Nasal Polyps

Question 1

who does it affect?

Answer 1

adult men

Question 2

who is it rare in?

Answer 2

children and elderly

Question 3

associations

Answer 3

asthma (particularly late-onset asthma)
aspirin sensitivity
infective sinusitis
cystic fibrosis
Kartagener’s syndrome
Churg-Strauss syndrome

Question 4

what is samter’s triad

Answer 4

asthma, aspirin sensitivity and nasal polyposis i

Question 5

features

Answer 5

nasal obstruction
rhinorrhoea, sneezing
poor sense of taste and smell

Question 6

unusual features that require further investigation

Answer 6

unilateral symptoms or bleeding.

Question 7

Mx

Answer 7

all patients with suspected nasal polyps should be referred to ENT for a full examination

topical corticosteroids shrink polyp size in around 80% of patients