Surgery for Nasal Polyps ? Necessary or Not ?

In recent Nasal Polyps Treatment study , the primary and secondary symptoms reported by patients in this study could be broadly categorized into nasal, sinus, breathing, mouth/throat, cough, vocal, head/facial, ear, ocular, and allergy-like symptoms. The primary symptoms of nasal polyps to emerge from these qualitative interviews were consistent with those found within the broader published research literature as well as social media sources, with nasal congestion being the consistent symptom reported across all interviews and sources. Recent studies have also identified the importance of nasal congestion or obstruction, nasal drip, and loss of smell in patients with CRS with nasal polyps.

 Building on the identification of symptoms as relevant to the population with nasal polyps, participants in the current study discussed their symptoms in terms of frequency, duration, and severity, providing an in-depth understanding of the symptomatology, the specific characteristics of which were not detailed within the current published literature.Relationships identified between different nasal polyps symptoms during the concept elicitation interviews demonstrated the complexity of the patient experience in this condition, with links between the primary symptom of nasal congestion and symptoms occurring as a consequence of the primary symptoms (eg, difficulty breathing through the nose, cough, loss of smell, and loss of taste). Additionally, further discussion during the interviews revealed links between symptoms and impacts (eg, the link between breathing difficulties and sleep disruption, causing feelings of fatigue). 

Feedback from the interviews highlighted considerable within- and between-day variability in symptoms severity for some par-ticipants, with symptoms reported to worsen at night or in the morning, or in response to seasonal changes or weather conditions. Moreover, a number of general health, dietary, and environmental factors were reported to exacerbate specific symptoms. These associations are generally in agreement with the triggers of nasal polys that were identified in the literature review.

Read more : Best Way to Treat Nasal Polyps At Home 

Interviews also provided details of the factors that are important to patients in development of new treatments for nasal polyps, including targeting of specific symptoms, particularly nasal congestion and breathing difficulties, and reduction of the impacts of the condition, most importantly reducing the recurrent need for surgery. Indeed, 50% of participants highlighted the difficulty in deciding whether to elect for polypectomy surgery, based on the failure of past surgeries or a fear of surgery and the risks involved, although 90.5% of participants reported short-term symptom improvement after surgery. Novel treatments either negating the need for treatment or extending the benefits of surgery by mini¬mizing the time to polyp reoccurrence would be hugely valuable to patients. Consequently, reducing the need for surgery has been the endpoint for several clinical trials for new treatments targeting nasal polyps, despite the fact that criteria for surgery are not well defined.



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Is Surgery Necessary for Nasal Polyps ? ( Read It )

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   A total of 26 of 27 (96.3%) participants discussed the factors they considered before deciding to go ahead with surgery for nasal polyps . The most common driver for surgery was a feeling that participants could no longer bear experiencing intolerable symptoms, as they wanted to feel normal and breathe again. Other drivers included the possibility of experiencing improved symptoms , improvement in quality of life, and a recommendation from their doctor . Six of 12 participants described that their decision to have surgery was difficult because of the failure of past surgeries or a fear of surgery and the risks involved. In terms of impacts, the most frequently reported positive impact of surgery was short-term symptom improvement; the most frequently reported negative impacts of surgery were minimal/no relief from surgery and annoyance of polyp recurrence after surgery. But, this qualitative patient interview study included a diverse sample of patients with severe, recurren...
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2 Symptoms of Nasal Polyps ( New Study )

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  In recent study, Nasal congestion (relating to blocked nasal passages) and dif¬ficulty breathing through the nose were the most common primary symptoms, experienced by 27 of 27 (100%) participants.. Most primary symptoms were reported to occur intermittently, with the exception of nasal congestion, which was reported to be constantly present by 19 of 26 (73.1%) participants. The reported duration of symptoms varied, ranging from minutes, hours, or days for nasal congestion and difficulty breathing through the nose; to weeks or years for postnasal drip, runny nose, loss of smell, and head/facial pressure; and "until treatment received” for loss of taste. As expected, given that the population had severe nasal polyps, all primary symptoms were described as severe or moderate by most participants (see Appendix Table 4 in Supplemental Materials . The most frequently reported secondary symptoms were mucus/catarrh and nose bleeds, reported by 20 (74.1%) partici¬pants each, and cough a...
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