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Nasal Polyps Removal: The procedure, risks, complications, preparations

  • Posted on- Jul 20, 2016
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Nasal Polyps Removal is a procedure that involves the removal of nasal polyps. It is also called Nasal Polypectomy. Nasal polyps are abnormal growths that develop within the lining of the nasal passage of the nose. Nasal Polyps Removal involves the nose and the membrane lining.

What are the reasons behind nasal polyps removal surgical procedure?

Nasal Polyps Removal is performed for the following reasons:

  • To restore breathing to normalcy, by removing obstructing polyp
  • Treating polyps caused by chronic sinusitis

How a nasal polyps removal surgical procedure is performed?

  • Nasal Polypectomy procedure may be done under local anaesthesia or general anaesthesia. Local anaesthetic medication may be used along with medication, to temporarily narrow down the blood vessels in the nose (to minimise bleeding during surgery)
  • The surgeon visualizes the nasal cavity, using a device called the speculum that holds the nostril wide open
  • The polyp is then identified, clamped, cut, and removed. Pressure may be applied to control any bleeding
  • In another method, the surgeon passes an endoscope (a tube fitted with a camera) into the nasal cavity to directly visualize the polyp. The growth is then carefully removed, using specialized instruments
  • Additional procedures to maximize drainage of blocked sinuses and widening of air passage may be performed, as needed. When all such procedures are performed together, the technique is collectively referred to as functional endoscopic sinus surgery (FESS)
  • Nasal packing may then be placed to control any bleeding

An otolaryngologist surgeon performs a nasal polyps removal procedure. It is usually completed in less than an hour.

Preparations needed before a nasal polyps removal surgical procedure

  • The physician may evaluate the individual’s medical history prior to Nasal Polyps Removal to gain a comprehensive knowledge of the overall health status of the patient including information related to the medications that are being currently taken
  • Some medications increase a person’s chances of bleeding and it may be recommended to discontinue them for a period of time, before the procedure is performed
  • Blood tests may be performed to determine if there is a bleeding tendency or any other medical conditions that prevents the person from undergoing the procedure
  • Inform the physician if you are allergic to any local anaesthetics, lidocaine, etc
  • Avoid application of any cosmetics, deodorant, or topical medicines on the area, prior to the procedure
  • It is advisable to quit smoking and the use of any nicotine based products, for a while, before the surgery
  • Consumption of alcoholic drinks must also be avoided for a period of time, as instructed
  • The patient must avoid eating or drinking at least 8 hours prior to the surgical procedure, depending on when the procedure is arranged
  • For persons suffering from diabetes, it is important that the blood sugar stays within the normal range if not their diabetologist may have to control blood sugar by recommending insulin or a combination of oral medicines

Diagnostic lab tests needed prior to a nasal polyps removal surgical procedure

The following test may be performed prior to a nasal polyps removal surgery:

Risks and complications during nasal polyps removal surgical procedure

The possible risks or complications that may arise during the nasal polyps removal surgery are:
  • Excessive bleeding
  • Infection surrounding the surgical wound
  • Injury to adjacent structures
  • Anaesthetic complications

Risks and complications after nasal polyps removal surgical procedure

The possible risks and complications that may arise after nasal polyps removal procedure are:

Post-operative care needed after a nasal polyps removal surgical procedure

At home, the following post-operative care is recommended, after a nasal polyp removal procedure:
  • Avoid blowing your nose for the first 3 days after the procedure
  • The physician may advice daily nasal irrigation with saline
  • Applying warm compress a few times a day to the nose after the procedure, can help relieve mild discomfort
  • Complete the course of prescribed medication, as advised by your physician
  • Take antibiotic medication to help combat or prevent infection, under advise from your doctor
  • Avoid taking non-prescription medications, such as aspirin. However, individuals may take acetaminophen to relieve pain (as prescribed)
  • Eat a well-balanced diet, which can aid in a faster recovery

Comments

user profile image
04-08-2017 08:29 AM

My son is 8 and he has occasional nose bleeds, mainly on dry, hot and humid days. Last night, his nose bled for 30 to 45 minutes. He was scared! I wet hand towels in cold water and put them on his neck and the top of his head. Then I put an ice pack on his nose, and it worked!

user profile image
16-03-2017 11:00 AM

The information you shared is very useful. It comprises of all the things rangin from causes, symptoms to cost.

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