removing nasal polyps with tweezers

Written by Dr.Bayat
Associate Professor of Orthopedic expert,Brigham Hostpital


Do you or those around you have nasal polyps?

Do you want to know how to get rid of nasal polyps that can be associated with respiratory problems?

Do you have in mind whether it is possible to remove polyps with tweezers or household scissors?

If you have questions like the above questions in your mind, we recommend you read our article.


Doctors say that nasal polyps are actually soft, non-cancerous masses that are often painless and grow in your nasal passages or respiratory sinuses. Factors such as recurrent viral infections, drug allergies, allergies, and some immune system problems can cause chronic inflammation in these polyps, causing recurrent respiratory problems and rhinosinusite , as well as a loss of your sense of smell.

If you want to know more about nasal polyp removal, read on.

What is a nasal polyp?

What is soft and non-cancerous tissue that grows in the mucous membranes of your nose and sinuses?

Mucus is a moist layer that helps protect your nose and sinuses and will cause swelling and redness in the moist layer covering the wall of your nose and sinuses in response to allergies, viral infections and environmental allergies.

Following inflammation, fluid and secretions may be secreted from the mucous cells that you feel coming out.

If there is prolonged stimulation in this layer covering the inner wall of the nose, polyps will form. Polyps are growths of this mucous tissue that protrude like a small cyst from the mucous layer into the nasal space and sinuses, and can narrow and block the nasal passages.

What causes nasal polyps?

The underlying cause of nasal polyps and sinus polyps has not yet been determined, but it is clear that recurrent inflammation of the mucous membrane lining the inner membrane of the nose and sinuses can lead to the growth of part of this irritated tissue. Over time, it can be seen as a bulging cyst inside the nose and sinuses.

When polyps are formed in people I have to say that polyps are more likely to form in almost all age groups, but are more common in young and middle-aged people than in children and the elderly.

Infections, allergies and sensitivities are factors that increase our risk of developing nasal polyps. Among other effective factors that doctors have considered effective in the formation of nasal polyps are as follows:

  • Asthma
  • Aspirin sensitivity
  • Having a positive family history
  • A disease called cystic fibrosis or CF (cystic fibrosis)

(It is a genetic disorder that causes the production and secretion of fluid from mucosal cells to be much greater and thicker, and the layer formed by this secretion to be thick, and this thick layer to cover the thick secretions of the nasal mucosa and sinuses)

What are the complications of nasal polyps?

Nasal polyps are cysts that are part of the mucous tissue lining the inner wall of the sinuses and nose. Nasal polyps can grow and narrow the airway. They can also cause obstruction in the upper airway. Polyps have other complications that we will mention below:

One) Obstructive sleep apnea, which is a respiratory arrest during sleep.

Two) Recurrent infections of the nose and sinuses called rhinosinusitis.

What are the signs, symptoms and clinical manifestations of nasal polyps?

Nasal polyps are said to be closely linked to inflammation of the airways and nose. Some of the symptoms of chronic sinusitis that occur with nasal polyps are as follows:

  • Facial pain
  • Headache
  • Decreased or altered olfactory sense
  • Feeling of pressure on the forehead
  • Feeling heavy on the forehead
  • Feeling of pressure or heaviness in the head area
  • Pain especially in the upper jaw and parts of the upper jaw teeth
  • And runny nose

If you or those around you have a few of the above symptoms and it has not been more than ten days since the onset of your symptoms and you have not improved, it is necessary to see a doctor.

Does nasal polyps also form in children?

Statistics and findings indicate that nasal polyps are mostly found in young and middle-aged people, in other words, polyps are more common in young and middle-aged people. But it is a mistake to say that children never get nasal polyps

Children can also get nasal polyps. Due to their young age, children may not be aware of the pain and discomfort and may not know what is causing their discomfort or they may try to hide it for any reason. For example, children can hide their discomfort and boredom for fear of taking bitter medicine.

If you have a child, you need to be very aware of changes in your child’s behavior. If you notice that your baby is snoring or making a snoring sound when he or she is asleep, there is an unprecedented sound You should definitely see a doctor with your child as these clinical manifestations will actually warn of changes in your child’s respiratory system.

 Symptoms of nasal polyps in children include nasal breathing disorders, and the child breathes through the mouth instead of through the nose. There is sometimes a runny nose and a feeling of pain in the face.

What are the risk factors for nasal polyps?

You may be wondering which group of people are most likely to get nasal polyps. Here are the factors that predispose to nasal and sinus polyps. These factors are:

  • Asthma

Asthma is a disorder that causes the lower airways to swell and narrow the airways in the airways due to swelling of the airway wall.

