Nasal polyps are polypoidal masses arising mainly from the mucous membranes of the nose and paranasal sinuses. Nasal polyps are usually classified into antrochoanal polyps and ethmoidal polyps. Antrochoanal polyps arise from the maxillary sinuses and are much less common, ethmoidal polyps arise from the ethmoidal sinuses. Antrochoanal polyps are usually single and unilateral whereas ethmoidal polyps are multiple and bilateral. Symptoms of polyps include nasal block, sinusitis, anosmia or loss of smell, and secondary infection leading to headache.

The pathogenesis of nasal polyps is unknown. Nasal polyps are most commonly thought to be caused by allergy and rarely by cystic fibrosis although a significant number are associated with non-allergic adult asthma or no respiratory or allergic trigger that can be demonstrated.

Nasal polyps have no relationship with colonic or uterine polyps. Irregular unilateral polyps particularly associated with pain or bleeding will require urgent investigation as they may represent an intranasal tumour.

Nasal polyps are most often treated with steroids, topical or oral, but can also be treated with surgical methods.

Mometasone furoate, commonly available as a nasal spray for treating common allergy symptoms, has been indicated by the FDA for the treatment of nasal polyps since December 2004.

Diseases

Nasenpolyp | 鼻息肉