Removal of polyps in the nose under the general. Removal of polyps in the nose - types of operations, how is the removal performed? Pros and cons of endoscopic surgery

Benign neoplasms that are round or drop-shaped, painless, which form in the nasal cavity due to the growth of the mucous membrane - this is nasal polyps.

Outwardly, they look like a pea, a drop or a bunch of grapes. Approximately 3-5% of people suffer from the disease, and men are several times more likely than women. The disease manifests itself as characteristic mucous secretions and constant nasal congestion.

The difference between polyposis and rhinitis is that after using vasoconstrictor drugs, breathing is not restored, the patient is forced to continue breathing through the mouth.

Surgery to remove polyps in the nose. Indications

for a long time the patient has a stuffy nose or there is no breathing through the nose at all;
pronounced deformed (curved) nasal septum;
the presence of complications of polyposis (bronchial asthma, atrophic rhinitis);
impaired taste and smell, in some cases a complete loss of sensitivity;
snoring, nasality, headaches;
constant, nasal discharge (unpleasant smell, rarely bloody).

The only effective treatment option for tumors is surgical removal.

How are nasal polyps removed?

Several existing surgical options:

polypotomy;
removal with a shaver;
laser operation;
endoscopic removal.

Any of these methods requires some preparation of the patient. To do this, they do x-rays, according to indications, computed tomography, blood tests, and conduct drug preparation.

Removal of polyps in the nose in modern surgical practice is carried out according to an individually selected technique.

Polypotomy ordinary

Such an intervention is too painful and is currently very rarely prescribed by specialists. Nose growths are removed using a special steel loop or Lange hook. It is more often used in cases where there is a need to remove several growths.

used in cases where there is a need to remove several growths.

Surgical intervention technique :

anesthesia is carried out locally (novocaine 1% solution is injected directly into the growth). The loop (through the nostril) captures the polyp by the leg. The doctor narrows the lumen of the loop and cuts off the formation. There are practically no scars after polypotomy.

This procedure is strictly contraindicated when:

any diseases in the acute period,
diseases of the hematopoietic system and heart,
bronchial asthma.

After operation

After the performed polypectomy, the mucosa must be disinfected, and the organ is tamponed with turundas. Tampons are removed after 24 hours, and the mucosa is lubricated with Synthomycin emulsion.

If necessary, the specialist prescribes for the nose. The patient stays in hospital for 5-7 days, and the recovery period takes 2-3 weeks. Source: website

Endoscopic removal of nasal polyps

Endoscopic removal is a technique that allows you to remove modified tissues and, if necessary, correct the nasal septum. After surgery, traumatic scars and scars do not remain in the nose.

Methodology :

Local anesthesia is used during the intervention.
an endoscope with a camera is inserted into the nasal cavity (through the nostril). An image of the nasal cavity is displayed on a computer screen.

Contraindications to the intervention are:

chronic or allergic bronchitis and rhinitis,
bronchial asthma,
in women - menstruation.

Postoperative period

Immediately after the operation, the patient has an unpleasant feeling (slight discomfort), which disappears after 3-6 hours. Relief of nasal breathing occurs after the operation in 24-48 hours, and the sense of smell is restored within a month.

The patient is discharged from the hospital in a day, and after 3 days the person returns to his usual life. In the period after the operation, it is necessary to exclude blowing your nose.

The recovery period of the mucosa lasts up to 14 days. At this time, the doctor prescribes nasal drops (Pinosol). It is very important to maintain nasal hygiene in order to reduce the risk of infection.

Removal with a shaver

One of the methods of endoscopic surgery, which with maximum accuracy allows you to get rid of formations and overgrown mucosa. The intervention is performed under local or general anesthesia.

Shaver- a device that crushes growths, then sucks them into a special tip. The device with maximum accuracy removes the build-up to healthy tissue.

Methodology :

The operation to remove polyps is low-traumatic, bleeding occurs in 0.5% of the operated patients, the risk of complications and relapses is minimal. This technique allows you to remove polyps in the sinus cavity, as well as to keep the healthy mucosa intact as much as possible.

Shaver- the only technique using which, the occurrence of repeated growths does not happen. Contraindications: acute viral infections and inflammatory processes.

Postoperative period

The patient stays in the hospital for up to 5 days. All this time, saline washings are carried out (in order to get rid of tissue residues).

In order to prevent the growth of connective tissue, local use of steroid preparations is recommended. Antibiotics are prescribed to prevent secondary infection.

Laser removal of nasal polyps

using a laser, a new modern technique. The operation is performed on an outpatient basis, under local anesthesia.

A specialist inserts laser equipment and an endoscope with a camera into the nasal cavity.

The laser beam directed at the formation heats its cells, and this causes their death. During the operation, the laser coagulates the vessels, which prevents bleeding.

The main advantage: infection of the wound is completely excluded. This technique is the safest among all known, therefore it is used for children and people who suffer from bronchial asthma.

Disadvantages of the procedure: during the operation, the sinuses are not opened, so it is impossible to remove the polypous tissue from them, and this may cause a relapse in the future.

Contraindications:

pregnancy period,
the presence of multiple polyps in the nose,
obstructive bronchitis,
spring-summer period.

Period after surgery: what to do
After removal, the patient is at home, but for several days he goes to see the doctor. During the week it is recommended to cancel sports, it is forbidden to visit the sauna or bath (these procedures can cause bleeding). Special medications will help prevent relapse.

Nasal polyps are benign neoplasms
which look like small rounded formations and are formed as a result of prolonged irritation of the nasal mucosa and paranasal sinuses.

The presence leads to the development of a number of undesirable symptoms, which can only be eliminated with the help of surgical intervention.

Removal of polyps in the sinuses. Indications for surgery

Before performing surgery in connection with polyposis neoplasms of the nasal cavity, it should be determined whether there are indications for their removal. There are absolute and relative indications for surgical removal of polyps in the nose.

Absolute indications for surgery to remove nasal polyps:

Relative indications for surgery:

The appearance of snoring.
Voice change (hoarseness).
Hyposmia.
Periodic headache and dizziness.
Sensation of a foreign body in the nose.

Contraindications to surgery

The presence of polyposis neoplasms in the nose is not in all cases an indication for their removal during surgery. There are local and systemic contraindications to the removal of polyps.

Systemic contraindications for surgery to remove polyposis neoplasms:

Attack of bronchial asthma.
Blood diseases such as hemophilia, acute leukemia, thrombocytopenic purpura.
Decompensated conditions of the cardiovascular system (myocardial infarction, coronary heart disease, hypertensive crisis, collapse, etc.).

Local contraindications for surgery:

Acute diseases of the nose and paranasal sinuses (, acute sinusitis).

