Nasal polyp

Nasal polyps
ICD-10	J33
ICD-9	471
MedlinePlus	001641
eMedicine	ent/334  ent/335
MeSH	C09.603.557

WikiDoc Resources for Nasal polyp
Articles
Most recent articles on Nasal polyp Most cited articles on Nasal polyp Review articles on Nasal polyp Articles on Nasal polyp in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Nasal polyp Images of Nasal polyp Photos of Nasal polyp Podcasts & MP3s on Nasal polyp Videos on Nasal polyp
Evidence Based Medicine
Cochrane Collaboration on Nasal polyp Bandolier on Nasal polyp TRIP on Nasal polyp
Clinical Trials
Ongoing Trials on Nasal polyp at Clinical Trials.gov Trial results on Nasal polyp Clinical Trials on Nasal polyp at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Nasal polyp NICE Guidance on Nasal polyp NHS PRODIGY Guidance FDA on Nasal polyp CDC on Nasal polyp
Books
Books on Nasal polyp
News
Nasal polyp in the news Be alerted to news on Nasal polyp News trends on Nasal polyp
Commentary
Blogs on Nasal polyp
Definitions
Definitions of Nasal polyp
Patient Resources / Community
Patient resources on Nasal polyp Discussion groups on Nasal polyp Patient Handouts on Nasal polyp Directions to Hospitals Treating Nasal polyp Risk calculators and risk factors for Nasal polyp
Healthcare Provider Resources
Symptoms of Nasal polyp Causes & Risk Factors for Nasal polyp Diagnostic studies for Nasal polyp Treatment of Nasal polyp
Continuing Medical Education (CME)
CME Programs on Nasal polyp
International
Nasal polyp en Espanol Nasal polyp en Francais
Business
Nasal polyp in the Marketplace Patents on Nasal polyp
Experimental / Informatics
List of terms related to Nasal polyp

Overview

Nasal polyps are polypoidal masses arising mainly from the mucous membranes of the nose and paranasal sinuses.

Diagnosis

They are overgrowths of the mucosa that frequently accompany allergic rhinitis. They are freely moveable and non-tender. Nasal polyps are usually classified into antrochoanal polyps and ethmoidal polyps. Antrochoanal polyps arise from the maxillary sinuses and are much less common, ethmoidal polyps arise from the ethmoidal sinuses. Antrochoanal polyps are usually single and unilateral whereas ethmoidal polyps are multiple and bilateral.

History and Symptoms

Symptoms of polyps include nasal block, sinusitis, anosmia or loss of smell, and secondary infection leading to headache. [1]

Physical Examination

Ear Nose and Throat

Left nasal polyp

The pathogenesis of nasal polyps is unknown. Nasal polyps are most commonly thought to be caused by allergy and rarely by cystic fibrosis although a significant number are associated with non-allergic adult asthma or no respiratory or allergic trigger that can be demonstrated.

These polyps have no relationship with colonic or uterine polyps. Irregular unilateral polyps particularly associated with pain or bleeding will require urgent investigation as they may represent an intranasal tumour.

CT

CT images demonstrate a right nasal polyp

• 
• 

Treatment

Nasal polyps are most often treated with steroids, topical or oral, but can also be treated with surgical methods.

Pre-post surgery, sinus rinses with a warm water (240ml / 8oz) mixed with a small amount (teaspoon) of salts (sodium chloride & sodium bicarbonate) can be very helpful to clear the sinuses. This method can be also used as a preventative measure to discourage the polyps from growing back and should be used in combination with a nasal steroid.

Mometasone furoate, commonly available as a nasal spray for treating common allergy symptoms, has been indicated in the United States by the FDA for the treatment of nasal polyps since December 2004.

External links

• Nasal Polyps emedicine.com
• Nasal polyps: Signs and symptoms mayoclinic.com

Template:WikiDoc Sources