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Condition · 1 treatment path

Nasal Polyposis

Nasal polyposis is chronic inflammation of the nose and sinuses that produces soft, painless growths. It blocks breathing and smell and often accompanies asthma or allergy.

Moderate

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Treatment paths
1Treatment paths
Specialties
1Specialties
Typical severity
ModerateTypical severity

About nasal polyposis

What to know

Typical symptoms are a blocked nose, reduced or lost sense of smell, post-nasal drip and facial pressure. Diagnosis is by nasal endoscopy, and a CT scan of the sinuses shows the extent. Polyps tend to return after treatment, so long-term control rather than a single cure is the usual goal.

First-line treatment is steroid nasal sprays and rinses, with a short course of oral steroids for larger polyps. Biologic injections can help people with severe disease linked to asthma. When medicines are not enough, functional endoscopic sinus surgery removes polyps and opens the sinus passages, followed by continued sprays to reduce regrowth. Treatment abroad is not normally needed.

Pre-flight workup

Tests to have already done

  • A CT scan of the sinuses with the report, which shows the extent of polyps and sinus disease.
  • A nasal endoscopy report and a polyp grading, if available.
  • Allergy and asthma history, including aspirin or anti-inflammatory sensitivity and lung function tests.
  • A record of nasal steroid sprays, steroid tablets and surgery already tried, with dates and results.
  • Smell test results or a description of your sense of smell.

Second opinion

When to get a second look

  • Polyps keep returning after surgery and further operations are suggested.
  • You have asthma and sensitivity to aspirin, and your triggers have not been assessed.
  • You have polyps on one side only, which needs examination to rule out other growths.
  • Biologic injections are offered and you want to compare them with surgery.

Talking to your doctor

Questions to ask

  1. How extensive is my polyp disease on the scan and on endoscopy?
  2. Which sprays and steroid courses should I try first, and for how long?
  3. What would surgery achieve, and how likely are polyps to return?
  4. Am I a candidate for a biologic treatment?
  5. Could allergy or asthma be driving this?
  6. Will my sense of smell recover?

Outlook

Realistic prognosis

Nasal polyps are a chronic condition that often needs long-term control rather than a one-off cure. Sprays and steroid courses help many patients, and sinus surgery improves breathing and smell, but polyps return in a significant number of patients over time. Asthma and aspirin sensitivity make recurrence more likely. Biologic drugs offer another option for severe disease.

Diagnostic workup

Before you pick a hospital, get the workup right

Moderate — workup within 1–2 weeks

Picking the right treatment is downstream of a complete diagnosis. Skip steps here and the destination surgeon usually re-orders them anyway — at higher cost and another week on the ground.

  1. Confirm the diagnosis on imaging or labs

    For nasal polyposis, plan on the workup your home doctor would order anyway — typically a recent specialist consult plus the imaging / labs the destination team will need to quote accurately. Anything older than 90 days usually gets re-done.

  2. See a ent / otolaryngology specialist locally first

    An in-person clinical exam at home — even a single consult — costs little and dramatically improves the destination plan. Bring back: written impression, recommended procedure, surgical-risk class, and any contra-indications.

  3. Send us the file for a free second opinion

    Two surgeons in our medical panel review the workup independently. They tell you whether they'd operate, watch, or refer — even if that means recommending against travel.

  4. Pick a path with timeline + cost in writing

    Once a treatment is the right call, we line up 2–3 hospital options with itemized quotes, surgeon profiles, and a travel timeline. You hold the file — switch hospitals or step away at any point.

04 · FAQ

Common questions about nasal polyposis

Can nasal polyps go away without surgery?

Steroid sprays and short courses of tablets can shrink polyps considerably in many people. Surgery or biologic therapy is considered when these do not control symptoms.

Will polyps come back after surgery?

They often do over time, particularly with asthma or aspirin sensitivity. Continuing steroid sprays after surgery reduces the risk.

Will I get my sense of smell back?

Often it improves with treatment, but recovery is variable and less likely when polyps have been present for a long time.

Are nasal polyps cancerous?

