Nasal Polyp Surgery Treatment in Singapore

Nasal polyp surgery, also known as polypectomy, is a procedure performed in the clinic to remove abnormal tissue growths from the nasal passages and sinuses.

The procedure aims to clear blocked nasal passages, improve breathing, restore sense of smell, and prevent polyp regrowth through various surgical techniques.

doctor img
Dr Gan Eng Cern

MBBS

MRCS (Edin)

mmed (orl)

FAMS

Nasal Polyp Surgery in Singapore Nasal Polyp Surgery in Singapore
Nasal Polyp Surgery in Singapore Nasal Polyp Surgery in Singapore

Indications for Surgery

Nasal polyp surgery is recommended when clinical findings and persistent symptoms indicate that medical treatment is insufficient. These include:

  • Failed Medical Treatment: Polyps that remain unresponsive to conservative treatment, such as steroid sprays or oral medications, and continue to cause symptoms.
  • Severe Nasal Obstruction: Large or multiple polyps that significantly restrict airflow through the nasal passages, leading to difficulty in breathing.
  • Chronic Sinusitis: Repeated sinus infections caused by blockages from polyps that fail to resolve with standard treatments.
  • Loss of Smell: A notable or complete reduction in the ability to smell due to obstruction of the nasal passages by polyps.
  • Sleep Disruption: Breathing difficulties during sleep, including potential sleep apnoea, resulting from obstruction caused by polyps.

Benefits of Nasal Polyp Surgery

Surgical removal of nasal polyps can provide significant benefits. These include:

  • Improved Breathing: The elimination of obstructive polyps restores clear nasal passages, allowing better airflow and alleviating breathing difficulties.
  • Enhanced Smell: Removing the blockages often helps patients regain their sense of smell and taste, which are closely linked.
  • Reduced Infections: Improved sinus drainage after surgery reduces the frequency and severity of sinus infections, promoting better sinus health.
  • Better Sleep: Restored nasal airflow often leads to improved sleep quality, reducing interruptions and discomfort caused by nasal congestion.

Surgical Techniques

Various approaches are available for removing nasal polyps, with the choice depending on factors such as the size, location, and extent of the polyps, as well as individual patient needs.

Endoscopic Polypectomy

The most common technique using a thin telescope with surgical instruments through the nostrils. This minimally invasive approach allows for accurate polyp removal while preserving surrounding tissue. The procedure provides good visualisation and does not require any external incisions.

Functional Endoscopic Sinus Surgery (FESS)

A comprehensive approach that addresses both polyps and underlying sinus disease. The ENT surgeon opens blocked sinuses while removing polyps to improve drainage. This technique often includes enlarging natural sinus openings.

Powered Instrumentation

Uses specialised rotating or oscillating instruments to remove polyps. This method allows efficient removal of large polyps or extensive disease. The powered tools help reduce bleeding and tissue trauma.

Patient consults Dr. Gan about nasal issue Patient consults Dr. Gan about nasal issue

Preparing for Surgery

  • Medical Evaluation: Pre-operative assessment includes nasal endoscopy and CT scanning to map polyp locations and determine their extent. Blood tests evaluate clotting function and overall health status. Allergy testing may be performed to identify underlying triggers that could affect surgical outcomes.
  • Medication Adjustments: Blood-thinning medications must be discontinued 7-10 days before surgery to reduce bleeding risk. Patients taking steroid medications may need dosage adjustments.
  • Pre-operative Guidelines: For procedures requiring general anaesthesia, patients must fast for 6 hours beforehand. Smoking cessation for at least 2 weeks prior to surgery promotes better healing. Instructions include arrival time and post-operative care requirements to ensure proper preparation for the procedure and recovery.

Step-By-Step Procedure

Preparation and Anaesthesia

The procedure begins with the administration of general anaesthesia to ensure patient comfort and stability. Vital signs are closely monitored throughout. Local anaesthetic and decongestant solutions are applied to the nasal passages to reduce swelling, enhance visibility, and prepare the area for surgery.

Surgical Access and Visualisation

An endoscope (a thin instrument equipped with a light and camera) is gently inserted through one nostril, providing a detailed view of the nasal cavity and sinuses. Additional instruments are introduced through the same or opposite nostril as needed, ensuring accurate access to the affected areas.

Polyp Removal and Bleeding Control

Using specialised surgical tools, polyps are carefully excised from their base, with care taken to preserve healthy tissue. Throughout the procedure, techniques such as suction and cauterisation may be used to control bleeding and maintain a clear surgical field.

