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What is Polypectomy ?

Nasal polyps are the most common growths found within the nose. They usually appear in both nostrils as the result of a swollen, irritated nasal lining. Occasionally, other growths or tumors will present as polyps in the nose. If allergy is the underlying cause, it is possible that the polyps will reoccur unless the allergic condition is treated. Polyps can be very troublesome, as they tend to make breathing difficult by blocking the nose and often decrease or totally diminish the sense of smell.

Surgical removal of polyps or polypectomy is the best treatment. Most advanced surgery for nasal polyps is an endoscopic nasal polypectomy. The procedure or surgery is done under general anaesthesia and neds a day stay in hospital after ehich patient can be discharged. The cost of endoscopic nasal polyp surgery varries with the type of procedure performed. As mentioned it can be done using endoscope only or through debrider. The cost of surgery using debrider is a little high as it uses wands and blades which are costly and charges for debrider are extra as well. However the cost difference is not too large and results in both the methods are very good.

 

Symptoms


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Causes

It's not clear why some people develop chronic inflammation or why ongoing inflammation triggers polyp formation in some people and not in others. The inflammation occurs in the fluid-producing lining (mucous membrane) of your nose and sinuses. There's some evidence that people who develop polyps have a different immune system response and different chemical markers in their mucous membranes than do those who don't develop polyps. Nasal polyps can form at any age, but they're most common in young and middle-aged adults. Nasal polyps may form anywhere in your sinuses or nasal passages, but they appear most often in an area where sinuses near your eyes, nose and cheekbones all drain through winding passages into your nose

 

Risk Factors

Risks have been mitigated by use of techniques utilizing telescopes, small specialized instruments, and in some cases, intra-operative image-guidance technology (i.e. use of your x-rays with a computer and the surgeon’s instruments). Any condition that triggers chronic inflammation in your nasal passages or sinuses, such as infections or allergies, may increase your risk of developing nasal polyps. Conditions often associated with nasal polyps include: Asthma, a disease that causes overall airway inflammation and constriction Aspirin sensitivity may cause some people to be more likely to develop nasal polyps Allergic fungal sinusitis, an allergy to airborne fungi Cystic fibrosis, a genetic disorder that results in the production and secretion of abnormally thick, sticky fluids, including thick mucus from nasal and sinus membranes Churg-Strauss syndrome, a rare disease that causes the inflammation of blood vessels

Complications

Nasal polyps can cause complications because they block normal airflow and fluid drainage, and also because of the chronic inflammation underlying their development. Potential complications include: Obstructive sleep apnoea. In this potentially serious condition, you stop and start breathing frequently during sleep. Asthma flare-ups. Chronic rhinosinusitis can aggravate asthma. Sinus infections. Nasal polyps can make you more susceptible to sinus infections that recur often or become chronic.

Bleeding or Infection

Mild bleeding or discharge from the nasal passages during or after surgery is normal and will subside as a patient continues to heal. Extensive bleeding during surgery may require a surgeon to immediately stop the nasal polyp surgery to limit blood loss. Rarely, patients may experience persistent or severe nasal bleeding after surgery. If this occurs, affected patients require prompt medical attention from a doctor. Patients who develop sinus infection symptoms after surgery, such as fever or nasal congestion, may require treatment with an antibiotic medication and should seek care from a physician.

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