Nasal polypectomy surgery
What is Nasal polypectomy surgery? Nasal polypectomy is a surgical procedure performed to remove nasal polyps, which are non-cancerous growths that can develop in the nasal passages and sinuses. These growths can lead to nasal congestion, difficulty breathing, decreased sense of smell, and other sinus-related symptoms. Nasal polypectomy aims to alleviate these symptoms and improve overall nasal
What it is
Most nasal polyps are bilateral and driven by Type 2 inflammation; many patients also have asthma or aspirin intolerance (Samter's triad). Modern surgery is endoscopic, day-case, with same-day discharge. Recurrence is common over years; long-term intranasal corticosteroid is essential post-operatively.
When this is relevant
- Persistent nasal obstruction not relieved by intranasal corticosteroid sprays.
- Loss of smell (anosmia) lasting more than 4 weeks.
- Facial pressure or recurrent sinus infections.
- Post-nasal drip with thick mucus, sometimes blood-stained.
- Coexisting asthma or aspirin-exacerbated respiratory disease.
How we investigate
ENT examination with fibreoptic nasendoscopy, CT sinuses for surgical planning, allergy panel where allergic rhinitis is contributory, aspirin sensitivity history.
Options at The Vesey
- Intensified medical therapy first - topical corticosteroid drops, short oral prednisolone course, saline rinses.
- Endoscopic polypectomy / FESS - day-case, general anaesthetic, minimal external bruising.
- Long-term intranasal corticosteroid maintenance - mandatory after surgery to delay recurrence.
- Biologic therapy (dupilumab, mepolizumab, omalizumab) for severe / recurrent polyposis - coordinated with our partner respiratory service.
- Aspirin desensitisation referral for Samter's triad patients.
Will nasal polyps come back after surgery? +
Polyp recurrence is common, particularly in Samter's triad (polyps, asthma and aspirin sensitivity) and eosinophilic CRS. Long-term intranasal corticosteroid spray is essential after surgery to delay recurrence. Biologic therapy dramatically reduces recurrence in severe cases.
Is biologic therapy available for nasal polyps at The Vesey? +
Yes. We co-ordinate biologic therapy (dupilumab, mepolizumab, omalizumab) for severe or recurrent CRS with nasal polyposis through partner respiratory and allergy services. Biologics are typically considered after failed surgery or for patients unfit for general anaesthesia.
How long does recovery take after endoscopic polypectomy? +
Endoscopic polypectomy is a day-case procedure under general anaesthesia. Most patients take 1–2 weeks off work. Nasal irrigation is started the day after surgery. Full recovery of smell may take several weeks to months.
Can nasal polyps contribute to snoring and sleep apnoea? +
Yes. Significant nasal obstruction from polyps increases nasal resistance, worsening snoring and obstructive sleep apnoea. Treating polyps often improves CPAP compliance in patients who also have OSA, though CPAP is still required if the apnoea is moderate-to-severe.
Pricing at a glance
Initial ENT consultation £260. CT sinuses £350. Endoscopic polypectomy day-case £3,500–£5,500 inclusive on individual quotation. Insurance accepted: BUPA, Vitality, AXA, WPA, Cigna, Aviva, Healix.
Book an appointment
When to book
Book if your nasal symptoms have failed 8-12 weeks of optimal medical therapy, anosmia has lasted more than a month, or you are considering biologic therapy.
Cost and pathway
Initial ENT consultation £260. CT sinuses £350. Endoscopic polypectomy day-case £3,500-£5,500 inclusive on individual quotation.
- Open 7 days including Sundays — 8am to 8pm, no weekend surcharge
- No GP referral required — book directly with our ENT surgical team
- Sutton Coldfield location — serving Birmingham, Walsall, Tamworth, Lichfield and the West Midlands
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Sutton Coldfield · Birmingham · Walsall · Tamworth · Lichfield · West Midlands · Open 7 days 8am–8pm
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