- A blob of mucous often looks like a polyp but it would disappear on blowing the nose.
- Hypertrophied Middle Turbinate – is differentiated with its pink appearance and hard feel of bone on probe testing.
- Angiofibroma – has history of profuse recurrent epistaxsis. It is firm in consistency and easily bleeds on probe testing.
- Other neoplasm may be differentiated by their fleshy pink appearance, friable nature and their tendency to bleed.
- An antrocoanal polyp is easily removed by either through the nasal or oral route.
- Recurrence is uncommon after complete removal.
- If recurrence occur then Caldwell – Luc operation may be required to remove the polyp from the site of its origin.
F: Prevention of Recurrence of Nasal Polyps
Identify the underlying causeof polyps and treat it accordingly.
G: Complications of Nasal Polyps
- Nasal obstruction
- Respiratory tract infections
- Broadening of nose and increased intercanthal distance
- Facial pain
H: Important Points to Remember in a Case of Nasal Polyps
- If a polypus is red and fleshy, friable and has granular surface, especially in older patients, think of malignancy.
- Simple nasal polyp may masquerade a malignancy underneath, hence all polypi should be subjected to histology.
- A simple polyp in a child may be glioma, an encephalocele or a meningoenccephalocele. It should always be aspirated and fluid examined for CSF.
- Multiple nasal polypi in children may be associated with mucovisidosis.
- Epistaxis and orbital symptoms associated with a polyp should always arouse the suspicion of malignancy.
- Diseases of Ear, Nose and Throat, by P.L. Dhingra. (second edition)
- Current Medical Diagnosis and Treatment, 2000.
- Textbook of Ear, Nose and Throat, by Abdul Ghani.
- Web sites