Formed polyps in the nose disappear independently very rarely. In the early stages of the disease may help hormone therapy or other conservative methods. However, if the pathology progresses, education increase in size, and unpleasant symptoms worse, polyps in the nose need to be removed.
Surgery otolaryngologists is recommended in the following cases:
- drug therapy does not give desired results;
- the expanded polyps block the Airways, causing breathing problems;
- neoplasms of deformed nasal cavity, the bony skeleton;
- appears a violation of olfactory function;
- there has been a General deterioration of the patient due to oxygen starvation;
- often diagnosed inflammation of the nasal cavities (frontal sinusitis, sinusitis).
How to eliminate the nasal polyps? To date, several effective methods for removing growths. They are considered gentle, because operations are conducted through the nasal passages and incisions are not required. The choice of method is made by the doctor after a thorough examination of the patient.
The old but still used method of removal of polyps is loop polypotomy.
This method is used when:
- when viewed clearly visible, the body and stalk of the polyp;
- will be removed one degree or 2-3 good viewing;
- the pathological process affects only the mucosa of the nasal cavity.
Surgical manipulation is performed with a special cutting loops – hook-and-Lange. The average time of the procedure is one hour. Before you delete necessarily do a local anesthesia. Pain medicine thus injected directly into the site of proliferation of the mucosa.
Next neck stretch hook and Lange, a loop, capture the polyp. It is fixed near the base, gradually tighten and cut education. Then loop light podergivani movements pulled out of the nasal cavity together with the remote polyp.
After the procedure, the patient is in the hospital for about a week. He was prescribed a daily nasal irrigation with antiseptic agents. Full recovery is about 2-3 weeks. Scars after surgery on the nasal mucosa remains.
The main drawback of the manipulation – incomplete removal of the polyp. Because of this high risk of relapse – the re-growth of the mucosa and may require re-operation. Also the bad of the procedure called extensive blood loss.
This is one of the most modern methods eliminate mucous formations. For removal of a polyp is a special endoscopic equipment, so the precision of surgical procedures increases. When using this method remove the risk of relapsing is greatly reduced. However, it should be remembered that the procedure does not resolve the cause of the disease, so the likelihood of relapse is still there.
Removal takes place under General anesthesia. Endoscope with a camera on the end is introduced into the nasal cavity. Thanks to the modern equipment at the doctor, you receive access to the most inaccessible places, while the whole picture is clearly visible on the monitor. Attached to the endoscope, a special instrument the doctor performs a clipping of the polyp on the border with healthy tissue.
After the manipulation the patient feels no pain. Felt slight discomfort in the nasal cavity, this discomfort passes quickly. Recovery from removal of nasal polyps is 4-7 days. While the patient is in the hospital, where there are daily washing. After the procedure is not allowed to take too hot food, vysmarkivatsya.
Almost immediately after surgery to remove polyps, nasal breathing is restored and after about a month of olfactory function. Next, the patient is required every 3-4 months to visit the ENT doctor to control the process of proliferation of the mucosa.
Removal using laser
New and less traumatic surgical method is laser removal of raised nasal polyps. The procedure is usually performed under local anesthesia in an outpatient setting, long-term hospital stay is not required. The manipulation lasts only 20 minutes and the bleeding does not occur. The pain syndrome is absent, feelings of discomfort are almost there. The downside of this procedure is the inability to remove a large cluster of polyps. The laser eliminates only a single education.
In the incrustation and mucous membranes near it are injected anesthetic. Then through the nasal passage introduce the endoscope camera and tools for working with the laser. A powerful beam is directed directly onto the polyp, and are affected by heat. Due to the heating of the cells is burning. Due to the high temperature the blood vessels are sealed and bleeding. After removing nasal polyps with laser patient must regularly visit a specialist to check the status of the mucosa.
Severnoe removal is a type of endoscopic procedure. In the nasal passages enter the camera and special instrument, and the whole picture is displayed on the monitor. The probability of injury to the mucosa during this procedure is minimal. Removing shaver is the only manipulation, after which the risk of a new expansion is reduced to almost zero.
Method of anesthesia is chosen by the doctor. Surgery can be performed under General or under local anesthesia. In the nasal cavity introduce a shaver which causes the polyps, and removes from the nose and cut pieces. With this technique it is possible to remove tumors located deep in the nasal sinuses.
After the anesthesia have worn off, the patient feels little discomfort. This feeling passes in a few hours. To stay in the clinic after the procedure is necessary for 3-4 days. When this is carried out daily rinsing of the nasal cavity and parallel to take antibiotics.
This technique is most similar to the removal of polyps with a loop of the Langhe. However, despite the relative identity methods, radiowave surgery has much more advantages. At the time of removing the build-up of the radio waves cauterize the tissue, it minimizes the risk of bleeding. Another important advantage of this procedure is the possibility of its implementation in the outpatient setting.
The disadvantages of this method of removal is still there. To remove small growths not possible. Also radiowave method leaves the risk of recurrence.
Cryosurgery (destruction by cold) is a unique technique based on the effects of low temperatures. Special cryogen – liquid nitrogen, instantly freezing the cells of the polyp, which after thawing are destroyed. In this method, removal of growths, the patient feels no pain, since cold is a kind of anesthetic, the risk of bleeding is also minimized.
Disadvantages of this technique too. With its help it is impossible to freeze large education and overgrown tissue. This may require some manipulation. Cryosurgical removal is not possible if the growths fill the maxillary sinuses.
Which method is better and which is more commonly used?
The choice of method of removal of polyps carries a doctor depending on the current indications and possible contraindications. Before the procedure the patient is examined. It is necessary to conduct computed tomography to more accurately determine the location of the pathological process.
If polyps are located only in the nasal cavity and in the cells of a trellised labyrinth, it is possible to use loop polypectomy or laser techniques. With mass growths of the mucosa and the localization process in the sinuses it is preferable to use Severnoi operation on polyps in his nose.
The cost of operations to remove polyps
The approximate cost of operations to the rapid removal of nasal polyps by different instruments may vary:
- deletion loop Lange – 2000 rubles;
- endoscopy on the one hand – 6000 rubles;
- laser cauterization – 16,000 rubles;
- cryosurgery – 8000 rubles;
- removal of a polyp in the nose shaver – 15000 rubles;
- radiowave surgery – 13000 rubles.