Disease Information for Nasal polyps/sinus polyps

Clinical Manifestations
Signs & Symptoms
Head fullness
Altered taste/Taste perception
Decreased taste ability/Hypoguesia
Mouth breathing/Mouth kept open
Loss of Taste
Bronchospasm signs
Noisy Breathing
Noisy Breathing Aged/Elderly
Noisy Breathing Child
Anosmia/Loss of sense of smell
Decreased sense of smell
Itchy nose
Nasal blockage/progressive bilateral
Nasal congestion
Nasal discharge
Nasal mucosal involvement/irritation
Nasal pain
Nasal/Hyponasal sound to voice
Nose blocked/bilateral (sign)
Nose blocked/stuffy
Nose blocked/unilateral
Runny nose/rhinorrhea
Unilateral nasal discharge/drainage
Clinical Presentation & Variations
Presentation/Recurrent Sinusitis
Presentation/Resistant Sinusitis Poor control
Disease Progression
Course/Chronic disorder
Course/Chronic only
Demographics & Risk Factors
Exposure Factors
Exposure/House dust/dusty environment
Established Disease Population
Patient/Aspirin/salicylate treatment chronic
Family History
Family history/Allergy
Diagnostic Test Results
CT Scan
CT Scan/Head Nasopharynx cyst
CT Scan/Sinus/Mass in sinus
Xray/Nasopharyngeal mass/Head
Xray/Opacified paranasal sinus
Xray/Paranasal sinus mass
Xray/Sinus abnormality
Xray/Sinusitis findings
Associated Diseases & Rule outs
Rule Outs
Rhinitis, atopic
Associated Disease & Complications
Eustachian tube blockage/symptomatic
Maxillary sinusitis/Antrum sinusitis
Nasal obstruction
Nasal polyps/sinus polyps
Rhinitis, atopic
Rhinitis, chronic hypertrophic
Rhinitis/secondary, non specific
Sinusitis, chronic
Sleep apnea/obstructive type
Disease Mechanism & Classification
CLASS/Otolaryngology/ENT Specialty Population
CLASS/Maxillary sinus involvement/disorder (ex)
CLASS/Nasopharyngeal disorder/lesions (ex)
CLASS/Nose disorder (ex)
CLASS/Otolaryngology/ENT disorders (ex)
CLASS/Paranasal sinus disorder (ex)
CLASS/Tracheonasal/larynx/pharynx (category)
Pathophysiology/Nasal turbinate involvement (ex)
PROCESS/Atopic disorder (ex)
PROCESS/Benign tumor (ex).
PROCESS/Hypersensitivity/Atopic/Allergic disorder (ex)
PROCESS/Neoplastic (category)
PROCESS/Polyps (ex)
Drug Therapy - Indication
RX/Nasal corticosteroid
SX/ENT Surgery

Nasal polyps are pale, edematous, mucosally covered masses commonly seen in patients with allergic rhinitis, but compelling evidence argues against a purely allergic pathogenesis; They may result in chronic nasal obstruction and a diminished sense of smell; In patients with nasal polyps and a history of asthma, aspirin should be avoided as it may precipitate a severe episode of bronchospasm; The presence of polyps in children should suggest the possibility of cystic fibrosis; Initial treatment with topical nasal steroids (see Allergic Rhinitis section for specific drugs) for 1–3 months is usually successful for small polyps and may reduce the need for operation; A short course of oral corticosteroids (eg, prednisone, 6-day course using twenty-one 5-mg tablets: 30 mg on day 1 and tapering by 5 mg each day) may also be of benefit; When medical management is unsuccessful, polyps should be removed surgically; In healthy persons, this is a minor outpatient procedure; In recurrent cases or when surgery itself is associated with increased risk (such as in asthmatics), a more complete procedure, such as ethmoidectomy, may be advisable; In recurrent polyposis, it may be necessary to remove polyps from the ethmoid, sphenoid, and maxillary sinuses to provide longer-lasting relief; [Current medical DX RX 2005]


External Links Related to Nasal polyps/sinus polyps
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)