Can surgery help in the long-term treatment of nasal polyps?

Question

Hello Doctor,

I have been dealing with constant nasal congestion for over a year, and I was recently diagnosed with nasal polyps. I have mostly lost my sense of smell and always feel like I have a cold coming on. The ear, nose, and throat specialist said that surgery might be necessary, but I am nervous about the procedure. Are there any non-surgical treatments that I should try first? How effective is the surgery in treating the issue long-term?

I am also struggling with severe acne that seems to be getting worse. Could this be related to the medications I am taking for my nasal problems, or could it be due to stress caused by breathing difficulties?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Nasal polyps can cause persistent nasal blockage, loss of smell, and a sensation similar to having a chronic cold. These are common symptoms.

The first treatments usually do not involve surgery and may include:

Nasal corticosteroid sprays such as Mometasone or Fluticasone.
A short course of oral corticosteroids under medical supervision to reduce polyp size.
Saline nasal rinses help clear mucus and allergens.
Treatment of allergies if allergic rhinitis is contributing to the condition.

If these treatments do not help, surgery may be needed. This procedure is called functional endoscopic sinus surgery, which removes the nasal polyps and clears blocked sinus passages.

Surgery is usually helpful, especially if followed by regular use of nasal corticosteroid sprays to prevent the polyps from coming back. However, polyps may return, especially if triggers like allergies or asthma are not treated.

Newer treatment options include biological therapies like Dupilumab. These are helpful for people with severe or recurring nasal polyps, especially if linked with asthma or certain immune conditions.

Your acne might be getting worse due to oral corticosteroids, which can trigger or increase acne in some people. Stress caused by sleep problems and breathing issues may also make acne worse.

You should consider seeing a skin specialist. Acne treatment can be safely adjusted even while you are being treated for nasal polyps.

Improving nasal airflow and getting better sleep can also help your skin and overall well-being. Treating nasal obstruction may help reduce your acne indirectly as well.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.