Michael P. Martin, M.D.
Otolaryngology and Head and Neck Surgery
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Polypectomy
Polypectomy is a procedure performed to remove edematous tissue that is
in the nasal passage,
causing nasal obstruction. This is almost always associated with chronic
sinus disease. This can be removed in the office for biopsy purposes and
to relieve acute nasal obstruction.
These are almost always originated from the sinuses and if they are not
totally removed, they commonly recur in 70-90% of the time, within 3 years
of the polypectomy. People who have chronic polyps within their nose or sinuses
related to allergy or chronic sinus disease, may have recurrences of these
polyps in the post operative period, or subsequent follow-up with their
surgeon at any time. Depending on the extent the sinus surgery done previously
with removal of previous polyps, usually treatment can be done via steroid
nose sprays, oral steroids and antibiotic therapy, causing significant reduction
of sinus polyps. If it is causing gross nasal obstruction, due to lack of
follow-up, these can be removed by using a nasal sinus derider with suctioning,
opening of the nasal passage so breathing is accomplished, followed by nasal
steroids, antibiotics, and oral steroids.
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