If you have a history of the nasal cavity, you should consult with an oncologist before the operation.

Nasal polyps operation. Description of the method

There are a large number of different methods of surgical removal of polyps. To date, the operation to remove polyps in the nose is performed under general anesthesia. The essence of surgical intervention is to excise pathological neoplasms. Polypotomy (surgical intervention to remove polyps) is performed in a sitting position of the patient.

Technique for the operation to remove polyps in the nose:

First of all, anterior and posterior rhinoscopy should be performed using nasal mirrors.
Sanitize the nasal cavity and paranasal sinuses with a hypertonic solution or Humer pharmacological agent.
Dry the nasal cavity with a cotton swab.
Consistently lubricate the nasal mucosa twice with 10% dicaine solution to reduce its sensitivity during surgical excision of neoplasms.
Find out the location of the legs of polyps, their number and size.
Insert the snare into the nose under visual control.
Conduct an audit of the nasal cavity with the help of a loop outlet.
Put a loop on a polyp or a group of polyps (if they are small).
Move the loop up to the head of the polyp.
After feeling the solid consistency of the head of the polyp, tighten the loop.
Remove the loop with polypous masses from the nasal cavity and put in a special tray.

Especially important!

An important criterion that prevents recurrence is the removal of the polyp along with the stem. Therefore, you should carefully tighten the loop so as not to cut off the head of the polyp, but to pull the polyp along with the leg from the nasal cavity.

Methods for removing polyps in the nose

Modern methods of surgery to remove polyps help to avoid the formation of scars and adhesions in the nasal cavity. In addition to the usual polypotomy, there are such methods for eliminating polyposis:

. Endoscopic removal is one of the most accurate removal methods. The operation is performed using a special medical endoscope with a camera. This allows you to achieve complete removal of even the smallest formations and at the same time not damage the surrounding structures of the nasal cavity.
Removal with a shaver (microdebrider). The essence of this technique is the grinding of neoplasms and their absorption. The operation is less traumatic and is performed under the control of a screen monitor.
. Under the influence of laser beams, the neoplasm disappears. The advantage of this method is the additional coagulation of the vessels and the prevention of the spread of infection to the surrounding structures.
. With the help of the Lange hook, it is possible to remove not only nasal polyps, but also polyps with localization in the choanal area.

Ways to remove polyps in the nose:

Symptoms after removal of polyps

In the vast majority of cases, the postoperative period proceeds without significant complications.

In particular cases, postoperative symptoms are presented:

The development of minor bleeding. This symptom develops as a result of damage to the vessels of the nasal cavity.
The formation of adhesions and adhesions after surgery in the nasal passages. This symptom develops 2-3 months after surgery. Patients again complain of aggravated nasal breathing. This symptomatology requires prompt dissection of newly formed adhesions.
Disease recurrence. The development of relapses is possible if there was an incomplete removal of polyps or the doctor removed only the head of the polyp.
Accession of infectious complications. Infectious complications are added in the case of an operation in the acute period of diseases of the nose or paranasal sinuses. Infectious agents can spread through the hematogenous or lymphogenous route and lead to systemic manifestations of an infectious disease.
Headaches. Headaches are a transient symptom that disappears after 3-5 days. The temperature after removal of polyps in the nose is kept at around 37.
Difficulty in nasal breathing and loss of smell as a result of the development of edema. This symptom is a physiological response to surgery. Normally, the restoration of the respiratory and olfactory function of the nose occurs 3-5 days after the operation.

More modern methods of operational influence prevent the development of postoperative symptoms.

The correct tactics of the patient in the postoperative period will help to avoid the recurrence of the disease and the development of many dangerous complications (recurrence of the disease, bleeding, etc.).

In the first days after surgery to remove polyps, antibacterial drugs (Ceftriaxone, Suprax) should be taken. These pharmacological preparations will help to avoid the development of complications of an inflammatory nature. Antibiotics should be taken for 3-5 days of the postoperative period.
Also, after the operation, otolaryngologists recommend instilling oil-based drops (Pinosol, sea buckthorn oil) into the nasal cavity, because they contribute to faster healing of the postoperative wound and prevent the formation of adhesions and adhesions in the nasal passage.
The next step after the operation is the regular sanitation of the nasal cavity with saline or Humer's pharmacological agent. Sanitation should be carried out from 5 to 14 days after surgery.
In the first days of the postoperative period, topical steroids (Nasonex) are recommended. These medicines do not cause side effects from other organs and systems and at the same time prevent the development of relapses of the disease.

In the treatment after removal of polyps in the nose, it is recommended to use 30% propolis ointment. Swabs are wetted and placed in the nose. The duration of the procedure is 2 weeks

Propolis ointment after removal of polyps in the nose

Recovery after removal of polyps in the nose

Rehabilitation after removal of polyps in the nose does not require long-term measures. In order to avoid complications after the operation, the following doctor's instructions should be followed for five days:

Follow a gentle regimen.
Avoid hot food and drinks. Hot drinks and food lead to vasodilation and provoke the development of bleeding.
Don't lift weights. An increase in systemic arterial pressure is also a risk factor for bleeding.
Avoid prolonged sun exposure.
Not located in a dusty environment.
Do wet cleaning in the house twice a day
Carry out timely ventilation in the apartment.
Do not come into contact with infectious patients

An increase in the overall resistance of the body and a positive psychological attitude of patients will also help to avoid complications in the postoperative period.

Removal of polyps in the nose video:

Polyps of the nasal cavity and nasopharynx- These are benign formations, which are pathological growths of the mucous membrane of the nose and paranasal sinuses, in appearance similar to grapes. Polyps can interfere with breathing and injure, so it is recommended to remove them. If you need a clinic in Moscow where nasal polyps are removed, contact JSC "Family Doctor".

Causes of the formation of polyps in the nose

The main reasons for the formation of nasal polyps are:

allergic diseases: allergic rhinitis, bronchial asthma;

chronic inflammatory diseases of the paranasal sinuses (sinusitis);

anatomical disorders of the structures of the nasal cavity.

Polyps are able to grow. Increasing, the body of the polyp fills the surrounding free space, partially and even completely blocking the nasal passages. As a result, nasal breathing is disturbed.

If nasal breathing is disturbed, then the polyp must be removed. The operation to remove polyps is called a polypotomy.

Preparation for polypotomy - operations to remove nasal polyps

A referral for polypotomy is issued by an ENT doctor based on an examination. It will be necessary to pass general clinical and biochemical blood tests. Well, if pre-made computed tomography of the paranasal sinuses.

Removal of polyps in the nose (polypotomy)

In the "Family Doctor" polyps of the nasal cavity and nasopharynx are removed using high-tech equipment - a medical laser or the Surgitron radio wave surgery apparatus.

