During this task, the pedicle may be seen emerging from the eustachian tube. Postoperative hemorrhage into the nasopharynx is minimal and easily controlled by packing swabs into the nasopharynx for a few minutes. The polyp occasionally cannot be removed in this way without incisi the free caudal border of the soft palate to improve access. The soft palate is closed in 2 layers using an absorbable material such as Vicryl. When a polyp is removed from the nasopharynx by traction, the pedicle usually is found to be 5 to 10 mm long, sufficient to indicate that the mass probably arose in the middle ear.
Controversy surrounds the issue of bulla osteotomy in cats with nasopharyngeal polyps.
Ventral bulla osteotomy is associated with a high risk of complications. It has been argued therefore that when there is no radiographic evidence of middle ear disease, bulla osteotomy is unnecessary. Therefore, some surgeons recommend that bulla osteotomy be performed on the ipsilateral middle ear of every cat with a nasopharyngeal polyp. Cats with unilateral nasopharyngeal polyps may have bilateral otitis media. Bilateral polyps have been reported.