Nasal Polyps
Nasal polyps are soft growths that develop in the lining of the nasal passages or sinuses. While they are relatively uncommon in young children, they often indicate an underlying chronic condition such as chronic sinusitis, allergic fungal sinusitis or cystic fibrosis. These grape-like growths can block airflow and drainage in the nose, leading to persistent symptoms that affect a child’s breathing and sinus health.
Common signs and symptoms of nasal polyps in children include chronic nasal congestion, mouth breathing, reduced or lost sense of smell, frequent sinus infections and postnasal drip. Some children may snore or have disturbed sleep due to blocked nasal passages. If your child seems to always have a “stuffy nose” that doesn’t improve with typical allergy or cold treatments, nasal polyps could be a possible cause.
The workup for nasal polyps usually starts with a physical exam and a review of your child’s symptoms. A pediatrician will perform a nasal exam revealing polyps prompting a referral to our team at ENT for Kids. Our physicians may use a small flexible camera (nasal endoscopy) to look inside the nasal passages. A CT scan of the sinuses may also be recommended to assess the size and location of the polyps and to evaluate for sinus disease.
Medical treatment is usually the first step in managing nasal polyps. This can include nasal steroid sprays to reduce inflammation and shrink the polyps, as well as saline rinses to keep the nasal passages clear. In some cases, oral steroids or antibiotics may be prescribed if there is an associated sinus infection. Managing underlying allergies or asthma can also help control symptoms and prevent recurrence.
If polyps are large, persistent or causing significant symptoms despite medication, surgical removal may be recommended. The procedure, called endoscopic sinus surgery, is performed under general anesthesia by our surgeons using a small camera and instruments inserted through the nostrils. The goal is to remove the polyps and improve sinus drainage while preserving normal sinus tissue. Although surgery can provide significant relief, polyps can sometimes come back, so ongoing medical management is often needed. Regular follow-up with our providers will help monitor your child’s condition and ensure long-term relief.
If you’re concerned about your child’s sinus health, please reach out to us to arrange a consultation.