ORL-HNSUK ENT Reference
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Educational use only. Educational use only. This content is not a substitute for professional clinical judgement. Always follow local guidelines, trust policies, and consult senior colleagues when in doubt.
All notes·
Rhinology

Nasal Polyps


  1. Inflammatory polyps: Type 2 inflammation (IL4, IL5, IL13 = Eosinophils and IgE
    1. CRS
    2. Aspirin exacerbated respiratory disease (AERD)
    3. Allergic fungal rhinosinusitis (AFRS)
  2. Cystic fibrosis
  3. PCD
  4. Eosinophilic GPA (triad of asthma, eosinophilia, rhinosinusitis)
  1. Nasal congestion, rhinorrhea, anosmia, facial pain
  2. Duration, progression, laterality and severity of symptoms
  3. Allergic history
  4. Samters triad for AERD: Aspirin sensitivity, polyps, asthma
  5. Red flags: Bleeding, facial numbness, visual symptoms

Annotated image
1Polyp arising from middle meatus