Polyps are benign growths arising from the mucous membrane.
Author:
- Galkin Alexey Vladimirovich
ENT pathology expert
3.30 (Votes: 10)
Polyps are benign growths of the mucous membrane. Nasal polyps are the result of long-term inflammation in the nose or paranasal sinuses due to prolonged infection, allergens, and certain immune disorders.
Polyps of the nasal cavity and sinuses can appear in both adults and children, but they are more often observed in adults. Drug therapy helps polyps regress in size or slow their growth, but sometimes surgery is performed to relieve the symptoms of the disease. Despite successful treatment, polyps tend to re-grow.
Symptoms of the disease
Often small polyps do not cause discomfort to patients. But, large or multiple, they can block the nasal passages, leading to breathing problems, decreased sense of smell, and recurring respiratory infections.
Most common symptoms:
- chronic runny nose;
- persistent deterioration in breathing through the nose;
- decreased or absent sense of smell;
- violation of taste sensitivity;
- facial pain, pain in other parts of the head;
- a feeling of heaviness, discomfort in the eyes, facial walls of the sinuses, head;
- snore.
Conclusions:
Today, many modern high-tech methods have been developed for the treatment of injuries and diseases of the musculoskeletal system, bones, joints, tendons and muscles. These are various arthroscopic surgical techniques that, using the most modern equipment, make it possible, using the most modern equipment, to quickly, effectively and less traumaticly eliminate the cause of pain and dysfunction of the limb, return the person to the joy of movement, and not just alleviate the symptoms for a while, postponing the solution to the problem until later or not at all. deciding, as in the case of diprospan injections. Then it may already be too late.
Causes
Scientists do not fully understand the reasons for the appearance and growth of polyps. It is not entirely clear why ongoing inflammation triggers the development of polyposis in some people and not in others.
There is some evidence that people who develop polyps have a different immune response and distinctive mucosal chemical markers.
Conditions often associated with polyposis:
- bronchial asthma is accompanied by prolonged inflammation of all airways;
- aspirin sensitivity, intolerance to certain non-steroidal anti-inflammatory drugs causes the development of an inflammatory reaction in the mucous membrane of the respiratory tract in response to medication;
- allergic fungal sinusitis, sensitization of the nasal mucosa and paranasal sinuses to microscopic fungi and their spores;
- cystic fibrosis (cystic fibrosis), a genetic disease that leads to the formation of a very viscous secretion on the mucous membrane of the upper and lower respiratory tract;
- eosinophilic granulomatosis (Charge-Strauss), a rare pathology accompanied by inflammation of blood vessels.
Reviews
In general, reviews of Diprospan are positive. Some patients have experienced side effects, but this is more rare.
Alexey, 53 years old:
“Whatever pills I took (osteochondrosis), injections were given - and everything was useless! As soon as I injected 1 mg of Diprospan, the pain on my right leg disappeared after the second injection! The pain also disappeared on my left leg. Now I’m not just walking, but jumping with a weight of more than 100. Save-and-for!”
Elena, 35 years old:
"Perfect!! It didn’t just relieve pain, but raised mood, vitality and performance... It’s a pity that it can’t be used often.”
Ivan, 47 years old:
“Very effective and strong drug. The main thing is not to abuse it - after frequent use for many years it causes terrible side effects.”
Review of "Diprospan" for osteochondrosis
Renat, 37 years old:
“One of the best anti-inflammatory drugs of the corticosteroid group. The effect comes quickly and lasts a long time due to the presence of two components. True, it is now very difficult to find it in pharmacies. Even medical representatives of the manufacturer’s company cannot give an answer to this problem. Excessive prescription of this drug in the Russian Federation is not according to indications.”
Andrey, 62 years old:
“Personally, Diprospan helped me a lot. I worked in a mine for many years. My back hurt almost constantly. The doctor prescribed Diprospan, but warned: there are too many side effects. After the injection, the pain went away almost within a few hours. Fortunately, side effects were avoided, the main thing is not to overuse)).”
