Nasal polyps are benign growths that occur on the mucosal lining of the nasal passages. They are typically small and, though noncancerous, can still cause sinus obstructions, leading to congestion, breathing problems and sinus infections.

Symptoms of Nasal Polyps

Patients with small nasal polyps may have no symptoms. Other common signs and symptoms of nasal polyps include:

  • Sinus pressure
  • Runny nose
  • Decreased sensitivity to taste and smell
  • Chronic sinus headaches
  • Chronic nasal congestion
  • Facial pain
  • Asthmatic symptoms

Causes of Nasal Polyps

Common triggers include asthma, hay fever, chronic sinus infections, cystic fibrosis and sensitivity to aspirin and other NSAIDs. Genetics may also play a role.

A diagnosis is usually made through visual inspection with an otoscope or nasal endoscopy. An imaging test, such as a CT scan or MRI, can help determine the size of the polyp and rule out more serious growths, such as tumors. Allergy tests may be administered to identify the substance responsible for your symptoms.

Diagnosing and Treating Nasal Polyps

Diagnosis of nasal polyps generally requires a nasal endoscopy and a CT (computerized tomography) scan of the sinuses. Nasal endoscopy is a more detailed examination of the nasal cavity using a small, lighted, magnified scope, usually performed by an otolaryngologist. This is an office procedure performed with some light, topical anesthesia. Testing for allergies may also be recommended.

Treatment of nasal polyps often includes managing underlying allergies, if present, and may consist of topical nasal steroid sprays, antihistamines and allergy shots (allergy immunotherapy). Oral steroids, such as prednisone, are sometimes used to obtain temporary relief. Nasal polypectomy (removal of individual polyps) or endoscopic sinus surgery may be recommended in more extensive cases.