Polyps are an end result of varying disease processes in the nasal cavities. Conditions leading to chronic inflammation in the nasal cavity such as bronchial asthma can lead to nasal polyps.Prevalence of nasal polyps is approximately 2-4%. 40% of patients with nasal polyposis have asthma 15% of the patients with nasal polyps have aspirin-intolerance. 80% of the patients with aspirin-intolerance have nasal polyps.
Oral steroids are the most effective medical treatment for nasal polyposis. In adults, most authors use prednisone (30-60 mg) for 4-7 days and taper the medicine for 1-3 weeks. Dosage varies for children, but the maximum dose is usually 1 mg/kg/d for 5-7 days, then taper over 1-3 weeks.There is an urgent need for randomized placebo controlled trials to study the effect of antibiotics in chronic rhinosinusitis and exacerbations of chronic rhinosinusitis.