Final Inspection and Cleaning

Once all identified polyps are removed, the nasal cavity is thoroughly inspected to ensure no residual tissue remains. Any bleeding points are addressed, and the area is flushed with saline solution to clean the nasal passages and promote optimal healing.

Post-Surgical Care and Recovery

  • Immediate Post-operative Care: After surgery, patients are monitored for several hours to ensure stable recovery. Temporary nasal packing may be used to control bleeding. To minimise swelling, patients are advised to keep the head elevated and apply ice packs as needed.
  • Recovery Process: Most patients are discharged the same day and can recover at home. It is normal to experience nasal congestion and discharge during the first week. Regular saline irrigation is necessary to keep the nasal passages clean, promote healing, and reduce the risk of infection.
  • Follow-up Care: The initial follow-up visit is scheduled within one week of surgery to assess early healing. Subsequent visits at approximately three and six weeks help monitor progress and check for any signs of polyp recurrence. Consistent long-term follow-up is encouraged to address recurrence early and maintain nasal health.

Are Your Symptoms Affecting Your Quality of Life?

Consult our MOH-accredited specialist for an accurate diagnosis & personalised treatment plan today.

human head showing sinus structure

Potential Risks and Complications

Nasal polyp surgery carries general risks such as bleeding, infection, and anaesthesia-related complications. Potential concerns include septal perforation, temporary or permanent changes in the sense of smell, cerebrospinal fluid leaks (though rare), and orbital complications that may affect vision. Scarring within the nasal passages can occur, potentially impacting airflow. Some patients may also experience temporary changes in voice quality or nasal sensation during recovery.

For Singaporeans & Singapore Permanent Residents

Medisave & Insurance Shield Plan approved

Your ENT procedure may be eligible for Medisave claims, with the claimable amount varying based on the procedure’s complexity. For additional options, including the use of your insurance or Integrated Shield Plan, reach out to our friendly clinic staff today for assistance.

Frequently Asked Questions (FAQ)

Can lifestyle changes help prevent nasal polyp recurrence?

Yes, making certain lifestyle changes can lower the risk of recurrence. Avoiding allergens, environmental pollutants, and smoking is especially beneficial. Additionally, using a humidifier to maintain proper indoor humidity and staying well-hydrated can improve overall nasal health.

Do all nasal polyps require surgery?

No, not all nasal polyps require surgical removal. Smaller polyps or less severe cases can often be managed with treatments such as nasal steroid sprays or oral corticosteroids.

Can nasal polyps recur after surgery?

Yes, nasal polyps can recur even after successful surgery. Long-term management with medications, regular follow-ups, and addressing underlying conditions like allergies or asthma can help reduce the risk of recurrence.

Dr. Gan picture

Dr Gan Eng Cern

MBBS

MRCS (Edin)

mmed (orl)

FAMS

With over 15 years of experience, Dr Gan specialises in the comprehensive management of a broad range of conditions related to the ear, nose and throat (ENT), and head and neck.

Dr. Gan has contributed to the academic field as a Senior Clinical Lecturer at the Yong Loo Lin School of Medicine, National University of Singapore. He is recognised for his extensive research work, with numerous contributions to reputable international ENT journals. Dr Gan is also highly sought after as a speaker and has shared his surgical knowledge as a surgical dissection teacher at various prominent ENT conferences and courses.

  • 2020 – Reader’s Choice Gold Award for Best ENT Specialist (Expat Living Singapore)
  • 2016 – Best Educator Award (Eastern Health Alliance)
  • 2016 – “Wow” Award (Patient Compliment)
  • 2014 – Eastern Health Alliance Caring Award – Silver
  • 2014 – 19th Yahya Cohen Memorial Lectureship (awarded by the College of Surgeons, Academy of Medicine Singapore for best scientific surgical paper)
  • 2012 – Human Manpower Development Award (Ministry of Health, Singapore)
  • 2007 – Singhealth Best Doctor Award

Qualifications

  • MBBS – Bachelor of Science, Bachelor of Medicine, Bachelor of Surgery (University of New South Wales, Sydney, Australia)
  • MRCS (Edin) – Member of the Royal College of Surgeons Edinburgh, United Kingdom
  • MMed (ORL) – Master of Medicine in ENT (National University of Singapore)
  • FAMS – Fellow of the Academy of Medicine Singapore
Dr Gan performing sinus procedure

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