In some cases, surgical excision of the polyps is required using a thin telescope (endoscope) which is placed through the nostril in order to visualize the polyps. The sinuses may also be entered in this fashion in an attempt to completely remove polyps.
Following this type of surgery, it is critical to maintain medical treatment and close observation of the nose and sinus cavities to prevent polyp recurrence. In many cases, if a proper medical and surgical treatment plan is carefully followed, patients will not require further surgery on the nose and sinuses to remove polyps.