Removal of nasal polyps using high-tech equipment has the following advantages:

pathological tissues of the mucosa are completely removed, which significantly reduces the risk of re-formation of the polyp;

the operation takes place with minimal blood loss;

short recovery period after surgery (3-4 days);

the sterility of the procedure is ensured, which minimizes the possibility of infection during the operation.

You can check the prices for nasal polyp removal services below.

Nasal polyps are benign neoplasms
which look like small rounded formations and are formed as a result of prolonged irritation of the nasal mucosa and paranasal sinuses.

The presence of polyps in the nose leads to the development of a number of undesirable symptoms, which can only be eliminated with the help of surgical intervention.

Removal of polyps in the sinuses. Indications for surgery

If you don’t want to go under the surgeon’s knife, then read about the modern treatment of nasal polyps.

Absolute indications for surgery to remove nasal polyps:

Complete absence of nasal breathing.
Increase in asthma attacks.
Anosmia (complete absence of the sense of smell).
Attachment of symptoms of inflammation of the paranasal sinuses.
Frequent occurrence of discharge from the nose with an unpleasant odor and an admixture of blood.
Development of deformity of the nasal septum.
Chronic course of purulent-inflammatory processes of the nose and paranasal sinuses.

Relative indications for surgery:

The appearance of snoring.
Voice change (hoarseness).
Hyposmia.
Periodic headache and dizziness.
Sensation of a foreign body in the nose.

Contraindications to surgery

The presence of polyposis neoplasms in the nose is not in all cases an indication for their removal during surgery. There are local and systemic contraindications to the removal of polyps.

Systemic contraindications for surgery to remove polyposis neoplasms:

Attack of bronchial asthma.
Blood diseases such as hemophilia, acute leukemia, thrombocytopenic purpura.
Decompensated conditions of the cardiovascular system (myocardial infarction, coronary heart disease, hypertensive crisis, collapse, etc.).

Local contraindications for surgery:

Acute diseases of the nose and paranasal sinuses (acute rhinitis, acute sinusitis).
allergic rhinitis.

If you have a history of oncological pathology of the nasal cavity, you should consult with an oncologist before the operation.

Technique for the operation to remove polyps in the nose:

First of all, anterior and posterior rhinoscopy should be performed using nasal mirrors.
Sanitize the nasal cavity and paranasal sinuses with a hypertonic solution or Humer pharmacological agent.
Dry the nasal cavity with a cotton swab.
Consistently lubricate the nasal mucosa twice with 10% dicaine solution to reduce its sensitivity during surgical excision of neoplasms.
Find out the location of the legs of polyps, their number and size.
Insert the snare into the nose under visual control.
Conduct an audit of the nasal cavity with the help of a loop outlet.
Put a loop on a polyp or a group of polyps (if they are small).
Move the loop up to the head of the polyp.
After feeling the solid consistency of the head of the polyp, tighten the loop.
Remove the loop with polypous masses from the nasal cavity and put in a special tray.

Especially important!

An important criterion that prevents recurrence is the removal of the polyp along with the stem. Therefore, you should carefully tighten the loop so as not to cut off the head of the polyp, but to pull the polyp along with the leg from the nasal cavity.

Endoscopic surgery. Endoscopic removal is one of the most accurate removal methods. The operation is performed using a special medical endoscope with a camera. This allows you to achieve complete removal of even the smallest formations and at the same time not damage the surrounding structures of the nasal cavity.
Removal with a shaver (microdebrider). The essence of this technique is the grinding of neoplasms and their absorption. The operation is less traumatic and is performed under the control of a screen monitor.
Laser removal of polyps. Under the influence of laser beams, the neoplasm disappears. The advantage of this method is the additional coagulation of the vessels and the prevention of the spread of infection to the surrounding structures.
Crochet Lange removal. With the help of the Lange hook, it is possible to remove not only nasal polyps, but also polyps with localization in the choanal area.

With all this, there are methods for removing polyps without surgery!

Ways to remove polyps in the nose:

In the vast majority of cases, the postoperative period proceeds without significant complications.

In particular cases, postoperative symptoms are presented:

The development of minor bleeding. This symptom develops as a result of damage to the vessels of the nasal cavity.
The formation of adhesions and adhesions after surgery in the nasal passages. This symptom develops 2-3 months after surgery. Patients again complain of aggravated nasal breathing. This symptomatology requires prompt dissection of newly formed adhesions.
Disease recurrence. The development of relapses is possible if there was an incomplete removal of polyps or the doctor removed only the head of the polyp.
Accession of infectious complications. Infectious complications are added in the case of an operation in the acute period of diseases of the nose or paranasal sinuses. Infectious agents can spread through the hematogenous or lymphogenous route and lead to systemic manifestations of an infectious disease.
Headaches. Headaches are a transient symptom that disappears after 3-5 days. The temperature after removal of polyps in the nose is kept at around 37.
Difficulty in nasal breathing and loss of smell as a result of the development of edema. This symptom is a physiological response to surgery. Normally, the restoration of the respiratory and olfactory function of the nose occurs 3-5 days after the operation.

More modern methods of operational influence prevent the development of postoperative symptoms.

In the first days after surgery to remove polyps, antibacterial drugs (Ceftriaxone, Suprax) should be taken. These pharmacological preparations will help to avoid the development of complications of an inflammatory nature. Antibiotics should be taken for 3-5 days of the postoperative period.
Also, after the operation, otolaryngologists recommend instilling oil-based drops (Pinosol, sea buckthorn oil) into the nasal cavity, because they contribute to faster healing of the postoperative wound and prevent the formation of adhesions and adhesions in the nasal passage.
The next step after the operation is the regular sanitation of the nasal cavity with saline or Humer's pharmacological agent. Sanitation should be carried out from 5 to 14 days after surgery.
In the first days of the postoperative period, topical steroids (Nasonex) are recommended. These medicines do not cause side effects from other organs and systems and at the same time prevent the development of relapses of the disease.

In the treatment after removal of polyps in the nose, it is recommended to use 30% propolis ointment. Swabs are wetted and placed in the nose. The duration of the procedure is 2 weeks

Propolis ointment after removal of polyps in the nose

Follow a gentle regimen.
Avoid hot food and drinks. Hot drinks and food lead to vasodilation and provoke the development of bleeding.
Don't lift weights. An increase in systemic arterial pressure is also a risk factor for bleeding.
Avoid prolonged sun exposure.
Not located in a dusty environment.
Do wet cleaning in the house twice a day
Carry out timely ventilation in the apartment.
Do not come into contact with infectious patients

An increase in the overall resistance of the body and a positive psychological attitude of patients will also help to avoid complications in the postoperative period.

