NASAL POLYPS GRADE III
clinical scoring system of nasal polyposis):
What are nasal polyps?
1. Nasal polyps are benign growths
of the lining tissues of your nose.
2. Polyps can be triggered by
chronic or recurring sinus
infections, asthma, hay fever, or
cystic fibrosis.
3. Polyps can grow large enough to
block your nasal passages,
resulting in chronic congestion.
Triggering factors
Viral infections, bacterial infections,
allergies, fungus, chronic inflammation,
asthma, chronic sinus infections, hayfever,
sinusitis.
Proliferation of
fibroblasts and myoblasts
Allows fluid to build up in the cells of nose
and sinuses
Over time, as gravity pulls on these fluid-
filled cells
Nasal polyp developed
Most common Nasal Polyps Symptoms include:
Nasal obstruction/congestion
A runny nose (rhinitis)
Chronic and recurrent sinus infections
Dull headaches
Snoring and persistent nasal stuffiness
making breathing via the nasal passages
difficult
Abundant and excessive amounts of
nasal drainage
Thick, discolored nasal drainage
A loss of smell due to nasal polyps
blocking olfactory receptors
A reduced sense of taste
Pain, pressure and throbbing of the face
Mouth breathing and dry mouth
(xerostomia)
Grading of nasal polyps (Based on Hadley's
Grade 3: polyps
extending into
the nasal cavity
below the edge
of the middle
turbinate but
not below the
inferior edge of
the inferior
turbinate.
Glistening and pale growth aliken to peel grape
appearance are characteristic features of nasal
polyps. It is painless and can be quite mobile on
probing as compared to nasal turbinate.
Nasal polyps with chronic sinusitis. Note
mucopus in the nasal cavityand copius
postnasal drip seen in the oropharynx.
Various methods of classification and
categorization of nasal polypi:
1. Questionnaire based categorization
2. CT based grading system
3. Nasal endoscopic scoring system
4. Nasal functional scoring system
HOW IS IT DIAGNOSED?
1. Physical examination
2. CT scan of nasal cavity
3. Nasal endoscopic
4. Test for cystic fibrosis
Risk factors
1. Asthma, a disease that causes overall
airway inflammation and constriction
2. Aspirin sensitivity may cause some
people to be more likely to develop
nasal polyps
3. Allergic fungal sinusitis, an allergy to
airborne fungi
4. Cystic fibrosis, a genetic disorder that
results in the production and secretion
of abnormally thick, sticky fluids,
 including thick mucus from nasal and
sinus membranes
5. Churg-Strauss syndrome, a rare disease
that causes the inflammation of blood
vessels

Complications

Obstructive sleep apnea. In this potentially

serious condition, you stop and start breathing
frequently during sleep.

Asthma flare-ups. Chronic rhinosinusitis can

aggravate asthma.

Sinus infections. Nasal polyps can make you

more susceptible to sinus infections that recur
often or become chronic.

Prevention

1. Manage allergies and asthma.

2. Avoid nasal irritants
3. Practice good hygiene.
4. Humidify your home.
5. Use a nasal rinse or nasal lavage.

Surgical Management

1. Polypectomy
2. Endoscopic sinus surgery

REFERENCES

Bachert C, Van Cauwenbergep.Nasal Polyps and

Sinusitis. In: Adkinsaon NF, Yunginger JW,
Busseww,et,eds. Middletons Allergy, Principles
and Practice, 6thed Philadelphia, Morby;
2003:1421-1436

Lewis, Heitkemper, Dirksen, OBrian, Bucher.

Medical-surgical Nursing. Assessment and
management of clinical problems. Page
541.International edition

Mayo Clinic Staff, 1998-2010 Mayo Foundation

for Medical Education & Research(MFMER)
(www.mayoclinic.com /health/nasal-
polyps/ds00498)