30115 Excision, nasal polyp(s), extensive

Name of the Procedure:

Excision, Nasal Polyp(s), Extensive Common names: Nasal Polyp Removal, Polypectomy

Summary

Excision of nasal polyps is a surgical procedure to remove extensive growths in the nasal passages. These growths, called polyps, can cause breathing difficulties, sinus infections, and other nasal issues.

Purpose

This procedure targets the removal of nasal polyps, which can obstruct normal nasal airflow and lead to chronic sinusitis. The goal is to alleviate symptoms, improve breathing, and prevent recurrent infections.

Indications

• Persistent nasal congestion or obstruction
• Chronic sinus infections
• Decreased sense of smell or taste
• Symptoms not improved by medication
• Polyps detected during an examination or imaging study

Preparation

• Patients may be instructed to fast for at least 6 hours before the procedure.
• Adjustment or temporary discontinuation of certain medications, especially blood thinners.
• Preoperative assessment may include blood tests, a nasal endoscopy, and imaging studies like a CT scan.

Procedure Description

1. Anesthesia is administered (local or general, depending on the case).
2. A nasal endoscope is inserted into the nasal cavity for visualization.
3. Specialized surgical instruments or a microdebrider are used to excise the polyps.
4. The surrounding mucosa may be trimmed to ensure clear nasal passages.
5. Nasal packing might be placed to minimize bleeding and support healing.

Duration

The procedure typically lasts between 1 to 3 hours, depending on the extent of the polyps.

Setting

This procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

• ENT Surgeon (Otolaryngologist)
• Surgical Nurses
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Bleeding
• Infection
• Scar tissue formation
• Recurrence of polyps
• Damage to surrounding tissues
• Complications related to anesthesia

Benefits

• Improved nasal breathing
• Reduced frequency of sinus infections
• Enhanced sense of smell and taste
• Overall better quality of life

Recovery

• Post-operative care includes pain management, typically with prescribed medications.
• Nasal rinses may be recommended to maintain cleanliness.
• A follow-up appointment is usually scheduled within a week to assess healing and remove any nasal packing.
• Full recovery might take a few weeks, with some restrictions on physical activities.

Alternatives

• Medication management, including corticosteroids and antihistamines
• Non-surgical treatments like nasal sprays
• Balloon sinuplasty (for less extensive cases) These alternatives may offer temporary relief, but extensive polyps often require surgical intervention for definitive management.

Patient Experience

During the procedure, anesthesia will prevent pain or discomfort. Post-procedure, patients might experience nasal congestion, mild bleeding, and discomfort, which can be managed with prescribed medications. Recovery typically involves gradual improvement in nasal breathing and reduction in sinus-related symptoms; complete resolution of symptoms may take several weeks.