Removal of polyps in the nose video:

Polyps are outgrowths of the mucous membrane due to excessive proliferation of its glandular tissue. Polyps can form anywhere in the body where there is a mucous membrane. The nasal cavity is no exception. It is believed that about 4% of the population has nasal polyps.

The causes of polyps are different, mainly:

Violation of the aerodynamics of the nasal cavity.
Chronic inflammatory process in the paranasal sinuses.
Allergy, in this case, polyposis is usually combined with bronchial asthma.

Polyps can form both from the mucosa of the nasal cavity itself, and (more often) from the mucosa of the paranasal sinuses. At the same time, polyps that have arisen in the sinuses of the nose “fall out” through the fistulas into the nasal cavity and continue to increase in size and block the nasal passages. In children, antrochoanal polyps (derived from the maxillary sinus) are more common, in adults - ethmoid polyps (growing from cells of the ethmoid labyrinth).

Polyps in the sinuses are usually multiple, outwardly they resemble a bunch of grapes. With excessive growth, they come out of the fistulas of the sinuses and are located in the nasal cavity.

Why polyps need to be removed

In the initial stage, polyps are tried to be treated conservatively, but usually these measures do not work. Sooner or later, they still have to be removed surgically.

Removal of polyps is one of those operations that many patients themselves ask doctors for. Mainly because the violation of nasal breathing greatly disrupts normal life. A person cannot breathe through his nose, he does not feel very well from this, it prevents him from working, and no one frees him from work.

The main problem that polyps cause is difficulty in nasal breathing. That is, when they grow, they mechanically block the nasal passages, the air cannot freely pass into the nasopharynx. Vasoconstrictor drops in this case will be ineffective. The patient breathes through his mouth, which is not physiological and unpleasant.
The second problem that often accompanies patients with polyps is a violation of the sense of smell. Polyps overlap the mucous membrane of the olfactory zone. Lack of sensitivity to smells greatly reduces the quality of life.
Blocking the natural communications of the paranasal sinuses with the nasal cavity, polyps lead to a violation of the cleansing of the sinuses from mucus and microbes, which causes a chronic inflammatory process in the sinuses. And this is a rather serious complication. So, purulent sinusitis can lead to serious consequences up to meningoencephalitis and sepsis.
If a person breathes not through his nose, but through his mouth, then the air is not warmed up, not cleaned and humidified properly. All this increases the risk of developing pharyngitis, tonsillitis, laryngitis, bronchitis, pneumonia and bronchial asthma.
Inadequate nasal breathing leads to some hypoxia of the brain, as a result of which a person experiences frequent headaches, poor sleep, fatigue, and impaired performance.

Who is shown the removal of polyps

Intervention is indicated for the following groups of patients:

Patients with complete nasal congestion.
The combination of polyposis with a curvature of the nasal septum.
The combination of polyps with chronic rhinitis, chronic sinusitis, not amenable to conservative treatment.

Preparing for the operation

At the first examination, the ENT doctor performs a rhinoscopy at the reception. Polyps with rhinoscopy are usually clearly visible.

However, to clarify their number, size, degree of damage to the nasal mucosa and sinuses, clarifying examinations are usually prescribed:

X-ray of the paranasal sinuses.
Computed tomography of the sinuses.
Videoendoscopic examination of the nasal cavity and sinuses.

When the indications and scope of the operation are determined, it is necessary to choose the right time and prepare for it. So, with purulent rhinitis or rhinosinusitis, it is necessary to undergo a course of antibiotic therapy based on the results of bakposev purulent discharge.

Operation is not assigned:

During the flowering season, when the course of allergic rhinitis and asthma worsens.
For acute infectious diseases
Decompensated course of chronic diseases of the heart, liver, kidneys.
Violation of blood clotting.
During pregnancy.

2 weeks before the operation, you must undergo:

General blood and urine tests.
Coagulogram.
Biochemical analysis.
Electrocardiography.
Chest x-ray.
Blood for markers of viral hepatitis, syphilis, HIV.
Therapist's review.

A few days before the operation, drugs that prevent blood clotting (aspirin, warfarin) are canceled. Decongestants and anti-inflammatory drugs (ketotifen, dexamethasone) are prescribed.

Types of operations to remove nasal polyps

To date, the following types of interventions are carried out:

The usual polypotomy. The oldest, most traumatic, but also the cheapest operation.
Endoscopic removal of polyps.
Removal of polyps with a laser.
Radio wave polypotomy.

It must be said that nasal polypotomy is very often combined with other operations:

With drainage of the paranasal sinus in chronic sinusitis, ethmoiditis, sphenoiditis.
Correction of deviated nasal septum.
With resection of the nasal concha (conchotomy).

Conventional polypotomy

Removal of polyps is carried out with a special polyp loop: the loop is thrown over the polyp and gradually tightened at its base, pulled out and torn off. The art of the surgeon should not be to cut the polyp with a loop, but to pull it out with a leg (“with a root”). The risk of recurrence with such a correct removal is much less.

The operation is usually performed under local infiltration anesthesia with novocaine, lidocaine or ultracaine. Additionally, the anesthetic is applied to the nasal mucosa (together with vasoconstrictor drugs).

The position of the patient is sitting, a tray for flowing blood is placed under the chin. The duration of the operation is 40-60 minutes.

Usually, all polyps visible during anterior rhinoscopy are removed. Those polyps that were not noticed during the first operation are removed after 1-2 weeks.

After the removal of one or more polyps, the nasal cavity is tamponed with turundas lubricated with petroleum jelly and a sling-like bandage is applied.

The next day, the turundas are removed, the nasal cavity is washed with antiseptics and saline solutions. After 3-5 days, with a favorable course, the patient is discharged from the hospital.

Disadvantages of the method:

The operation is the most traumatic, always accompanied by bleeding of one degree or another.
The longest recovery period.
This method can remove polyps that only grow in the nasal cavity. That is, if a polyp grows from the sinus, it is impossible to remove it completely to the base.
This method is most often accompanied by relapses (up to 70%). That is, the polyps grow back within a year.

The advantages of the method include its availability and low cost, since in this case expensive equipment is not required.

Endoscopic surgery

Endoscopic surgery of the nasal cavity and paranasal sinuses is increasingly gaining a niche in the surgical treatment of this area. With the help of a microendoscope, almost all operations in the nose, including the removal of polyps, can be performed.

The endoscope displays a magnified image on the monitor screen. This allows the surgeon to perform manipulations both in the nasal cavity and in the cavities of the paranasal sinuses with maximum accuracy.

