Nazi Polyposis: Management Changes!

Little known, Nazi polyps carry more weight in the daily lives of patients. In short, this disease looks like a big cold that cannot be cured! What are the treatment options to eliminate the symptoms and effects of this disease? Answers by Olivier Mallard, ENT Professor, Nantes University Hospital.

“The Nasal-sinus polyposisAlso known as nasal polyposis, it is part of chronic non-inflammatory allergic rhinoceros-sinusitis.“, Explains Professor Oliver Mallard.”It is characterized by leakage and water-filled polyps located mainly in the ethmoid sinus between the two eyes. We estimate that between 2% and 3% of the French population, or nearly one million people, are affected by this disease.“

Severe symptoms

For our expert, the manifestations of polyposis are very easy to imagine. “It’s like you have a cold, but all the time “,” He mentions. Simply put, polyps cause nasal congestion, mucus, sneezing and loss of smell, called anosmia, and worsening over time. “The impact on quality of life is significant.”For example, anosmia causes loss of taste. It should not be forgotten that the smell plays a major role in shaping the taste. “It shows whether the disease weighs on patients’ daily lives.”This is a real burden that we do not know. With many effects on mood and mood. Not forgetting the social and professional aspects of the course. Polyposis has been shown to cause strikes and loss of productivity. “

Diagnosis: From general practitioner to ENT

If the final diagnosis is based on an ENT, the general practitioner has all the space to diagnose polyposis. According to Professor Mallard, “If he suspects that he has rhinoceros-sinusitis associated with loss of smell, he may refer his patient to an ENT doctor. The latter, using a fibroscope, can confirm the diagnosis.“

Step-by-step management …

Nasal polyposis is the so-called incurable disease. Management therefore has two main objectives, reduction of symptoms and control of disease. “The treatment strategy is primarily based on local corticosteroid therapy using nasal sprays. This option has some side effects, but is moderately effective. “, Professor Mallard notes.”One-third of patients will progress. For others, we may offer oral corticosteroid therapy with its limitations “.

In case of failure, it is time for surgery. “It involves the removal of polyps. The symptoms will disappear for a while. Overall, we record approx 40% recurrence in 5 years. We do not have lasting efficacy, but it does allow patients to go to zero and stop corticosteroid treatment. “Until recently, recurrent patients found themselves without any other solution.” Today, thanks to the advent of new therapies have developed a strategy that targets the inflammation that causes symptoms and eliminates odor.“However, Professor Mallard notes that these new treatment options are excluded.”For patients who have already undergone surgery, failed or returned after oral corticosteroids. “

Informant

Public Awareness Campaign #SeSentirVivre Sanofi Genesim was developed this year in collaboration with the Patient Association Anosmie.org. For more information, see the website www.polypose-nasale.fr. For example, you could download a questionnaire that allows you to estimate the weight of symptoms on a daily basis. An interesting tool for preparing for your medical consultation.

The campaign is also available on the following social networks: Twitter AnSanofiGenzymeFR, Instagram Sanofi_france, Linkedin Sanofi