No, typical polyps are benign. A polyp on only one side, or one that bleeds, is examined carefully to rule out another growth.

Clinical context

Working up nasal polyposis properly

A condition like nasal polyposis is rarely well-served by jumping straight to treatment shopping. The sequence below is what a ent / otolaryngology specialist would expect to see completed — and the absence of any step is the right cue to delay travel decisions.

Diagnostic workup, in sequence

  1. First-line clinical assessment

    History, physical exam, and risk-factor review by a senior generalist or ent / otolaryngology specialist. Symptoms list, family history, prior workup notes, and current medication list should travel with the patient.

  2. Standard imaging + labs

    Baseline blood work, condition-specific imaging (ultrasound / X-ray / MRI / CT — depending on indication), and ECG / pulmonary function as relevant. Bring digital copies of any prior imaging — saves repeat scans and the cost that goes with them.

  3. Specialist diagnostic workup

    Procedure-specific tests — biopsy, cardiac catheterisation, endoscopy, or genetic / molecular profiling depending on the suspected diagnosis. Done at the centre that will treat, ideally, so results integrate cleanly into the treatment plan.

  4. Multidisciplinary review (where indicated)

    Cancer, complex cardiac, transplant, and rare-disease cases should be reviewed by a multidisciplinary panel — surgical, medical, imaging, and pathology — before any treatment commits. Single-discipline plans for complex disease are a quality red flag.

When to escalate to specialist review

  • New, persistent, or worsening symptoms beyond the usual pattern — particularly anything that disrupts work, sleep, or daily function for >2 weeks.
  • Symptoms accompanied by red-flag features (unintentional weight loss, night sweats, bleeding, severe pain, neurological signs).
  • Any "this feels different" instinct — especially with recurrent or chronic conditions where you know your baseline well.
  • A second-opinion misalignment with your current care plan — when two qualified clinicians disagree, the case warrants a third review before committing.

Before you book international travel

  • Confirm your specific diagnosis is fully worked up before you commit to a treatment plan abroad. Travelling for the workup is fine; travelling for treatment without the workup done is not.
  • Get your case reviewed remotely by the destination centre's team before you book flights — credible international patient programs review imaging + reports before they confirm the surgical plan.
  • Bring a digital + physical copy of your full medical record: imaging on USB drive in DICOM format, labs in PDF, current medication list with dosages, allergies, and any prior surgical reports.
  • Plan for the post-op rehabilitation phase before you fly — the surgery itself is rarely the bottleneck.
  • Confirm that follow-up imaging and any necessary in-person reviews can be done at home — a treatment plan that requires repeat international trips is more burdensome (and more expensive) than the headline procedure.
How this page is made

Methodology and editorial standards

This nasal polyposis overview is written by the editorial team from published ENT / Otolaryngology sources and lists 1 treatment options offered by hospitals on our network. The page shows its last-updated date. Clinical descriptions are editorial — your treating clinician confirms what's right for your specific case.

  1. Hospital data. Hospital details are compiled from public sources and hospital websites. Accreditation (JCI, NABH and others) is shown where we hold a record of it. Always ask the hospital for its current certificate.
  2. Doctor credentials. Qualifications, specialty and bio come from the doctor's hospital profile. Licence is checked against the national medical-council register only where the profile shows a "Licence verified" badge with a date.
  3. Prices. Price ranges are indicative, compiled from hospital price lists and packages and shown with the date last updated. The hospital's written quote is what you pay against.
  4. Clinical text. Written by the Medcasts editorial team from published clinical sources. Unless a named reviewer is shown on the page, it has not been reviewed by a doctor.
  5. Independence. Hospitals cannot pay to change their position on our pages.
Data sources for this page
Peer-reviewed clinical guidelines (NCCN, ESMO, ESC, AHA, NICE — by indication)WHO ICD-11 condition classificationNational medical society treatment protocolsJCI accreditation registry

Next step · Nasal Polyposis

Free second opinion on your Nasal case.

Share imaging and the current plan. Multidisciplinary board returns a written opinion within 5–10 working days — no obligation to travel.