Endoscopic removal of polyps can be performed under local or general anesthesia. The choice of anesthesia depends both on the volume and expected duration of the operation, age (general anesthesia is used for children under 7 years of age), and on the preferences of the patient himself.

Endoscopic removal of polyps can be performed in three ways:

Polypotomy with microinstruments without shaver.
Removal of polyps with a shaver (microderiber).
Shaver removal with navigation.

removal of polyps with a shaver

Removal of polyps with a shaver is the most convenient way of this type of operation. A shaver is a special tool that has a tip with a set of various cutting nozzles and suction. The use of a shaver allows you to very accurately, within healthy tissues, with minimal trauma, remove all polyps both in the nose and in the sinuses.

The shaver is brought to the polyp, cuts it off together with the leg, crushes and sucks.

The use of video navigation makes it possible to revise the paranasal sinuses and remove all polyps in them (mainly in the cells of the ethmoid labyrinth).

The whole procedure lasts 50-60 minutes. After the operation, the nasal cavity is plugged for a day. Terms of inpatient treatment - 2-3 days. Sometimes the patient can be sent home immediately.

Video: endoscopic shaver removal of nasal polyps

After polypotomy

The patient usually stays in the hospital for observation for several days. A day later, the turunda is removed, the nasal cavity is washed with antiseptics and lubricated with synthomycin ointment or petroleum jelly to soften the crusts. For the same purpose, irrigation of the nasal cavity with saline solutions or the use of oil drops (Pinosol, sea buckthorn oil) is used.

Antibiotics are prescribed to prevent infectious complications. A week after the removal of polyps, the use of anti-inflammatory and antiallergic drugs (Nasonex spray) is recommended.

In the postoperative period, you can not:

Pick crusts in the nose.
Blow your nose hard.
Take hot food.
Take a hot bath or shower.
Lift weights.
Take alcohol.

According to patients, nasal breathing is restored after a few days, and the sense of smell resumes within a month.

Complications that may occur after a polypectomy:

Bleeding.
Inflammation - rhinitis, rhinosinusitis.
The formation of adhesions.
Re-formation of polyps (unfortunately, recurrence of polyps is a major problem even in endoscopic surgery, the recurrence rate is about 50%).

Removal of polyps with a laser

Laser removal of polyps is perhaps the safest method of polypectomy. Removal of polyps with a laser can be performed on an outpatient basis, under local anesthesia.

It is often used to remove polyps in children, as well as those with chronic diseases.

The essence of the operation is that the polyp tissue is simply “evaporated” under the influence of high-precision laser energy. The operation is performed under the control of the endoscope. The procedure is quick and takes no more than 15-20 minutes. Bleeding is not observed, as the laser seals the vessels. The risk of infection is also minimal. Nose packing is not required.

However, the use of laser polypotomy is limited: only single polyps can be removed by this method, and only those located in the nasal cavity. With multiple polyps and polyposis of the paranasal sinuses, laser treatment will not solve the problem.

Radio wave polypotomy

It is carried out by the Surgitron apparatus using a radio wave loop. The operation is also almost bloodless and can be performed on an outpatient basis. It is used to remove only large and medium polyps.

Main conclusions

Let's summarize:

Surgical treatment of polyps is a thankless task. None of the operations to remove polyps from the nose guarantees their re-growth.
The smallest percentage of relapses gives complete endoscopic removal of polyps in the nasal cavity and in the paranasal sinuses. When removed in this way, the time until the re-formation of polyps is stretched to 5-6 years.
If the patient has the opportunity to choose, then you need to choose a clinic with modern video endoscopic equipment, with sufficient experience in performing such operations. Of all the methods, the most effective is the shaver removal of polyps with navigation.
It is advisable to simultaneously eliminate all defects that can contribute to the re-formation of polyps (correct the crooked nasal septum, resect the hypertrophied nasal concha).
After the removal of polyps, it is necessary to follow all the recommendations, as well as use agents that inhibit the growth of polyposis tissue (mainly local hormonal preparations), undergo an examination and treatment by an allergist.

The cost of polyp removal surgery

The most budgetary option is polypotomy in the usual way using a polyp loop. It can be carried out free of charge in any ENT department. In paid clinics, it costs from 2000 rubles (on the one hand).

Endoscopic removal of polyps will cost from 15 to 35 thousand rubles (depending on the volume of the operation, the rank of the clinic, the duration of inpatient treatment). The operation under general anesthesia will cost up to 70 thousand rubles.

Laser removal of a polyp will cost about 8-10 thousand rubles.

Video: removal of polyps in the nose in the Health program

Nasal polyps are an overgrowth of the epithelial tissue of the mucous membrane of the labyrinth or maxillary sinus. Some ENT specialists classify them as benign tumors. Others prefer to consider polyps separately because their structure is more consistent with unaltered, normal tissues.

The average prevalence of the disease in the world is 1-4%. It does not belong to the category of dangerous, but is recurrent: in 70% of cases, polyps reappear after removal.

Reasons for the formation of polyps

Nasal polyps (the official medical name for the disease is polyposis rhinosinusitis) can have completely different etiologies. However, such a remark can be made in relation to most tumors and growths similar to them. Among the most common causes are the following:

Allergy and accompanying symptoms (runny nose, sneezing, cough).
Chronic infectious diseases associated with the nose or paranasal sinuses (sinusitis, rhinitis).
Some physiological conditions accompanied by hormonal changes (pregnancy).
Deviated septum, nasal trauma.
One of the latest theories expressed in the domestic literature is a violation of the metabolism of arachidonic acid. Note. This compound is involved in the formation of substances that transmit signals between nerve cells. Products of arachidonic acid - prostaglandins, are responsible in particular for the regulation of the inflammatory process.
Cysts in the nasal cavity and sinuses. They are small, fluid-filled formations.
Hereditary diseases that lead to disruption of the normal functioning of the mucosa (for example, cystic fibrosis).
Taking drugs or products with aspirin if you are intolerant to it.

Development of the disease

Despite the heterogeneity of the causes that cause polyps, the disease develops according to the same pattern. The mucous membrane of the paranasal sinuses or the ethmoid labyrinth has to function for a long time in conditions of increased activity. This is necessary to cope with allergies, inflammation or other adverse factors. At first, it performs this task, but gradually the reserves run out, and the effect of the factor does not stop.

Then the body tries to compensate for the insufficient efficiency of the mucosa by increasing its area. The tissue begins to grow, a polyp forms. At first, it is localized in the organ in which it was formed, but gradually, with an increase in its size, it begins to hang down into the nasal cavity. There he interferes with breathing, over time seriously complicating it.

The formed polyp looks like this: it is a mushroom-shaped formation on a stalk that hangs down into the nasal cavity with its wide part. The color of a polyp can vary from pearlescent to red, depending on how well the blood supply is developed in it. It is characterized by moderate growth, spherical or cylindrical shape.

