HomeAnswersOtolaryngology (E.N.T)antrochoanal polyp

Is surgery necessary for the polyp in the maxillary sinus?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I was diagnosed with an antrochoanal polyp on the right side maxillary sinus without bone remodeling, and I know that the only therapy is surgery. I want to ask you if I can wait for the surgery. Is there any medical therapy for that specific polyp to stop the growth? And how fast is it growing? What complications can I have if I leave it without surgery till summer? My problem is also that I have anemia with 30 hematocrits because of my heavy period. I do not know with this type of surgery how significant blood loss makes me more prone to complications during or after surgery under general anesthesia. Thank you so much for your time and your answer.
Answered by Dr. Shyam Kalyan N

Education:

MBBS

Professional Bio:

Dr. Shyam Kalyan N is an Allergy Specialist and ENT Specialist with more than eleven years of clinical experience. He completed his MBBS at the Madras Medical College, DLO at the KLE University, and DNB at the National Board of Examinations. He has acquired AASC degree in the field of Allergology and DOHNS-A from Royal College of Surgeons, England. He has done enormous research in the field of Allergic Rhinitis & Sinusitis. He has presented work papers at various national and international conferences and won many accolades. He deals with the surgical and medical management of head and neck conditions. He loves his work tremendously and makes sure that he gives the best care to his patients. He is versed with the recent advances in his field and provides the latest treatment protocol to patients. He is conversant in six languages. His patients, colleagues, seniors, and mentors have loved him enormously in his previous roles. Currently practicing in PSG Hospitals, Peelamedu, Coimbatore, Tamil Nadu, India.

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Hi,

Welcome to icliniq.com.

There is no medical cure for this sort of polyp. I suggest you use steroid nasal sprays and antihistaminics or a short course of oral steroids. A short course of oral steroids can also be tried. Oral steroids are contraindicated if you have diabetes. Complications of long-standing polyp: further growth, complete nasal obstruction, discomfort while talking, swallowing, mouth breathing, snoring, lack of sleep, daytime sleepiness, nasal discharge, ear block, sinus headaches, etc. Blood loss during endoscopic surgery is minimal, to about 30 ml or 40 ml. So it is safe to go ahead with the surgery once you correct your anemia. It would be best if you had a decent hemoglobin level before surgery. We do the surgery with general anesthesia. In my setup, I use microdebridders to minimize bleeding. Do write back to us for more details. Happy to help you.

Medically reviewed by iCliniq medical review team
Published At November 20, 2022
Reviewed At September 10, 2023

Education:

MBBS

Professional Bio:

Dr. Shyam Kalyan N is an Allergy Specialist and ENT Specialist with more than eleven years of clinical experience. He completed his MBBS at the Madras Medical College, DLO at the KLE University, and DNB at the National Board of Examinations. He has acquired AASC degree in the field of Allergology and DOHNS-A from Royal College of Surgeons, England. He has done enormous research in the field of Allergic Rhinitis & Sinusitis. He has presented work papers at various national and international conferences and won many accolades. He deals with the surgical and medical management of head and neck conditions. He loves his work tremendously and makes sure that he gives the best care to his patients. He is versed with the recent advances in his field and provides the latest treatment protocol to patients. He is conversant in six languages. His patients, colleagues, seniors, and mentors have loved him enormously in his previous roles. Currently practicing in PSG Hospitals, Peelamedu, Coimbatore, Tamil Nadu, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Shyam Kalyan N
Dr. Shyam Kalyan N

Otolaryngology (E.N.T)

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Education:

MBBS

Professional Bio:

Dr. Shyam Kalyan N is an Allergy Specialist and ENT Specialist with more than eleven years of clinical experience. He completed his MBBS at the Madras Medical College, DLO at the KLE University, and DNB at the National Board of Examinations. He has acquired AASC degree in the field of Allergology and DOHNS-A from Royal College of Surgeons, England. He has done enormous research in the field of Allergic Rhinitis & Sinusitis. He has presented work papers at various national and international conferences and won many accolades. He deals with the surgical and medical management of head and neck conditions. He loves his work tremendously and makes sure that he gives the best care to his patients. He is versed with the recent advances in his field and provides the latest treatment protocol to patients. He is conversant in six languages. His patients, colleagues, seniors, and mentors have loved him enormously in his previous roles. Currently practicing in PSG Hospitals, Peelamedu, Coimbatore, Tamil Nadu, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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