If traditional treatments do not alleviate your nasal or sinus symptoms, surgery may be the next step.
Often, a foreign object such as a polyp may be hindering proper drainage from your sinus. Local anesthesia is used in this outpatient procedure, called a polypectomy. A nasal speculum is used to open the nasal cavity and a wire loop or forceps are used to remove the polyps.
If turbinates, structures of bone and tissue inside the nose, become inflamed, they can obstruct airflow through the nose. To correct this, a turbinate reduction surgery will be needed. An incision is made in the lining of the nose and the bone within the turbinate is removed. Tissue may also be removed to further reduce inflammation.
Balloon sinuplasty is a fairly new procedure that can be used to treat chronic sinusitis. A small and flexible deflated balloon is inserted into an inflamed sinus with the help of a guide wire. Once the balloon has been placed in the right position it is inflated, opening up the sinus. The inflated balloon is able to widen and restructure the walls of the sinus without affecting the integrity of the lining. Saline is sprayed into the opened sinus to flush out any trapped bacteria or mucus. The balloon is then deflated and removed, leaving a clean and open sinus behind.
A deviated septum, which is normally present from birth or caused by an injury to the nose, occurs when one nasal passage is larger than the other. This may make breathing from your nose difficult and can make your allergy and sinus infection symptoms worse. Surgery is needed to straighten your septum; this is called a septoplasty reposition. Some patients might also require their nose to be reshaped in a procedure called a rhinoplasty. Typically, these two surgeries can be performed at the same time.