The polyp does not affect other tissues, except for the mucous membrane and does not pose a serious danger to the body.

Symptoms of polyposis rhinosinusitis

The main symptom of the disease is nasal congestion. It does not go away after taking vasoconstrictor drugs, it gets worse over time. Patients may also complain of:

Sinusitis. Inflammation of the paranasal sinuses is often the cause or concomitant disease of polypous rhinosinusitis.
Rhinitis. Runny nose (allergic or otherwise) often provokes hypertrophic development of the mucosa.
Decrease or loss of smell. Due to changes in the size of the mucosa, sensitive areas cease to function properly, they become smaller relative to the total surface of the nasal cavity.
Headache. Violation of nasal breathing often results in problems with the regular supply of oxygen to the brain. Periodic hypoxia can cause migraines.
Voice disturbance. Due to the constant congestion of the nasal passages, the patient is forced to nasalize when talking.

Diagnostics

As a rule, polyps are easily detected during rhinoscopy. An important task of a specialist is the differential diagnosis of benign, malignant tumors and other diseases. To do this, research:

Computed tomography of the nasal sinuses. It is carried out, as a rule, before the operation, in order to accurately identify the localization of the polyp.
Biopsy. A piece of tissue that makes up a polyp is subjected to a comprehensive study, its structure, size and shape of cells are studied under a microscope.
Serological study. It allows, in the absence of certain antibodies in the blood, to exclude scleroma, tuberculosis, syphilis, leprosy. These diseases sometimes produce similar tissue indurations (granulomas) that can be mistaken for polyps.

Diagnosis can be somewhat difficult in children, especially at a younger age, when they can't talk about their problems on their own. Parents should take their child to the doctor if:

He suffers from a prolonged runny nose, which then subsides, then resumes again.
The child's nose is stuffed up, he breathes mainly through his mouth.
The kid periodically rubs his nose, shows obvious discomfort.
Along with the above symptoms, the child's appetite has changed, he has become capricious and irritable.

Treatment of polyps and prevention of recurrence

In the treatment of the disease, the doctor should set the following goals:

Elimination of the cause of the disease when it is detected.
Restoration of normal nasal breathing.
Polyp removal.
Prevention of the emergence of a new formation.

Important! The combined measures of medical treatment of polyps (conservative therapy) and surgery are recognized as the most effective at the moment. Exclusively surgical intervention does not make it possible to achieve a stable remission (recovery).

Conservative treatment

The basis of the drugs taken are steroids. Along with them, antibiotics and antiseptic drugs, general stimulants and immunomodulators can be prescribed. In therapeutic practice, intranasal topical steroid sprays are usually used:

Beclomethasone. The drug acts as an anti-inflammatory and antiallergic agent. It inhibits the work of certain parts of the immune system, therefore, with prolonged use, infection of the nasal cavity is possible (most often with fungi of the genus Candida). In this case, the reception is not stopped, but beclomethasone is combined with antimicrobial drugs. Also, the drug can affect the adrenal glands, slowing down the growth of the body in childhood. For this reason, it is contraindicated for use under 12 years of age.
Mometasone. The drug reduces inflammation, relieves swelling, itching, fluid accumulation in the nasal cavity. Mometasone reduces the production of arachidonic acid, which can presumably be involved in the formation of polyps. With prolonged use, control of adrenal function is necessary.
Fluticasone. The drug belongs to synthetic corticosteroids. Its use in the form of an intranasal spray is allowed from the age of 4. One of the frequent side effects from the use of the drug include: nosebleeds; sensation of dryness, unpleasant smell or taste; headache.

The impact of immunomodulatory drugs is currently being studied, but the work of recent decades shows their unequivocal effectiveness. They make it possible to treat diseases by influencing the mechanism of its development.

However, the results are highly dependent on the route of administration of drugs (preferably local). Often they are used along with surgery. Candidate of Medical Sciences Samolazova S.G. describes the results of the use of these drugs for polyps (2003): “Local immunocorrection with cycloferon and subsequent surgical treatment lead to an improvement in immunograms ... and an increase in the rate of mucociliary transport”.

The positive effect of recombinant human interferon 2a was also noted. This drug affects cells at the genetic level, preventing their proliferation (excessive growth and reproduction). Research has shown ( Miroshnenko A.P., 2004) that "recombinant a2 interferon should be used in addition to the traditional treatment of polypous rhinosinusitis".

Surgical removal of polyps

It is worth noting that it is rather difficult to get rid of a polyp without surgery; usually, conservative treatment is stopped only if there are serious contraindications to surgical intervention (asthma during an exacerbation, bleeding disorders, etc.).

There are three main operational methods:

Laser removal.
Endoscopic polypectomy.
Removal with Lange's loop.

The laser is considered the least traumatic, but it is used only for single polyps. The operation lasts 15-20 minutes and is usually performed under local anesthesia. During the procedure, a device that emits laser beams is inserted into the nasal cavity. They cause coagulation of polyp cell proteins. As a result, they die. As such, no wound is formed in the process, which minimizes the risk of infection and subsequent complications. Scarring at the site of the former polyp also does not occur.

Due to the limitations of the method, endoscopic polypectomy is performed much more frequently. It allows you to remove any growth, even in hard-to-reach places in the body. The operation is performed under general anesthesia and is associated with a small risk of bleeding. A big plus of polypectomy is the low risk of recurrence. New polyps usually appear no earlier than 5-6 years after surgery.

The doctor observes the entire space in an enlarged view on the monitor screen, which allows him to act with great accuracy. The actual removal is performed using a special device - a rhinoscopic shaver. It resembles a pistol in appearance, but instead of a muzzle, it contains a hollow tube with cutting nozzles of various sizes. Depending on the volume of the polyp, the doctor chooses one or another knife. During the operation, the cutting nozzles rotate, and at the same time, excess tissue is captured. Removal with shaver is an excellent alternative to conventional surgery, because. the device acts pointwise, leaving healthy mucosa intact.

Video: removal of polyps in the nose, endoscopic surgery

The last method - polypotomy with a loop, is the oldest, "classic" way to get rid of growths in the nasal cavity. The operation is performed under general anesthesia and can take up to 1 hour. Important! Its main disadvantage is the high recurrence rate. After a few months, the polyps reappear. This is due to the fact that the surgeon removes only the visible part of the neoplasm, while the growth of the polyp from the sinuses or the mucosa of the ethmoid labyrinth begins. The advantages of the operation are its accessibility, the possibility of carrying it out without a highly qualified doctor or special expensive equipment.

