What are Nasal Polyps Symptoms and Treatment ?

The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS 2012) defines Nasal Polyps as an inflammatory disease of the nasal and the paranasal sinus mucosa characterized by 2 or more symptoms, one of which is nasal blockage/obstruction/ congestion or nasal discharge (anterior/posterior nasal drip).
Other potential symptoms include facial pain/pressure and reduction or loss of smell. In addition to 2 or more symptoms, at least one of the 2 objective findings is required. These include:
(1) endoscopic evidence of nasal polyps or mucopurulent discharge or edema/mucosal obstruction primarily in the middle meatus;
(2) computed tomographic (CT) radiographic imaging demonstra¬tion of mucosal changes (ie, edema) in the OMC or sinuses. The diagnosis of Nasal Polyps is established if these symptoms and objective findings persist longer than 12 consecutive weeks without a symptom-free period.

Nasal Polyps is a heterogeneous disease with different underlying pathophysiologic mechanisms. The primary mechanism is inflammation rather than infection, although exacerbations are often associated with infection. Acute rhinosinusitis is caused by microorganisms, primarily viruses, with 0.5% to 2.0% of subjects developing acute bacterial rhinosinusitis after such an infection. Recurrent, acute rhinosinusitis can be confused with Nasal Polyps. However, it has symptom-free periods with exacerbations more than 4 to 6 times a year, rather than persistent symptoms over 12 weeks’ characteristic of Nasal Polyps.  

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