NASAL POLYP OPERATION

The illness

Common belief deems nasal polyp a benign tumour. Some also call the enlarged adenoids / nasopharyngeal tonsils polypus. Nasal polypus is the mild, anasarcous intumescence of the mucosae. They are overgrowths of the mucosa ranges from nasal passages into the nasal cavity and by continuously growth starts to fill that fully in. The exact mechanism its formation is not known yet. It is certain that their formation is affected by several factors.

Nasal polyp evolves due to result of a chronic mucosa- inflammation. Among these is the increased air pollution, the allergy-causing allergens, hereditary or local factors, the pulmonary asthma and certain allergy-causing fungi spices. 2% of population labours under this disease. Symptoms: blocked nasal breeding, nasal fullness feeling, rhinorrhoea, rhino-pharyngeal secretion leaking, loss or disorder of smell. As the polyp grows so intensify these symptoms.

Due to blocked nasal breeding mucosae of throat and pharynx dries and sore throat becomes more common. Polyps close side cavities, outlets of sinus cavity, frontal sinus as well as ethmoid cells. For block of the ethmoid cells and side cavities cannot air through so they can easily inflame. Nasal polyp can be single or double-sided, can fill up one or more nasal ducts nasal inlet and can grow into rhynopharynx, ethmoid cells and also into side cavities. An ear nose and throat specialist can easily define diagnosis with a help of a rhinoscope. Before operation CT, after surgical intervention biopsy and in case of need allergy test is done.

Treatment options

Solution is mainly operation, in order to free nasal cavity and ducts so ensuring nasal breeding and air of side cavities. To avoid re-growth of new nasal polyps chemoprevention is needed. Due to improvement and development of the picture-drawing technology like CT, MR and surgical operative techniques and the more and more effective medicines nasal polyp re-growth is getting rarer. In these days surgical treatment of most nasal, nasal side cavity illnesses, like chronic side cavity inflammation, nasal polyp, mucosae hypertrophy of the lower nasal nasal conchae carried out with the so-called endoscope method although it is certain that in some cases, mainly at present of complications, the traditionally used so-called outer intervention must be applied. Use of endoscope is tightly connected to the surgery of the so-called functional approached nasal and nasal side cavity (Functional Endoscopic Sinus Surgery: FESS), i.e. it tries to keep, restore or maintain the normal biological function of nose and the anatomical structures inside nose, with making the less detruction in the surrounding areas.

Tasks before operation

Before every operation a ear nose and throat examination is presented. For decision on operative indication physical, possibly endoscope examination, CT and operation relevant lab tests are needed, depending on the type of the operation whatever it is carried out with local anaesthetic or in narcotization on the patient's request. After all these the surgeon gives detailed information on the stage of the illness, the possible treatment methods. Also informs the patient about the operation relevant and required lab tests and other possible needed (MRTG, EKG, internal medical etc.) examinations, operative anaesthesia opportunities, eventual complications, task regarding post operative home care, stages of recovery, in one word about those info that are important and necessary for patients to take a decision on what kind of treatment or operation to choose.

The nasal polyp operation

Intervention can be carried out with narcozitation (in childhood anyway) or with local anaesthetic. From these two opportunities patients have to choose based on the received information, discussion with doctors. Surgeon removes the extended mucosae with the help of a special optical equipment so-called endoscope through nostril beside eye check.

After surgery - carried out either in local or general anaesthesia - for monitoring reason one night must be spent at the clinic

After operation

Following the operation smaller or larger wound remains; its recovery: the epithelization takes similarly to other epithelium injuries approx. 1 week but the total recovery, the restoration of the functions of the normal functions of the nose is at least 5-6 weeks. Till the total recovery comes off but especially in a few days following the operation bloody nasal defluxion, slough formation, nasal block is a normal phenomenon. In the first week after the operation definitely but also later on keeping gradualism every physical load, activities causing abdominal pressure, head congestion (sports, leaning, bending, lift, hot bath), must be avoided in order to evade bleeding risk. In case any strange, unexpected symptom emerges after leaving the clinic like first of all nasal bleeding, fever, swollen eyes or periorbital intumescence or pain please contact your surgeon.

Possible complications

No doctor can guarantee that a surgical intervention is free from complication. Even after the most careful medical intervention post-bleeding following removal of tampons can occur later on eventual inflame. These early complications can be treated well. Therefore if you recognise any liitle sign of emerge of complications (e.g. bleeding, fever), you may contact any time 24/7 your surgeon to solve your problem. In different home recovery phases patients can observe different symptoms but not all of them are abnormal. Wound-pain, possible temperature rise in the first days should not cause anguish. Sometimes strange feeling, buzzing, bluntness, eventually pain at back of nose, thick palate or in incisors are to be observed. Emerge of late complications (e.g. re-growth) with the help of the most adequate technique and the carefully performed operation further medicinal post-treatment can be prevented.

Postoperative care

For oral breathing patients' mouth dries out more quickly therefore patients need to drink a lot, possibly in the room they stay at should be humidified. Highly carbonated drinks and hot food are to be avoided. Any demanding physical work, leaning, bending, and sports are also to be avoided for they increase nasal blood-pressure and can lead to post-bleeding. From the same reasons hot bath is also to be avoided and quick shower is suggested instead.

After tampon removal short bleeding, dense defluxion, cruor rejection can occur for a couple of days, these symptoms are normal. Heavy nose blow is forbidden. For faster nasal mucosae recovery nasal cream or oil is to be used for one week.

The total recovery time is approx. 2-3 weeks. Sport is suggested only after 4 weeks.

Fees

Charge for examination and consultation: 10.000 HUF > Euro
Surgery in local anesthesia: 130.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro

50% of the total cost has to be paid as a deposit before the surgery.

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766