Polypectomy

Nasal polyps can quietly take over your sinuses, blocking airflow, dulling your sense of smell, and feeding ongoing sinus infections. Polypectomy is the surgical procedure used to remove them. The first step is an ENT-focused evaluation to see what you’re dealing with and what comes next.

What Is Polypectomy?

Polypectomy is a surgical procedure that removes nasal polyps, soft growths that develop in the lining of the nose and sinuses. Polyps are linked to long-term inflammation and can block the sinuses, cause chronic congestion, and affect smell. The procedure is usually performed endoscopically, meaning your provider works through the nostrils with a small camera and instruments. It’s often paired with treatment for the underlying inflammation to help reduce the chance polyps come back.

Who's a Good Candidate?

Polypectomy may be considered if you have:

Nasal polyps confirmed on exam or imaging
Chronic congestion or blockage that hasn't responded to medication
A reduced or lost sense of smell
Recurring sinus infections linked to polyps
Sleep, breathing, or quality-of-life issues tied to nasal obstruction

It isn't right for everyone.

Polyps are often part of a broader inflammatory condition. Your provider will discuss medication, biologic therapies, and procedural options together so the plan addresses the cause, not just the visible polyps.

How Polypectomy Works

Polypectomy is usually done in a surgical setting under general anesthesia. Here’s the general idea:

Your provider works through the nostrils with no external incisions

A small endoscope provides a clear view of the nose and sinuses

Specialized instruments remove the polyps and any blocked tissue

The sinuses may be opened or rinsed to help drainage

Most people go home the same day

When polyps are extensive, additional sinus surgery may be combined in the same operation.

Recovery & Results

Recovery from polypectomy is usually manageable. Many people return to desk work within about a week. Mild congestion, drainage, and crusting inside the nose are common in the first one to two weeks, and your provider may recommend saline rinses to help the area heal.

Many patients notice easier breathing and improved sense of smell once swelling subsides, but results vary based on the extent of polyps, the underlying cause, and how well ongoing inflammation is controlled. Polyps can return, which is why follow-up care matters.

Risks & Safety

Polypectomy is generally considered safe, but as with any surgery, there are risks. Possible risks include:

Bleeding
Infection
Temporary changes in smell
Scarring inside the nose
Polyps returning over time
Rare complications affecting the eye or skull base
Reaction to anesthesia

Your ENT provider will walk through the specific risks and what they mean for you.

Frequently Asked Questions

Find answers to common questions about Polypectomy.

Still have questions?

If you need help deciding whether virtual care is right for you, our team is here to assist.

Will my polyps come back?
Polyps can return, especially when the underlying inflammation isn't well controlled. That's why polypectomy is usually combined with a long-term plan that may include nasal steroids, rinses, allergy treatment, or other therapies your provider recommends.
Many patients notice improvement in smell after polyps are removed, but recovery varies. Long-standing or severe polyps, and the underlying inflammation, can affect how much smell returns. Your provider can talk through what's realistic for you.
There's overlap. Polypectomy focuses on removing polyps, while sinus surgery is a broader term that can include opening the sinuses and managing inflamed tissue. They're often combined depending on what your provider sees.
Sometimes. Nasal steroids and other treatments can shrink polyps and ease symptoms in some patients. When medication isn't enough, polypectomy can help open the airway while medication continues to manage the underlying inflammation.
Yes. A virtual visit is a good place to talk through your symptoms and history. An in-person exam, often with a scope and imaging, is needed before polypectomy is scheduled.

Still have questions?

If you need help deciding whether virtual care is right for you, our team is here to assist.

Talk Through Your Polyp Treatment Options

If polyps have been wearing down your breathing and your sense of smell, an ENT-focused evaluation can help you understand your options and put together a plan.