  • Allergic fungal sinusitis

Some people are allergic to fungal spores in the air, called airborne fungi.

  • Cystic fibrosis

It is a genetic disease that causes problems with the secretion of mucus cells. Cells produce thick, sticky, foul-smelling secretions throughout the body. For example, secretions from the nasal mucosa and sinuses are very thick and sticky.

  • Aspirin sensitivity


Reliable research and studies estimate that 4 to 40 percent of the world’s population has nasal polyps, and nasal polyps are two to four times more common in men than women.

Regarding the age range in which the most incidence of polyps was observed, it should be noted that young and middle-aged people constitute this group.

People with asthma, recurrent sinus infections, or a variety of respiratory allergies are at greater risk of developing nasal and sinus polyps than healthy people.

Interestingly, nasal polyps may be more common in some families. This obvious difference suggests that there may be a genetic and hereditary predisposition that makes these individuals more susceptible to nasal polyps in the face of environmental conditions.


What does a doctor do to diagnose a nasal polyp?

Your doctor should take a detailed history of you, carefully questioning your symptoms and manifestations. You should also have a history of allergies, a history of medication use, and a history of personal and family illnesses.

It will then perform a physical examination, and may perform specific examinations based on differential diagnoses. There are several methods of diagnostic help that may be used to suit your condition, including the following diagnostic methods:

  • Nasal endoscopy

Using a thin tube with a lamp and camera mounted on it, called an endoscopy, the doctor enters the nasal cavity and receives images from inside the nose and the entrance to the sinuses, In this way, the doctor is able to see and examine the exact details of the building inside the nose.

  • Radiology for imaging, such as CT scans

It can pinpoint the location of polyps. It can also provide a reliable measure of the size of the polyp. Problems such as tightness, cramps, and structural problems of the nose are also clearly identified for the physician.

  • Allergy testing

Skin and allergy tests are sometimes performed to determine the cause of allergies.

To perform this test, some allergen is rubbed on the skin and after about 15 minutes, the sensitivity is checked.

How is nasal polyp treated?

Why should polyps be treated? Because nasal polyps can make it difficult to breathe through the nose, and The second reason is that nasal polyps can increase the risk of recurrent nasal and sinus infections or rhinosinusitis, and can also increase the risk of obstructive sleep apnea and, consequently, the risk of heart attack.

The goal of treating nasal polyps is to reduce the size of the polyp and completely remove the polyp. There are a variety of treatment protocols and treatment routes for the treatment of nasal polyps, which is the first line of treatment after drug use, and if you do not respond to them, surgery will be the next choice.

  • Drugs are the first line of treatment in the treatment of nasal polyps

Most nasal polyps are treated with the right medication. Some of the medications that your doctor may recommend to treat and eliminate nasal polyps and reduce the size of the polyp are as follows:

  • Corticosteroid sprays

When prescribed and used, they reduce nasal inflammation as well as reduce the size of polyps and that they will be able to remove the polyp completely.

  • Injectable corticosteroids and oral corticosteroids

When corticosteroid sprays are prescribed and they do not receive a proper therapeutic response to reduce inflammation and reduce the size of bony polyps, your doctor may inject or prescribe corticosteroids and prescribe them for you. Taking these medications can have side effects. Therefore, refrain from taking them arbitrarily and take them exactly as prescribed by your doctor and in the same amount, and long-term use of these drugs is never recommended.

  • Polyposis surgery

If medications do not help treat your nasal polyp, your surgeon will suggest surgery to remove the polyp or correct the structural problems with your sinuses. Surgeries are usually performed on an outpatient basis, without surgical incisions and without sutures. If the size of the polyp is small, polypectomy or surgery to remove the polyp will be completely outpatient. If the size of the polyp is larger, endoscopic surgery will be performed.

When you have polyp surgery, your doctor will prescribe corticosteroid sprays for a period of time after surgery to prevent inflammation and prevent nasal polyps from returning.

Who are the best candidates for rhinoplasty?

Those who suffer from chronic and recurrent sinusitis or have persistent nasal congestion are a good candidate for surgical removal of nasal polyps.

In fact, when surgery is performed and the polyp is removed, the sinus entrance canal opens, which is blocked and blocked due to the presence of the polyp and its inflammation. The air flows easily, the inflammatory and infectious secretions of the closed sinus are easily removed, and thus the patient’s problems are solved.

Until endoscopic sinus surgery was developed, surgery was associated with surgical incisions on the face, but these days surgery is performed endoscopically without any incisions or general anesthesia, and the doctor can perform all procedures, including observing and removing the polyp. Follow only the images displayed on the screen by nasal sinus endoscopy. The surgeon can remove inflamed tissues as well as polyps or other factors that cause blockages. The duration of this surgery varies according to the severity of the cramp and the general physical condition of the person.

