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Nasal polyps are not -cancer -like neoplasms that develop in the nose or in your paranasal sinuses. Although nasal polyps are usually painless, they can generate uncomfortable symptoms such as pressure and nasal congestion, nose covered with thick and colorless secretion, breathing problems and loss of odor and touch.
Everyone can develop nasal polyps, although they occur more often for people at medium -sized size. They cannot be cured, but there are treatments to control the symptoms. We communicate with Andrew Lane, MDDirector of Johns Hopkins Sinus Center and the division of Rinology and sinus surgery of the Faculty of Medicine of Johns Hopkins, for more information.
What do you want to achieve with the treatments of nasal polyps?
The aim of treatments is to control and relieve symptoms. This can be achieved by reducing or eliminating polyps and preventing their repetition or appearance.
Lee: Introduction to nasal polyps >>
What are the different types of treatments for nasal polyps and their benefits?
The treatments for nasal polyps are corticosteroids, sinus -endoscopic operations and biopharmaceuticals.
- Loose Corticosteroids They are systemic steroids (steroids used in your body), such as oral prednisone or in injections and current steroids that are used in the nose, such as aerosols and physiological sera. Corticosteroids can shrink nasal polyps and improve symptoms.
- Weld Sinus -Doscopic operations They eliminate nasal polyps and discover the paranasal breasts on a large scale, which is useful for relieving symptoms. After operations, patients can use physiological and aerosols more effectively for maintenance purposes, because those medicines can now enter the sinuses that have become.
- Loose Biopard They are the latest therapeutic option. They are not chemical, they are medicines prepared in crops. They also have a longer history of effective asthma treatment, making them a good option for patients with nasal polyps and asthma. The biopharmacus is injected under the skin once or twice a month and circulate through the body and reach each part of the paranasal sinuses.
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What are the best treatments to minimize the possibilities of a repetition?
The best treatment to minimize a re -execution depends on the severity of the patient’s symptoms. But corticosteroids are the primary and most important option for many patients because they can reduce polyps and relieve symptoms.
Systemic steroids cause rapid relief, but the disadvantage is that there are long -term collateral effects that are frequent at Continuous use of steroids. These drugs can be useful for patients to feel better for a while, but the symptoms of nasal polyps can appear again a few months, weeks or days after the interruption of the medication. Physiological aerosols and sera do not have the same collateral effects of systemic steroids and can be used indefinitely, but are less effective because of their application method. Unless your paranasal breasts have been discovered surgically, sufficient medicines cannot reach the affected areas to cause a change.
With operations, the majority of patients who use the procedure and nasal aerosols and SERA and SERA for maintenance purposes minimizes the likely recurrence, which occurs in 40% of patients. About 15% of patients may need additional procedures to eliminate polyps that appear again. These procedures imply very large openings of the paranasal breasts to maximize the possibility of achieving physiological sera areas that are difficult to reach where there is polype repetition.
How is it determined which treatments are provided to patients?
In most cases, first medicines are provided and operations are reserved for people who do not feel relief with medical therapies. However, surgery can be the first option for patients who cannot use systemic corticosteroids. In addition, for patients with polyps, there are sometimes fungal material stuck by an abnormal reaction to fungi in the paranasal sinuses that must be surgically removed so that patients feel better.
If medicines and operations do not provide relief or if other disorders make patients bad candidates for surgery, biopharmacus can be applied. The use of biopharmacus is approved as an additional treatment for physiological sera or steroid aerosols, so patients must continue to use current therapies during the use of biopharmacus.
Can people with nasal polyps fully control their polyps with treatments?
Keeping your therapeutic routine is the key to prevent existing nasal polyps from increasing or that new nasal polyps develop.
Continuous use of physiological and aerosols -sorns after surgery is especially important to prevent the repetition of symptoms. If patients are careful with the use of physiological sera or aerosols, it can be useful to prevent polyps from developing or re -appearing whether they have been removed or shrunk with systemic steroids.
Even if you think you are doing well, a new appearance of polyps can occur before there are symptoms, so you must ensure that the routine has worked and regular evaluations with a otolaryngologistAlso known as an otolaryngology specialist (ORL).
This educational source is prepared with the support of GlaxosmithKline, Sanofi Y Regeneron.
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