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pinched polyp are not a common disease . It is usually seen in affected role with chronic rhinosinusitis . True polyp are not malignant neoplastic disease , just an unnatural sac - like tissue development with pink gloss characteristic and liquid discharge . seldom annoyance and pus associate with this disease and the ground for inflammation are still yet to be analyzed . Hay febricity , drug particularlyaspirinsensitivity , inveterate sinusitis , microbic infections , cystic fibrosis , familial gene are seen in patients with nasal polyps .
How Do You Detect Nasal Polyps?
diagnosing involve experiences and patients must get hypnotism from respiratory physicians or otorhinolaryngologists . They are physicians who specialize in the treatment and direction of diseases of the ear , nose , throat , and related bodily structure .
Nasal Endoscopic Test . It is a technique to look inside the nasal caries and sinus neighborhood with the help of a thin elastic tube connected with light and camera . endoscope are inserted directly into the pipe organ ( minimal invasive ) for forcible and general interrogation of polys which is more enough for identification of the disease . Typically , this proficiency take a moment for the diagnosis of polyps . During OR , otorhinolaryngologists employ this endoscopy for surgical procedure to remove polyps without harm nearby tissues .
Straightening the septum , removing occlusion and polyps , reset the major outflow tract of the sinuses and chess opening of the ethmoid bone sinuses can be done with rhinal endoscopy proficiency .
The appearance of the turbinates , comportment / absence seizure of purulent secernment , yellowed sub - mucosal nodule , septate perforation , crust , and granulation tissue in pinched polyps are name easily by nasal endoscopy techniques(1 ) .
Imaging Studies . CT scan(computerized imaging ) studies can reveal the positioning of the polyp particularly when it is small in size . well and large inflammation in deeper areas can be evaluated with the image . Structural abnormalities related to benign polypolyps are accurately measured by CT scan(2)and MRI techniques(3 ) . It helps to distinguish between benign nasal bone polyps from malignancy pattern . The form of the multiple clustered , exclusive nodular , and exclusive large lobulated are well diagnosed .
Allergy Test . Allergy test is done to diagnose allergies contributing to chronic inflammation of polyps . peel prick test or biopsy analyze can show the allergy - causing agents(4 ) . Biopsy of nasal polyp tissue in the US has revealed the hyper grade of hypersensitized reactions because of eosinophil . Patients with adenoidal polyps and asthma often susceptible to allergen . Bayer hypersensitivity and allergic fungous sinusitis are common in the cause of nasal polyp .
bloodline mental testing And Routine Laboratory Investigations . Full blood count , differential white jail cell count , ampere-second - reactive protein , anti - neutrophil cytoplasmatic antibodies ( Wegener ’s granulomatosis ) , thyroid function and thyroid auto - antibody , nasal smear , and microbiological testing of sputum and venous sinus swabs help to find out the os nasale polyp in patients(5 ) .
Can Nasal Polyps Bleed?
One of the important presenting symptom of polyp is , an obstruction see in the nasal cavity . It remains to be constant but can vary depending on the position and sizing of the polyp . hemorrhage is seldom observed in nasal polyps(6 ) . During nasal endoscopy surgical process , bleeding occurs and it is the sawbones duty to minimize the bleeding to avoid complications . Risk of vascular , orbital and intracranial complication , as well as adjective loser , are all note in endoscopy sinus surgery . There are cases deliver post - surgical haemorrhage which increase the discomfort among patient .
Conclusion
The diagnosing of nasal polyps is base largely on symptoms with confirmation by nasal endoscopy techniques . Computerized tomography scans and magnetic sonorousness imaging can also support the diagnosis , but literature cogitation say it is unnatural largely among one - third of the universe and hence many physicians not commend for workaday diagnosis(7 ) . Histopathology , bloodline trial and other immunologic and routine biochemical test utile for depth psychology of this disease .
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