Nasal polyp

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Nasal polyps Classification and external resources
ICD-10	J33.
ICD-9	471
MedlinePlus	001641
eMedicine	ent/334  ent/335
MeSH	C09.603.557

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Evidence Based Medicine
Cochrane Collaboration on Nasal polyp Bandolier on Nasal polyp TRIP on Nasal polyp
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Overview

Nasal polyps are polypoidal masses arising mainly from the mucous membranes of the nose and paranasal sinuses.

Diagnosis

They are overgrowths of the mucosa that frequently accompany allergic rhinitis. They are freely moveable and non-tender. Nasal polyps are usually classified into antrochoanal polyps and ethmoidal polyps. Antrochoanal polyps arise from the maxillary sinuses and are much less common, ethmoidal polyps arise from the ethmoidal sinuses. Antrochoanal polyps are usually single and unilateral whereas ethmoidal polyps are multiple and bilateral.

History and Symptoms

Symptoms of polyps include nasal block, sinusitis, anosmia or loss of smell, and secondary infection leading to headache. [2]

Physical Examination

Ear Nose and Throat

The pathogenesis of nasal polyps is unknown. Nasal polyps are most commonly thought to be caused by allergy and rarely by cystic fibrosis although a significant number are associated with non-allergic adult asthma or no respiratory or allergic trigger that can be demonstrated.

These polyps have no relationship with colonic or uterine polyps. Irregular unilateral polyps particularly associated with pain or bleeding will require urgent investigation as they may represent an intranasal tumour.

Treatment

Nasal polyps are most often treated with steroids, topical or oral, but can also be treated with surgical methods.

Pre-post surgery, sinus rinses with a warm water (240ml / 8oz) mixed with a small amount (teaspoon) of salts (sodium chloride & sodium bicarbonate) can be very helpful to clear the sinuses. This method can be also used as a preventative measure to discourage the polyps from growing back and should be used in combination with a nasal steroid.

Mometasone furoate, commonly available as a nasal spray for treating common allergy symptoms, has been indicated in the United States by the FDA for the treatment of nasal polyps since December 2004.

External links

• Nasal Polyps emedicine.com
• Nasal polyps: Signs and symptoms mayoclinic.com

v • d • e Pathology of respiratory system (J, 460-519), respiratory diseases
Upper RT (including URTIs, Common cold)	Head sinuses: Sinusitis nose: Rhinitis (Vasomotor rhinitis, Atrophic rhinitis, Hay fever) - Nasal polyp - Deviated septum tonsil: Tonsillitis - Adenoid hypertrophy - Peritonsillar abscess Neck pharynx: Pharyngitis (Strep throat) larynx: Laryngitis - Croup - Laryngospasm - vocal folds: Vocal fold nodule - epiglottis: Epiglottitis trachea: Tracheitis - Tracheal stenosis
Lower RT/lung disease (including LRTIs)	Pneumonia Viral - Bacterial/Atypical pneumonia (Mycoplasma) - Fungal pneumonia (Pneumocystis pneumonia) - Parasitic pneumonia - Bronchopneumonia - Chemical pneumonia (Mendelson's syndrome) Bronchial/ obstructive Acute: Bronchitis (Acute, Chronic) - Bronchiolitis Chronic: Emphysema - COPD - Asthma (Status asthmaticus) - Diffuse panbronchiolitis - Bronchiectasis Interstitial/ restrictive External agents/ occupational lung disease Pneumoconiosis (Asbestosis, Baritosis, Bauxite fibrosis, Berylliosis, Caplan's syndrome, Chalicosis, Coalworker's pneumoconiosis, Siderosis, Silicosis, Byssinosis) Hypersensitivity pneumonitis (Bagassosis, Bird fancier's lung, Farmer's lung) Other ARDS - Pulmonary edema - Löffler's syndrome/Eosinophilic pneumonia - Respiratory hypersensitivity (Allergic bronchopulmonary aspergillosis) Hamman-Rich syndrome - Idiopathic pulmonary fibrosis Obstructive or restrictive Atelectasis - Bronchiolitis obliterans
Pleural cavity/mediastinum	Suppuration Empyema - Lung abscess Pleural disease/pleural effusion Hemothorax - Pneumothorax (Tension pneumothorax) - Hemopneumothorax - Hydrothorax - Chylothorax - Pleurisy Mediastinal disease Mediastinal emphysema - Mediastinitis
Other/general	Respiratory failure - Influenza - SARS - Idiopathic pulmonary haemosiderosis
see also congenital, neoplasia

v • d • e WikiDoc Research Resources for Nasal polyp
Articles on Nasal polyp	Most recent articles on Nasal polyp • Most cited articles on Nasal polyp • Review articles on Nasal polyp • Articles on Nasal polyp in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Nasal polyp	Powerpoint slides on Nasal polyp • Images of Nasal polyp • Photos of Nasal polyp • Podcasts & MP3s on Nasal polyp • Videos on Nasal polyp
Evidence Based Medicine Regarding Nasal polyp	Cochrane Collaboration on Nasal polyp • Bandolier on Nasal polyp • TRIP on Nasal polyp
Cost Effectiveness of Nasal polyp	Cost Effectiveness of Nasal polyp
Clinical Trials Involving Nasal polyp	Ongoing Trials on Nasal polyp at Clinical Trials.gov • Trial results on Nasal polyp • Clinical Trials on Nasal polyp at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Nasal polyp	US National Guidelines Clearinghouse on Nasal polyp • NICE Guidance on Nasal polyp • NHS PRODIGY Guidance • FDA on Nasal polyp • CDC on Nasal polyp
Textbook Information on Nasal polyp	Books and Textbook Information on Nasal polyp
Pharmacology Resources on Nasal polyp	Dosing of Nasal polyp • Drug interactions with Nasal polyp • Side effects of Nasal polyp • Allergic reactions to Nasal polyp • Overdose information on Nasal polyp • Carcinogenicity information on Nasal polyp • Nasal polyp in pregnancy • Pharmacokinetics of Nasal polyp •
Genetics, Pharmacogenomics, and Proteinomics of Nasal polyp	Genetics of Nasal polyp • Pharmacogenomics of Nasal polyp • Proteomics of Nasal polyp
Newstories on Nasal polyp	Nasal polyp in the news • Be alerted to news on Nasal polyp • News trends on Nasal polyp
Commentary on Nasal polyp	Blogs on Nasal polyp
Patient Resources on Nasal polyp	Patient resources on Nasal polyp • Discussion groups on Nasal polyp • Patient Handouts on Nasal polyp • Directions to Hospitals Treating Nasal polyp • Risk calculators and risk factors for Nasal polyp
Healthcare Provider Resources on Nasal polyp	Symptoms of Nasal polyp • Causes & Risk Factors for Nasal polyp • Diagnostic studies for Nasal polyp • Treatment of Nasal polyp
Continuing Medical Education (CME) Programs on Nasal polyp	CME Programs on Nasal polyp
International Resources on Nasal polyp	Nasal polyp en Espanol • Nasal polyp en Francais
Business Resources on Nasal polyp	Nasal polyp in the Marketplace • Patents on Nasal polyp
Informatics Resources on Nasal polyp	List of terms related to Nasal polyp

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .