Nasal Polyps

Nasal Polyps (Polyposis Nasi): Causes

Pathogenesis (development of disease) The pathogenesis of polyposis nasi is still largely unknown. The occurrence of nasal polyps is significantly characterized by inflammation associated with eosinophilic granulocytes. This is also reflected in the histology, which is associated with eosinophilia (65-90%) rather than neutrophilia (increase in the number of neutrophil granulocytes). Different pathogenetic processes (e.g., due … Nasal Polyps (Polyposis Nasi): Causes

Nasal Polyps (Polyposis Nasi): Therapy

General measures Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day) – Increased risk of recurrence (risk of disease recurrence) after surgery. Review of permanent medication due topossible effect on the existing disease: e.g. acetylsalicylic acid intolerance. Regular check-ups Regular medical checkups

Nasal Polyps (Polyposis Nasi): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate polyposis nasi (nasal polyps): Obstructed nasal breathing (stuffy nose; usually unilateral). Hypoosmia (decreased ability to smell). Possible accompanying symptoms Bronchitis (inflammation of the mucous membrane in the bronchi): cough. Pharyngitis (inflammation of the throat): throat pain. Laryngitis (laryngitis): hoarseness. Warning signs (red flags) Unilateral nasal obstruction → think … Nasal Polyps (Polyposis Nasi): Symptoms, Complaints, Signs

Nasal Polyps (Polyposis Nasi): Medical History

Family history Does your family have frequent upper respiratory tract infections or allergies? Current medical history/systemic history (somatic and psychological complaints). Do you notice any obstruction to nasal breathing? If yes, unilateral or bilateral? Do you have secretions flowing from your nose? Do you have secretions flowing down the back of your throat? Have you … Nasal Polyps (Polyposis Nasi): Medical History

Nasal Polyps (Polyposis Nasi): Or something else? Differential Diagnosis

Respiratory System (J00-J99) Adenotonsillar hyperplasia – enlargement of the tonsils. Allergic rhinitis (common cold) Bronchitis (inflammation of the mucous membrane of the bronchi). Laryngitis (inflammation of the larynx) Mucocele – sinus filled with mucus and thus dilated. Pharyngitis (pharyngitis) Pyocele – sinus filled with pus and thus dilated. Eyes and eye appendages (H00-H59). Eye diseases … Nasal Polyps (Polyposis Nasi): Or something else? Differential Diagnosis

Nasal Polyps (Polyposis Nasi): Complications

The following are the most important diseases or complications that may be contributed to by polyposis nasi (nasal polyps): Respiratory system (J00-J99) Bronchitis (inflammation of the mucous membrane of the bronchi). Chronic sinusitis (inflammation of the sinuses) – here: Chronic rhinosinusitis (CRS; simultaneous inflammation of the nasal mucosa (“rhinitis”) and the mucosa of the paranasal … Nasal Polyps (Polyposis Nasi): Complications

Nasal Polyps (Polyposis Nasi): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Palpation (palpation) of the nerve pressure points. Knocking pain paranasal sinuses? ENT medical examination – including anterior and posterior rhinoscopy (reflection of … Nasal Polyps (Polyposis Nasi): Examination

Nasal Polyps (Polyposis Nasi): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Inflammatory diagnostics – in case of fever above 38.3 °C, severe symptoms, increase of symptoms during the course of the disease, threatening complications CRP (C-reactive protein); more appropriate is the determination of procalcitonin, which allows some differentiation of bacterial and viral infections. Leukocytes (white blood … Nasal Polyps (Polyposis Nasi): Test and Diagnosis

Nasal Polyps (Polyposis Nasi): Drug Therapy

Therapeutic target Remedy the obstruction of nasal breathing Therapy recommendations Treatment of the triggering cause (e.g., bronchial asthma; allergies). Small polyps: Glucocorticoid therapy (local or systemic): cortisone-containing nasal spray usually over 6 to 12 months. Chronic rhinosinusitis with nasal polyps (CRScNP; English CRSwNP) – see below sinusitis / drug therapy.

Nasal Polyps (Polyposis Nasi): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification/in case of complications. Anterior rhinoscopy (examination of the anterior nasal segment by means of a nasal speculum) or nasal endoscopy (nasal endoscopy; nasal cavity endoscopy, i.e., examination of the … Nasal Polyps (Polyposis Nasi): Diagnostic Tests

Nasal Polyps (Polyposis Nasi): Surgical Therapy

1st order Removal of an antrochoanal polyp Note: Antrochoanal polyp (maxillary sinus: maxillary sinus): usually unilateral and solitary; grows over a long style through the maxillary sinus opening down into the nasopharynx; there it develops into a “true” polyp 2nd order Polypectomy (polyp removal); when the function of the nose as the olfactory and respiratory … Nasal Polyps (Polyposis Nasi): Surgical Therapy