Nasal Polyp Removal Surgery (Polypotomy)
Nasal polyp removal surgery, or polypotomy, is performed in a hospital setting. The surgical procedure is performed using an endoscope, a laser knife, or a special ENT device called a shaver. The procedure is minimally invasive and does not involve blood loss. Nasal polyp removal is available at the K+31 Clinic branches in Moscow.
specialists
equipment
treatment
Based on their tissue structure, nasal polyps are classified as glandular (benign) or with stromal atypia (malignant). They are most often rounded in shape and easily movable within the nasal cavity. They form in the paranasal sinuses and can be single (antroanal) or multiple (ethmoidal), growing rapidly.
If the growths are large, reaching several centimeters in size, they can completely block the nasal passages. As a result, the person loses their sense of smell, complains of headaches and dizziness, and snoring develops. Initially, temporary nasal congestion is a concern, but eventually nasal breathing disappears completely. Treatment with vasoconstrictor drops is ineffective, and the patient's condition worsens.
Methods for surgical removal of nasal polyps
Various techniques are used to remove polyps, the choice of which depends on the patient's condition and the extent of the lesion. Each surgery aims to completely remove the growths and restore nasal breathing:
- Mechanical. An outdated technique in which the growth is removed from the nasal cavity using a polyp loop (curette) or scalpel.
- Laser. This involves using a light beam instead of a scalpel. During laser treatment, the polyp is evaporated from the tissue, completely destroying it. The surgery is performed under local anesthesia and takes an average of 20-40 minutes.
- Cryosurgical. Pathological growths are evaporated at a temperature of 40-60 degrees Celsius using liquid nitrogen. A progressive and gentle ENT surgery.
- Using a shaver. Performed under endoscopic guidance. A high-precision instrument designed for minimally invasive manipulation of internal structures and sinuses is used to remove polyps.
- Endoscopic nasal polyp removal. A tube containing miniature surgical instruments is inserted into the nasal passage. The tip is equipped with a lamp for illumination and a camera for displaying images on a screen.
The most popular methods are:
- Classic polypectomy – removal of polyps with a special loop. Suitable for solitary lesions, but requires careful recovery.
- Endoscopic removal – a modern surgical procedure that allows for camera control and minimizes tissue trauma.
These methods provide high precision and reduce the risk of recurrence, allowing for a quicker return to normal activities.
Laser removal of nasal polyps eliminates bleeding and accelerates the recovery process. Using a laser beam, the doctor excises the polyps, then mechanically removes them from the sinuses. The laser beam "seals" the incision line, causing tissue coagulation, which prevents bleeding and further scarring.
Modern rhinosurgery often uses a special instrument called a shaver. This is a small device with a thin metal tube attachment equipped with a cutting tip. During nasal polyp removal with a shaver, the tube rotates, gently cutting, crushing, and suctioning the polyp itself and its base. This allows for selective tissue resection and minimizes blood loss.
When removing nasal polyps with a laser or shaver, an endoscope is used. The image is displayed on a screen, allowing the doctor to determine the location, size, and number of polyps. This increases the doctor's precision and effectiveness.
General information about the procedure
Indications and contraindications for surgery to remove nasal polyps
Surgical treatment is resorted to if drug therapy does not produce results. Large polyps do not resolve and must be removed.
Indications for surgery are:
- Partial or complete absence of smell
- Frequent runny nose, sneezing
- Feeling of discomfort in the nose
- Difficulty in draining mucus during a runny nose
- Complicated nasal breathing
- Painful sensation in the area of the maxillary sinuses
- Nasus
- Recurrent ENT diseases - frequent colds, ARVI, rhinitis, sinusitis, sinusitis, tonsillitis, otitis, tracheitis
If nasal breathing is impaired, a person breathes through the mouth, snores at night, and has an increased risk of developing bronchitis, pneumonia, tonsillitis, enlarged adenoids, and sleep apnea. Polypotomy helps relieve discomfort and reduce the likelihood of complications.
Surgical intervention is not performed if the patient has:
- Exacerbation of infectious, viral diseases or inflammatory diseases (bronchial asthma, bronchitis)
- Bleeding disorders
- Diabetes and severe heart disease
- Intolerance to anesthesia
- Pregnancy or lactation
For allergy sufferers, surgery is not planned during periods of exacerbation of the disease, for example, when plants are flowering. Treatment of malignant neoplasms is carried out using a special technique.
The effect of surgery to remove polyps in the sinuses
After completion of the rehabilitation period, unpleasant symptoms, swelling and pain disappear. The person can return to their normal way of life and everyday activities.
Surgery to remove polyps helps:
- Restoring nasal breathing
- Getting relief from constant headaches and a feeling of fullness in the nose
- Voice normalization
- Return of the sense of smell and taste
- Stopping nasal discharge
In order for the result of the operation to be sustainable, the doctor treats the disease that caused the polyp to appear. This helps to avoid relapse and stabilize well-being.
To make an appointment with an ENT doctor at the K+31 clinic, fill out an online application on the website or call the specified phone number. The administrator will guide you in choosing a branch of our center and answer all questions about prices and additional services.
K+31 photo gallery
Our doctors
This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.
This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.
The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.
Make an appointment at a convenient time on the nearest date
Price
Other services
Appointment to the doctor
Reviews
Our clinics
Application “Personal Account K+31”
Causes of polyp formation and risk factors
The development of polyps is often associated with long-term respiratory problems. They develop due to conditions in which mucosal inflammation becomes chronic.
Main causes and risk factors:
Timely detection of these conditions helps reduce the risk of polyp formation and avoid complications.