Generally, nasal polyps respond to steroids. When they are small, they may be managed with intra-nasal steroid in the form of rinses, sprays, or injections. When polyps enlarge and no longer respond to medical therapy, surgical excision with nasal polypectomy may be pursued. Typically, endoscopic sinus surgery is performed on initial intervention for nasal polyps. By dilating the sinus cavities, this allows for better monitoring and treatment for recurrent nasal polyps. However, should nasal polyps recur to a significant degree after sinus surgery, nasal polypectomy may be performed in the setting of revision surgery.