Treatment of polyps with traditional medicine

At the moment, there is no encouraging data on the possibility of getting rid of the disease on their own. Although homeopathy and alternative medicine offer a wide range of methods, home treatment is unlikely to bring the desired recovery. However, folk remedies for dealing with polyps in the nose can be considered as maintenance therapy, which will alleviate the patient's condition before a medical examination or surgery.

For such purposes, you can use:

Celandine juice diluted with water 1:2. It is recommended to bury it in the nose for 10 days. First you need to make sure that you do not have an allergic reaction to the plant. Also, the solution can be laid in the nasal passages by moistening a cotton swab with it.
Hypericum juice mixed with sea buckthorn juice. This tool is used for long-term use. Homeopaths advise using it for instillation for at least 1 year. The main thing is to monitor the freshness of the solution. It must be stored in the refrigerator, but not more than 10-14 days.
Tui oil. It can be used in finished form or used as part of the homeopathic preparation of the same name. The oil is sold in specialized pharmacies or can be ordered from non-traditional practitioners.

Video: treatment of polyps in the nose with folk methods

Nasal hygiene

During illness and as part of its prevention, it is necessary to perform certain hygiene procedures:

Frequent moistening of the nasal cavity.
Washing the nose with sea water or iodine-salt solution.
Inhalations with decoctions of herbs with anti-inflammatory properties: chamomile, calendula, sage, etc.
Wetting the nasal mucosa with vaseline, almond, peach oil.

It is also desirable to protect the patient from the action of additional damaging factors:

Smoke from a fire or tobacco smoke;
Inhalation of poisons, including insecticides for private use;
dust;
Aroma and pollen of flowering plants.

A big plus will be the rejection of food allergens that can aggravate the situation: coffee, chocolate, citrus, spicy, salty or smoked foods.

Important! It is not possible to cure polyps with surgery or by taking steroid drugs. These methods are purely symptomatic. They are necessary because there is no other way to get rid of polyps. However, to prevent recurrence, it is important to identify the causes of neoplasms and eliminate them.

Polyposis is an overgrowth of glandular tissue in the nose and paranasal sinuses under the influence of histamines and other inflammatory mediators. An operation to remove polyps is necessary to normalize nasal breathing, reduce the risk of respiratory diseases and eliminate deformities of the nasal septum that have appeared due to polyposis.

If a patient complains of shortness of breath, altered sense of smell and copious discharge from the nose, traditional diagnostics is performed. First, the doctor uses an illuminator, then an endoscope, which allows you to assess the condition of the sinuses.

In addition, radiological methods can be used: computed or magnetic resonance imaging. In such cases, the doctor pays special attention to the paranasal sinuses. Depending on the degree of polyposis and the patient's condition, a decision is made on the methods of treatment.

Indications for removal

In some cases, doctors prescribe conservative drug treatment, including a course of various anti-inflammatory, immunomodulatory and other drugs.

However, there are serious indications for surgery to remove polyps:

large or multiple polyps that are not amenable to conservative treatment;
curvature of the nasal septum due to tissue growth;
the occurrence of a number of other adverse pathological conditions due to polyposis.

One of the types of surgery to remove polyps in the nose is recommended by the doctor, taking into account the patient's condition. There are loop, cryogenic, laser removal techniques, as well as using a shaver and radio waves.

General contraindications

There are contraindications to the operation to remove polyps. Local are limited to inflammatory processes in the nose of various etiologies (rhinitis, sinusitis, etc.).

Systemic:

serious blood diseases (leukemia, hemophilia, thrombocytopenic purpura);
cardiovascular diseases (ischemia, collapse, hypertension);
bronchial asthma in the acute period.

Anesthesia

Removal of nasal polyps using radio waves, laser or shaver in children under 7 years of age is performed under general anesthesia. Such anesthesia is used for a significant number of formations. In other cases, local anesthesia is used. Before the operation, a sedative drug is injected intramuscularly.

Then, a 10% solution of lidocaine and vasoconstrictor drugs are sprayed into the nasal cavity or applied applicatively to prevent swelling and improve visibility. After that, a 2% anesthetic drug is injected into the intervention area (this can be lidocaine or ultracaine).

During removal, the patient is fully aware of what is happening. Local anesthesia is relevant only for the removal of formations within the nasal cavity.

Loop polypectomy

An operation to remove polyps in the nose, in which the doctor wields the so-called Lenge hook, which is essentially a cutting loop, is called a loop polyectomy. The removal mechanism is as follows: the doctor inserts the instrument into the nostril, covers the polyp with a loop and tightens the loop, cutting off the polyp.

Thus, it is possible to save the patient from several growths in one session. With a single polyp, the duration of the operation is from 45 minutes to an hour. The cutting loop is used to remove polyps that have grown from the ethmoid labyrinth. Before the start of the process, 2 ml of a 1% solution of novocaine is injected into the mucosa in the immediate vicinity of the polyp.

At the end of the operation, the mucous membrane is disinfected, with the help of a cape-like bandage, tampons soaked in petroleum jelly are fixed. Approximately within a week the patient is under inpatient observation. During this time, tampons are removed, synthomycin ointment is applied, and if necessary, washing is carried out. The entire recovery period usually takes 10-20 days.

The main disadvantage of the method is the probability of recurrence up to 70%. In this case, it will be necessary to repeat the procedure after 6-12 months.

radio wave surgery

Surgery to remove polyps in the nose using radio waves is proposed as a more bloodless alternative to the traditional clipping of growths. Such an operation can be performed on an outpatient basis without the use of tampons.

However, in this case, the risk of recurrence of formations is also high. In addition, the radio wave method is used only for medium and large polyps, usually single ones.

After removing polyps in the nose with the radio wave method, you need to follow a number of rules that will help the body recover faster after surgery:

avoid serious physical exertion;
minimize contact with people with ARVI, influenza or other airborne infections;
adhere to a diet that excludes spicy, fried, salty foods;
refrain from hot food (to prevent bleeding).

Complications after loop and radio wave removal

Even experienced doctors are not always able to perform the operation without subsequent complications.

They might look like this:

slight bleeding from the nose appears due to damage to the capillaries and their slow recovery.
Quite often, after 2-3 months after the operation, adhesions are found in the patient. In this case, the patient usually complains of the resumption of problems with nasal breathing. The only solution to the problem is cutting adhesions under local anesthesia and subsequent inpatient observation.
Reappearance of growths. Most often, this is caused by insufficiently high-quality removal of formations or their presence in the paranasal sinuses.
Inflammatory process against the background of bacterial infection. A rare case when, at the time of surgery, an infectious process developed in the patient's sinuses or nasal passages in the acute phase.
subfebrile temperature considered almost normal after this kind of surgery.
Headaches are often associated with fever. Usually patients complain about it for no more than 5 days.
Edema and weak sense of smell or its absence are also frequent companions of the postoperative period. These symptoms usually go away after 3-4 days.