Anna, 42 years old:
“Osteochondrosis simply tormented me; I didn’t know what to do with this pain. It’s chronic and you can’t just calm it down. They prescribed Diprospan, I read the reviews - they say it’s effective. At first there was relief, and then somehow everything disappeared, again the same torment. I don’t even know whether to recommend this medicine; on the one hand, it helped, but on the other, it was short-lived. Maybe it was worth repeating the injection, but I was afraid. Better decide with your doctor"
Complications
Nasal polyps can lead to complications because they interfere with the free passage of air and the drainage of mucous secretions from the sinuses.
Possible complications with nasal polyposis:
- Obstructive sleep apnea. In this condition, prolonged pauses in breathing occur during sleep, which increases the risk of cardiovascular disease and sudden cardiac death.
- Progression of bronchial asthma. Polyposis can aggravate the course of bronchial asthma.
- Sinus infection or infectious complications of chronic sinusitis. Nasal polyps increase the frequency of exacerbations of sinusitis and can lead to serious complications (for example, meningitis, orbital phlegmon, sepsis).
Side effects
Side effects when using the drug Diprospan occur when contraindications and the doctor-recommended regimen of use are violated. In this case, negative reactions can occur from various systems of the human body.
The most common side effects that occur are:
- Increased blood pressure.
- Arrhythmia.
- Headache.
- Increased sweating.
- Insomnia.
- Muscle weakness.
- Deterioration of the condition of the skin.
- Depression.
- Nervousness.
But also when taking the drug, more serious side reactions may occur that pose a threat to health. They are all given in the instructions for use of the drug. If they occur, the use of diprospan should be abandoned.
Diagnosis of the disease
Your doctor can determine the condition based on your answers to questions about your symptoms, a physical examination, and rhinoscopy (a visual inspection of the nasal cavity using a light and a nasal speculum). But additional examination may be required to determine treatment tactics.
Additional diagnostic tests for polyposis:
- Endoscopic examination. Using an endoscope, the doctor can conduct a thorough examination of the nasal cavity.
- X-ray tomography. Images obtained by X-ray computed tomography (CT) provide information about the extent of polyposis involvement in the nasal cavity or sinuses. These tests can also help the doctor detect the presence of other abnormalities, such as a deformed nasal septum or enlarged nasal turbinates. Based on RCT images, the doctor may suspect a tumor growth other than polyposis (malignant or benign).
- Allergy detection. The doctor may prescribe an additional test to identify allergies: rhinocytogram, blood test for IgE, eosinophilic cationic protein, scarification tests. This is necessary in order to identify the presence of allergic pathology, which contributes to the development of polyposis.
- Test for cystic fibrosis (cystic fibrosis). A child diagnosed with chronic polypous sinusitis should be evaluated for cystic fibrosis. This is a hereditary disease that disrupts the secretion of glands, which leads to chronic inflammation of the respiratory tract and the development of polyposis.
Prices for non-surgical rhinoplasty
The cost of non-surgical rhinoplasty depends on the volume and nature of the required correction. After making a diagnosis, the surgeon selects a filler, the price of which will ultimately largely affect the final cost of the procedure.
Non-surgical rhinoplasty price in Moscow
| Operation name | Cost in rubles |
| Nose correction using an injectable implant | 50000 |
See all prices
Treatment of nasal polyposis
Treatment of chronic inflammation of the sinuses (with or without polyps) is a difficult task that requires complex treatment.
A team of doctors (therapist, allergist-immunologist, otolaryngologist) must participate in the treatment of the disease in order to determine an effective treatment regimen.
The goal of treatment for nasal polyposis is to reduce the size of the polyps or eliminate them. The first step begins with drug therapy. If the effectiveness of drug therapy is low, surgical treatment is resorted to. It does not provide complete recovery, but significantly improves the course of the disease. Therefore, it is necessary to continue conservative treatment in the postoperative period.
