Mr. Zhang, 44, has a stuffy nose when he meets a cold or changes seasons. He has been troubled for many years, but he has been indifferent. Later, the stuffy nose became more and more serious, which affected the quality of sleep, and even he began to be nervous when he could not smell anything. As a result, he found that the polyps on the left and right sides of the nasal cavity had blocked 3/4 of the nasal cavity, and even pressed the olfactory nerve, so he lost his sense of smell.
Nasal polyps are completely different from nasal polyps. To talk about the problem of nasal polyps, we must first understand the difference between nasal polyps and nasal polyps. The medical term of nasal polyps is called inferior turbinate, which is the largest of the three hypertrophy sponges in the nasal cavity. This is a normal tissue, which can be seen through the nostrils.
If you are a person who often picks or rubs your nose or is allergic to it for a long time, then you may have hypertrophic rhinitis caused by a large nose, which leads to the problem of nasal congestion. In the treatment, drugs can be used to control the symptoms of nasal congestion first, but if the nasal congestion is long-term, infrared ray, laser cauterization or partial turbinectomy must be considered to solve the problem of nasal congestion.
What is nasal polyp and how is it produced? Nasal polyps and nasal polyposis are completely different diseases. Nasal polyps are also called nasal hemorrhoids in medicine. It is a kind of hyperplastic tissue, which grows between the normal upper, middle and lower turbinates, and there is no blood perfusion, so its appearance is milky white, which can not be seen by direct examination of the nostrils. The diagnosis must be made by nasal endoscope and nasal endoscope, and the deep part can be detected by CT and MRI.
Nasal polyp is mainly caused by allergic, viral infection, nervous system disorder, metabolism and other problems, which is common in patients with allergic rhinitis, asthma, aspirin allergy and cystic fibrosis. People of all ages may have nasal polyps, and there is no gender difference in this disease. The probability of having sex between men and women is similar, but patients with sinusitis and allergic rhinitis are more likely to have nasal polyps.
According to media reports, a 47-year-old Fijian man suffers from chronic sinusitis and there is no local otolaryngologist. Until the polyps filled his nasal cavity, he couldn't breathe through his nose at all, so he had to open his mouth to breathe. In the end, the Cathay Pacific Medical Group, which went to Fiji for a free clinic, successfully removed the nasal polyps as big as the palm of your hand and about 6.2 cm, and then resumed normal breathing and sense of smell. Such a large nasal polyp is very rare.
Symptoms and complications of nasal polyps Patients with nasal polyps may have persistent nasal congestion, purulent yellow nose, nasal reflux and other symptoms of sinusitis, and may also cause olfactory failure, headache, bad breath and other symptoms. Some patients will be complicated with sinusitis.
The proliferation of nasal polyps is also a process of gradual development, but if it is not caused by dyspnea, it is often difficult for ordinary patients to find or seek medical treatment, especially because it is benign polyps, many patients will ignore it and make the polyps gradually increase.
How to treat nasal polyps? If we want to talk about the treatment of nasal polyps, it can be divided into surgical and non-surgical methods.
1. Non-surgical method: under the condition of no other complications, steroid nasal spray or oral steroids are given to patients to inhibit nasal inflammation and the growth of nasal polyps.
2, surgical treatment: mostly suitable for patients with sinusitis, or polyp hyperplasia is too large, which has affected normal breathing or sense of smell. Endoscope of sinus is often used during operation, which can be combined with power-assisted rotating knife and three-dimensional navigation technology to reduce surgical complications.
After operation, it is generally necessary to completely insert the cotton swab into the nasal cavity 2 days after polypectomy to achieve complete hemostasis, and then pull out the cotton swab. During this period, it is difficult for patients to breathe normally and even affect their sleep.
Nasal polyps are as easy to recur as colorectal polyps. But it doesn't necessarily mean to say goodbye to nasal polyps after surgery, because just like colorectal polyps, nasal polyps may recur again, so we need to continue to pay attention to observation. Pay attention to nasal hygiene at ordinary times, and avoid letting nasal mucus flow backwards and accumulate in the sinuses. People who have had nasal polyps can use a nasal lavage device to regularly clean their nasal cavity with salt water to ensure the cleanliness of the nasal cavity.