Nasal Polyp Removal - Polypectomy

What is nasal polyp removal (polypectomy)?

Nasal polyp removal, also known as a polypectomy, is a minimally invasive surgical procedure to remove soft, non-cancerous growths (polyps) from the inside of your nose or sinuses. These polyps can obstruct your nasal passages, making breathing difficult and leading to symptoms like congestion, loss of smell, or recurrent sinus infections. If medications like nasal sprays or antihistamines haven’t worked for you, this procedure can provide long-term relief

Why might you need nasal polyp removal?

Nasal polyps are small, teardrop-shaped growths that develop in the lining of your nasal passages or sinuses. They are often caused by chronic inflammation due to allergies, asthma, sinus infections, or conditions like aspirin sensitivity. You might need a polypectomy if you experience:

• Nasal blockage: Persistent difficulty breathing through your nose.
• Sinus infections: Frequent infections due to blocked sinuses.
• Loss of smell or taste: Reduced or absent sense of smell and taste caused by polyps.
• Snoring or sleep disturbances: Nasal obstruction leading to disrupted sleep or snoring.
• Facial pressure or headaches: Discomfort caused by pressure build-up in your sinuses.

If these symptoms significantly affect your quality of life and don’t respond to medications, nasal polyp removal can provide relief.

What does the procedure involve?

Nasal polyp removal is usually performed under local or general anaesthetic and takes about 30 to 60 minutes. The key steps are:

• Preparation: Anaesthetic ensures you are comfortable or asleep during the procedure.
• Endoscopic access: A thin tube with a camera (endoscope) is inserted into your nostril to provide a detailed view of the polyps.
• Polyp removal: Specialised instruments are used to carefully remove the polyps while preserving healthy tissue. Openings to your sinuses may be widened to improve drainage if necessary.
• Finishing the procedure: A soft dressing or packing may be placed in your nose to control bleeding and support healing.

The procedure is minimally invasive, with no external cuts or scars.

Benefits of nasal polyp removal

Nasal polyp removal offers several advantages, including:

• Improved breathing: Clearer nasal passages make breathing easier.
• Relief from congestion: Reduces nasal blockages and sinus pressure.
• Restored sense of smell and taste: Removing obstructions can help you regain these senses.
• Fewer sinus infections: Improved sinus drainage lowers the risk of recurrent infections.

Better sleep quality: Eases nasal obstruction, reducing snoring and improving sleep.

What are the possible risks and complications?

While nasal polyp removal is safe, like any surgery, it carries some risks:

• Infection: Rare but treatable with antibiotics.
• Bleeding: Minor bleeding is normal, but heavy bleeding may need medical attention.
• Scar tissue: Rarely, scarring could cause narrowing in the nasal passages.
• Recurrence: Polyps can sometimes return, particularly if the underlying cause isn’t managed.

Your surgeon will discuss these risks with you before the procedure.

Aftercare, recovery, and what to expect

Most people go home the same day as the procedure. You may feel mild soreness, congestion, or pressure in your nose for a few days, which can be managed with over-the-counter pain relief like paracetamol or ibuprofen. Some nasal bleeding is normal for the first 24 to 48 hours—avoid blowing your nose to reduce this.

To support healing:

• Use saline sprays or rinses to keep nasal passages clean.
• Avoid strenuous activities, heavy lifting, or contact sports for two weeks.
• Stay away from dry, dusty environments and irritants like smoke.
• Follow your doctor’s instructions for any prescribed nasal sprays or antibiotics.

Most people resume normal activities within a week, but full recovery may take a few weeks.