Liang Song
Case: A 59-year-old female patient visited the comprehensive clinic, complaining of recurrence of nasal polyps. The patient presented with multiple large polypoid lesion protruding from the both nostril, which had been treated with thermal ablations for more than four times. Biopsy under local anaesthesia was performed, showing findings consistent with nonspecific inflammation. Minimally procedure with microinjection of Triamcinolone Acetonide through nasoscope under local anaesthesia was performed layer by layer in a sequential time-point fashion, and the masses weremedically ablated one after the other in the next three weeks. Postoperative follow-up has shown no evidence of recurrence after 6 months. Conclusion: Nasal polyps manifests typically in an aggressive recurrence manner. Since thermal ablation has been intolerant after multiple times, we managed it under local anaesthesia at the clinic, suggesting minimally invasive management on complex nasal polyps is feasible in the clinical setting.