What should be done before surgery to remove a nasal polyp?

Before surgery, tests such as a chest x-ray, a blood test, and an ECG should be done. If you are a candidate for anesthesia, some medications should also be discontinued. Of course, this is done according to the doctor. Surgeries associated with anesthesia should be fasted before surgery, and smoking should be discontinued before surgery because the nicotine in cigarettes prolongs tissue repair and a longer recovery period.

In general, the recovery period of surgery is 14 days. If the above measures are done well, the recovery period will be shorter and the person will return to normal life faster.

What care is required after rhinoplasty surgery?

By doing the following steps, your recovery will be faster and the results will be more desirable:

  • After surgery, you should not travel at all in areas that are dusty or contaminated with cigarette smoke.
  • Avoid smoking until two weeks later
  • Also, you should not drink hot drinks for two weeks as they can cause nosebleeds.
  • Avoid strenuous activity for the first few weeks to avoid an increased risk of bleeding.
  • Rinse serums should be used to flush blood clots inside the nose. You should not keep your head down for a long time and be sure to put two pillows under your head and neck while sleeping
  • Avoid strenuous activity
  • It is better not to drive in the first week
  • It is also normal pain after surgery that can be relieved by taking painkillers, but if the shooting pain is excruciating, increasing pain or permanent pain or is not tolerable and occurs suddenly or the pain does not relieve with painkillers, you must inform your doctor.

Can nasal polyps be removed with scissors and tweezers at home ?!

The only way you can help treat nasal polyps at home is to eat a healthy diet and take supplements. In fact, it is not possible to separate the polyp with tweezers at home, so do not resort to these dangerous measures.

Among the materials you can use are:

  • Bromelain

The kernel inside the apple contains broline and can strengthen the immune system, prevent inflammation and reduce it. Also prevent asthma and allergies.

  • Tea tree oil

This substance has antimicrobial properties and this property is known to be effective in treating infectious nasal polyps and in fact helping to cure it.

  • magnesium

Magnesium has been shown to have anti-inflammatory properties and can relax the body’s muscles. It also improves the repair of the nasal sinuses. Nuts, legumes and vegetables can contain magnesium. Include them in your diet.

  • Roy

Zinc is recommended to fight colds. Of course, its definite properties have not been proven yet, but to improve the function of your immune system, include zinc in your meals. Salmon and chickpeas are rich in lupus and can help improve polyps.

  • Goldsmith

This is a plant that can be used as a tea from different parts of this plant and this plant can help relieve and heal inflamed polyps. Also, many antibacterial and antimicrobial properties are known for this plant, and it is also important to note that its use is prohibited for pregnant and lactating women, and also due to the side effects it can have, it should not be used excessively.

How much will rhinoplasty cost?

There is no specific amount for this surgery that we want to inform you because there are various factors such as general health conditions, preoperative tests, expertise and experience and skill of the surgeon, And there is also the geographical location of the treatment center and many other factors that will affect the final cost of nasal polyp surgery.

How is recovery from nasal polyp surgery?

After surgery, if your health condition is good, at least three days and finally 7 to 8 days of recovery period should be considered. In general, after 14 days, you have gone through all the problems and complications of the recovery period.

Before discharge from the hospital or clinic, it is necessary to ask all the instructions and actions that you must follow after the surgery from your doctor and follow them so that your recovery period will be faster and without any problems.

How to prevent nasal polyps?

If you have any symptoms, ask your doctor if you can use nasal sprays and your workplace and home should be humid. You need to have a proper diet. It is also important to know and avoid your allergens.

If you have a child with nasal polyps, you should pay attention to the following points:

The room and the place where the child lives should be humid, for example, if your child’s room is low humidity, you should use a suitable fumigator in the room after consulting a doctor.

The baby’s fluid intake should be managed because the baby is very active during the day and is likely to lose a lot of water, even if the baby’s bedtime is adjusted properly. Proper sleep at the right time has a huge impact on a child’s health

You need to identify the allergens and substances your child is sensitive to and keep your child away from them.

Is it possible to separate the nasal polyp with tweezers?

We emphasize that the only way to physically remove a polyp is to have it performed by a specialist during a professional and medical procedure in a clinic or hospital.

Therefore, it is unwise to remove a nasal polyp by inserting a thin pair of tweezers into your nose at home, as removing this polyp can cause a lot of bleeding and cause serious infections.

Written by Dr.Bayat
Associate Professor of Orthopedic expert,Brigham Hostpital


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