Use of medications for nasal polyposis
Treatment begins with drug therapy, which helps to reduce or disappear even large polyps.
Drug treatment usually includes:
- Nasal corticosteroids
Nasal corticosteroids have a predominantly local anti-inflammatory effect. They are used in the form of nasal sprays (with mometasone, beclomethasone) and help reduce nasal polyps.
- Systemic corticosteroids
If the administration of nasal medications is not effective, then systemic corticosteroids (dexamethasone, prednisolone, etc.) are prescribed orally or by injection. Because corticosteroids taken by mouth or by injection carry a risk of serious side effects, these drugs are not prescribed for long periods.
- Other medicines
The doctor may also prescribe other medications that affect inflammation of the mucous membrane. They may include various drugs for the treatment of allergic pathology (leukotriene receptor blockers, antihistamines, cromoglycates), antibacterial drugs for the treatment of prolonged or recurring infections.
Polyp surgery
If drug treatment does not shrink or eliminate polyps, endoscopic surgery may be required to remove them and correct sinus problems.
In the endoscopic technique, the surgeon uses a special optical tube that magnifies and displays an image of the operated area on a screen. Under visual control, the surgeon, using specialized micro-instruments, removes polyps and other obstructions from the nasal cavity and paranasal sinuses that interfere with the outflow of fluid from the sinuses.
The surgeon may also enlarge the openings connecting the sinuses to the nasal cavity.
After surgery, it is recommended to use a corticosteroid nasal spray, as well as regular rinsing with prepared saline solutions, to help prevent recurrence of nasal polyposis.
Carrying out the therapeutic blockade procedure
The blockade is carried out for no more than five minutes in a procedural setting. The doctor injects medications into the submucosal layer of the nasal cavity with short intervals between them. After the manipulation, the patient is observed by a doctor for fifteen minutes to check the body’s reactions to the administration of the drug.
During this time, the patient's condition is completely stabilized. The next day the patient comes for a follow-up examination. If inflammation is present, a course of rinsing is prescribed. To achieve a lasting treatment effect, no more than fourteen procedures are necessary. The interval between them is five days.
Prevention
You can reduce your chances of polyps appearing or returning after treatment by following these strategies:
- Monitor allergy symptoms. Follow your doctor's recommendations to monitor the course of your allergic disease. If symptoms do not improve, consult your doctor about changing your treatment.
- Avoid irritants to the nasal mucosa. Avoid contact with substances that can cause inflammation or irritation of the mucous membranes (smoke, a suspension of small particles, caustic chemicals, allergens, dust, animal hair).
- Maintain good hygiene. Wash your hands thoroughly and regularly. This is one of the best ways to prevent infections that can cause inflammation of the mucous membranes of the nasal cavity and sinuses.
- Control the humidity in your home. When humidity levels are low, use humidifiers. This will moisturize the airways and improve self-cleaning of the sinuses and nasal cavity.
- Use nasal cleansers. Use a nasal douche (aerosol) with isotonic sodium chloride solution to clean the cavity. This will reduce the concentration of irritating agents on the nasal mucosa (allergens, dust, germs) and reduce inflammation. If you prepare your own saline solution, use distilled or boiled water.
Indications
Before prescribing glucocorticosteroids to a patient, the doctor must fully study his medical history, symptoms, and pathologies. This is necessary because in many cases this group of drugs can be prescribed in addition to existing therapy, since treatment with glucocorticosteroids alone may be ineffective.
"Diprospan" refers to glucocorticosteroids
Diseases for which glucocorticosteroids are prescribed:
- osteochondrosis of the spine, regardless of its location;
- rheumatoid arthritis;
- inflammatory processes of soft tissues and ligaments.
There are also a number of diseases for which glucocorticosteroids are used as additional therapy, including:
- allergies;
- skin lesions;
- renal failure;
- connective tissue damage.
“Diprospan” is especially effective for pathologies of the locomotor system, including osteochondrosis