Endoscopic surgery

This type of surgery is usually performed under local anesthesia and includes two types: laser removal and shaver removal. In both cases, an endoscope with a camera is inserted into the nostril, which transmits the image to the monitor.

This technique allows you to examine in detail all the details of formations and remove them without injuring healthy tissues. In addition, using an endoscope, it is possible, if desired, to correct the structure of the nose, for example, to save the patient from the displacement of the nasal septum resulting from polyposis.

After such an operation, the patient will not have scars or scars, only unpleasant sensations that soon disappear. The first 2-3 days, bloody or mucous discharge may be observed. In the hospital, the patient observes only the first day, after 3 days he can start working.

Contraindications

Endoscopic intervention is postponed during the period of exacerbation of bronchial asthma or chronic bronchitis, as well as during the flowering of plants that provoke allergic rhinitis. Women should plan the operation so that it does not fall during the period of menstruation.

Removal with a shaver

This is a convenient and popular way to remove growths. The operation is performed by endoscopy. The doctor, using a special nozzle, examines the affected area, accurately cuts off the detected polyp, and then crushes it in the same place and sucks it off.

The advantages of the method are its high accuracy, the ability to conduct an audit of the paranasal sinuses and extremely low trauma. The time of the operation varies from 45 minutes to 1 hour, depending on the severity of the disease.

At the end of the operation, tampons are placed in the nose, which are removed after a day. Usually the patient is under inpatient observation for 2-3 days. If the degree of polyposis is low, he can be allowed to go home immediately after the intervention. The functions of the glandular tissue and olfactory abilities are restored gradually over a period of about a month.

If there are many polyps and if they are large, special preparation will be required. This is largely due to the need to use general anesthesia in such cases. The patient takes a general blood test, biochemical and coagulation tests.

It is also necessary to do computed tomography and conduct a thorough endoscopic examination, the results of which will clear the expected duration of the operation, the duration of inpatient observation and subsequent prognosis.

7 days before the intervention, the patient takes 40 mg of Prednisolone daily. If the operation needs to be carried out urgently, despite the acute infectious and inflammatory process in the nose and its sinuses, the symptoms are eliminated with the help of antibiotic therapy. For this, as a rule, local preparations are used.

In addition, a week before the operation, it is necessary to stop taking Aspirin, anti-inflammatory drugs and vitamin E, since these substances have a strong effect on blood clotting. Subsequently, they are not recommended to be used for some time after the operation.

As for food, the last meal before the operation can take place the day before the operation. It should be a light dinner. No food or drink is allowed on the day of the intervention. To relieve thirst, you can suck on ice or rinse your mouth with water.

During the entire postoperative period, it is prohibited:

mechanically remove crusts from the nose (pick with fingers or other objects). Salt flushing is suggested as an alternative;
blow your nose intensively and forcefully;
consume hot food or drinks;
the same applies to hot baths, saunas, inhalations. All this provokes excessive blood flow and can cause bleeding;
experience significant physical exertion;
drink alcohol, because it dilates the blood vessels.

Complications after surgery

Despite careful adherence to supportive measures, any patient may experience unpleasant complications:

heavy bleeding;
inflammatory process on the background of rhinitis or rhinosinusitis;
tissue scarring and adhesions;
recurrence of new polyps. With this method, the probability of recurrent polyposis is 50%. At the same time, the interval between the occurrence of formations can be from 4 to 7 years.

Operation with a laser

Laser removal of polyps in the nose is recognized as the most advanced method. The doctor can perform the operation on an outpatient basis, using an endoscope and local anesthesia. Most often, this method is used to rid children of growths.

The laser blade literally vaporizes the polyp due to the heating beam. It gradually decreases and disappears. Healthy tissues do not suffer, there is no bleeding. Laser surgery has a minimum of contraindications and can be performed at any age.

It is the fastest (no more than 20 minutes), accurate and efficient. During the operation, the laser “solders” the blood vessels, which greatly reduces the risk of infection in the postoperative period. In this regard, tampons are not placed in the nose.

However, it also has its shortcomings. The laser is not used in the presence of several polyps, especially if they differ in size. Also, laser surgery can only be performed within the nasal cavity.

Cryosurgical removal

If the laser affects the polyp through elevated temperatures, then the cryosurgical method is often called freezing. Few choose it. It, like a laser, is one of the most non-traumatic types of removal of formations, both on the mucous membranes and on the skin.

The doctor directs a jet of liquid nitrogen to the area of the polyp, the liquid in its tissues is frozen, the cells are destroyed, and the polyp ceases to receive nutrition through the bloodstream. The duration of freezing is usually 30 seconds, then the doctor pauses and repeats the cauterization until the tissues of the polyp are sufficiently destroyed.

The procedure is performed under local anesthesia with 2% solutions administered by injection. In some cases, applicative application of more saturated solutions (up to 10%) is practiced. After a few days, the devoid of food growth falls off. If it has not peeled off, a second operation is necessary. This is only possible after 3 weeks.

For successful rehabilitation, the patient must follow a few simple rules:

wear a sterile bandage that will protect the nose from getting dust and pathogens on the mucous membranes;
Take systemic antibiotics as prescribed by your doctor. In this case, consultation is necessary to get rid of the consequences of such prophylaxis (for example, dysbacteriosis, disorders of the mucous microflora);
use anti-inflammatory drugs in the form of tablets and sprays;
if necessary, use painkillers.

Medications after surgery

The operation to remove polyps in the nose involves the use after it of a number of drugs that restore the body and preventing the development of relapse:

Price

The cheapest way is to use polyp removal services with a cutting loop. Usually this method is practiced in free clinics. When applying to a paid institution, the cost of the procedure will be approximately 2000 rubles.

The price for endoscopic removal varies from 15 to 30 thousand rubles. The cost of the operation is affected by the status of the clinic, the location and number of polyps, the duration of the necessary inpatient treatment. Laser removal costs 8-10 thousand rubles.

The operation, which takes place under general anesthesia, is not affordable for everyone, as it costs about 70 thousand rubles. In addition, the cost of the operation may vary depending on the region of residence.

Modern medicine offers operations to remove polyps in the nose, performed by different methods. In the conservative treatment of polyposis, the maintenance and activation of immunity plays a significant role.

The same can be said about the postoperative period. Regardless of the choice of type of surgery, adherence to recommendations for the postoperative period will reduce the risk of recurrence and reduce the likelihood of complications.

Video about the operation to remove polyps in the nose

Getting rid of polyps in the nose:

Removal of polyps in the nose without surgery: