are more common for medium -sized people. They cannot be healed, but there are treatments to control the symptoms. We communicate with Andrew Lane, MD, director of John’s Hopkins Sinus Center and the Rhinology and Sinusal Surgery department of the Faculty of Medicine by John’s Hopkins to get further information.

What would you like to achieve with the treatments of nasal polyps?

The goal of treatments is to control and relieve the symptoms. This can be achieved by reducing or eliminating polyps and recovering or preventing them.

Lee: Introduction to nasal polyps >>

What are the different types of treatments for nasal polyps and their advantages?

The treatments for nasal polyps are corticosteroids, endoscopic sinus operations and biopharmaceuticals.

  • Off Corticosteroid These are systemic steroids (steroids used in your body) such as oral prednisone or in injections and topical steroids that are used in the nose, such as aerosols and physiological serums. Corticosteroids can reduce nasal polyps and improve the symptoms.
  • Read Sinus endoscopic operations They eliminate nasal polyps and largely covered the paranasal breasts, which is useful for the relief of symptoms. After operations, patients can use physiological and aerosols more effectively for conservation purposes, since these medication can now enter the sinus.
  • Off Biopard They are the latest therapeutic option. They are not chemical, they are medication that is produced in plants. They also have a longer medical history for effective asthmic treatment, which makes them a good option for patients with nasal polyps and asthma. The biopharmacus is injected under the skin once or twice a month and circulates throughout the body and reaches every part of the paranasal sinuses.

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What are the best treatments to minimize the possibilities of recurring?

The best treatment for minimizing a re -buoyancy depends on the seriousness of the patient’s symptoms. However, corticosteroids are the main and main option for many patients because they shrink polyps and alleviate symptoms.

Systemic steroids offer a quick relief, but the disadvantage is that there are long -term collateral effects that are common with the continuous use of steroids. These drugs can be useful for patients for a while, but the symptoms of nasal polyps can reappear a few months, weeks or days after the medication has been interrupted. Physiological aerosols and serums do not have the same collateral effects of systemic steroids and can be used indefinitely, but are less effective due to their application method. If your paranasal breasts have not been surgically uncovered, enough medication may not reach the affected areas to cause a change.

In operations, the majority of the patients who present themselves to the procedure and use nasal nose and serums are minimized for maintenance purposes that occur in 40% of patients. About 15% of the patients may need additional procedures to eliminate polyps that reappear. These methods imply very large openings of the paranasal breasts to maximize the possibility that physiological serums achieve areas that are difficult to achieve when there is a polyp recurrence.

How is it determined which treatments are made available to the patient?

In most cases, the first medication is provided and operations are reserved for people who do not relax with medical therapies. However, surgery could be the first option for patients who cannot use systemic corticosteroids. In addition, there are sometimes fungal material in patients with polyps caused by an abnormal reaction to fungi in the paranasal sinuses that should be removed surgically so that the patients feel better.

If medication and operations do not provide relief or if other disorders make patients poor candidates for the operation, biopharmacus could be used. The use of biopharmacus is approved as an additional treatment for physiological serums or steroidal aerosols, so that patients should continue to use topical therapies when using biopharmacus.

Can people with nasal polyps completely control their polyps with treatments?

Stopping with your therapeutic routine is the key to prevent existing nasal polyps from increasing or that new nasal polyps develop.

The continuous use of physiological and aerosol sorns after the operation is particularly important to prevent the recurrence of symptoms. If patients are careful with the use of physiological or aerosols, this can be useful to prevent polyps from developing or reappearing, regardless of whether they have been removed or shrunk with systemic steroids.

Even if you believe that you are okay, polyps can occur before the occurrence of symptoms. Therefore, you should ensure that the routine, which worked regularly with an otolaryngologist, and program reviews with an Otolaryngologist, which is also referred to as Otolaryngology specialist (ORL).

This educational resource was created with the support of Glaxosmithkline, Sanofi and Regeneron.

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