Comparison Between the Medical Versus Surgical Interventions for the Management of Nasal Polyp

Abstract

Nasal polyps is an inflammatory condition affecting the nose and sinuses which

is non-IgE-mediated and is often associated with the chronic non- allergic rhinitis, non-
allergic asthma, and aspirin intolerance. Although the etiology of nasal polyps is not clear,

the foremost symptoms include the nasal obstruction and a disturbed sense of smell. The
nasal passage blockage could be treated by polypectomy to maintain the patient breathing
through the nose in case a few large polyps are present. The use of surgical procedures can
be performed which mainly depends on the severity of the disease to restore the physiology
of the nose and to make the nose free from the polyps' drainage of the infected sinuses. The
medical treatment of the polyps is essential because the surgical interventions are unable to
deal with the inflammatory process of the nasal mucosa. The topical corticosteroids
remained the drugs of choice for the reduction in the polyps' size and to prevent the
recurrence following surgery and are frequently the main treatment choice in most patients.
The use of fluticasone propionate and beclomethasone dipropionate was found to be
effective as a medical tool in the management of polyposis. The short- term use of systemic
corticosteroids is also an option which can be used for the control of nasal polyps. Still, most
patients having nasal polyps are treated by using the combination of medical and surgical
procedures.