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Allergies, Sinus Surgery

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When my nose is blocked with congestion from allergies, a cold, or whatever, I always think there should be a surgical treatment similar to angioplasty for coronary arteries. After all, the nose is much more accessible than the heart. Surgeons out there, can you put a stent in my nose and solve this problem once and for all?

The medical literature reports that “functional endoscopic sinus surgery (FESS) has revolutionized the surgical management of chronic sinusitis” (2). This technique was introduced over two decades ago, and is currently performed at least 200,000 times per year in the U.S.

The indications include:

1. Chronic sinus infection that does not clear up with medication
2. Recurrent or complicated sinus infection
3. Nasal polyps or mucoceles
4. Chronic sinus headaches
5. Impaired sense of smell
6. Tumors of the nasal and sinus cavities

Allergies alone are not yet an indication for surgery, but they contribute to sinus infections. Sinus surgery is included in the Health Reference Series book on allergies (1). The major symptoms of chronic sinusitis are nasal obstruction, a feeling of facial pressure, runny nose and reduced sense of smell. Other symptoms include headache, toothache, bad breath, fatigue, dry cough, fever and earache.

A Brazilian study found general health improvements in 50 percent of patients who received sinus surgery, and 54.2 percent reported a considerable gain in quality of life. Their subjects had chronic sinusitis, with or without polyps. The success rate for the surgery is very high in terms of correcting the nasal problems. However, surgery has many risks that medication does not have.

Complications of sinus surgery include:

1. Post-operative bleeding,
2. Adverse reactions to the anesthesia,
3. Cerebrospinal fluid leaking into the sinuses,
4. Visual loss from bleeding into the intraorbital space,
5. Loss of sense of smell,
6. Voice changes,
7. Infection,
8. Nasal obstruction from scar bands,
9. Numbness.

The American Rhinologic Society provides a Web site with extensive information about sinus surgery and medical alternatives.


Add a Comment1 Comments

my sinusitis is chronic, had a ct scan and am trying to figure out my next move. i may be right for a procedure with a balloon, called sinuplasty. it was explained to me as less invasive with no cutting and also easier recovery. i have to do some more research as this is new news. lots of info out there. hoping to get this all settled soon though, ugg.

February 26, 2010 - 3:34pm
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.



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