samedi 2 août 2014

Nasal Polyps

The nasal sinus cavities are lined with mucosa made up of cells that produce mucus. They are: maxillary sinuses located behind the eyes, frontal sinuses under the eyes and ethmoid. The maxillary location is the most common. The permanent inflammation of these cavities leads to the development of polyps. Treating nasal polyps has a been a controversy: some prefer nasal polyps treatment miracle book, others go for medication while other favor surgery.

Symptomes of polyps at the level of the sinuses

The presence of polyps within the sinuses id=s responsible for the nasal obstruction associated with anosmia. Anosmia is defined by the loss of smell. Rhinorrhea, which means dripping coming from the nasal cavities, may happen. At intervals, an epistaxis can also be observed. Depending on their location, these signes can be unilateral or bilateral. Painful headaches at the level of the forehead, the eye and the jawline can be added to these medical signs. 

The necessary examinations of the polyps at the level of the sinuses

After the observation of these signs, a thorough examination has to be carried out by a specialist. The specialist has to start with the palpation of the face sinuses trying to find an existing pain. An endoscopic examination is then carried out with the help of a device with an optical fiber. It will allow the specialist to see the polyps and scrutinize their features.

 How does the evolution of nasal polyps take place ?

Nasal Polyps tend to gradually increase. They can block the sinus cavities and may result in infections. Chronic sinusitis that is resistant to standard treatment is common. It’s the nasal polyposis that is bilateral in most of the cases. 

What are the causes of Nasal Polyps? 

There are certain pathologies that may start as polyps. Killian's polyp is benign, unilateral and translucent to endoscopy. The inverted nasosinusal papilloma characterized by an irregular surface and is found especially in men. 

How to treat nasal polyps?

The objectives behind the treatment are to stop the signs and prevent recurrences. The symptomatic treatment consists of corticosteroids following local or systemic administration. It allows for the reduction of the size of the polyp and the improvement of clinical signs and symptoms. The antibiotic prescribing is useful if a super infection occurs. In case of failure, a sinus surgery is indicated. It’s a radical treatment consisting of the removal of the tumor formations performed by endoscopy.

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