In the management of nasal polyps, which option is typically reserved for cases resistant to medical therapy?

• A. Intranasal corticosteroids
• B. Oral antibiotics
• C. Short course of systemic steroids
• D. Surgical removal

Answer: (D)

Starting treatment for nasal polyps focuses on reducing inflammation with medical therapy. Intranasal corticosteroids are the first-line option to shrink polyps and control symptoms; a short course of systemic steroids may be used to hasten resolution or prior to surgery, and antibiotics address concurrent infection rather than the polyp burden. If symptoms persist despite optimal medical therapy, surgical removal—usually via functional endoscopic sinus surgery—is considered. Postoperatively, continued intranasal corticosteroids help reduce recurrence. Therefore, surgical removal is typically reserved for cases resistant to medical therapy.