Arizona Sinus Phoenix Sinus ENT and Allergy

Chronic Sinusitis and Nasal Polyps

This is first and foremost a medical disease. The inflammation in the mucous membrane of most forms of chronic sinusitis is similar in nature to the inflammation that occurs in the airways of asthmatics. These conditions are best managed with appropriate medical therapy aimed at blocking the inflammatory response to inhaled particles, ingested sources of inflammation and eliminating secondary bacterial infections.

Surgery does play a role in management of chronic sinusitis if medical therapy has failed to adequately improve the patient’s symptoms. Sinus surgery does not cure chronic sinusitis. It facilitates the medical treatment of the disorder by opening the sinuses, removing obstructing bony walls and polyps and washing out the sinuses.

Medical therapy should be continued following sinus surgery to help prevent recurrence of severe inflammation and symptoms. At the Arizona Sinus Center, our physicians are experts in the management of chronic sinusitis with nasal polyps from disorders such as Aspirin Exacerbated Respiratory Disease, Allergic Fungal Sinusitis, Eosinophilic Mucin Rhinosinusitis, Cystic Fibrosis and Chronic Sinusitis with Polyps in the setting of Allergic Rhinitis.

Nasal Obstruction and Congestion

Nasal congestion (obstructed nose or diminished airflow through the nose) is certainly uncomfortable but this can also lead to many dental and medical problems. The nose is the filter that cleans and conditions the air before it gets to our delicate lungs. When the nose is bypassed due to inflamed, swollen tissue, a deviated septum, nasal polyps or enlarged adenoids, harsh air goes directly to the lungs by way of the mouth and throat. This is not natural and has been linked to lower respiratory problems, such as restricted bronchial passages in asthmatic patients1,2. Chronic nasal congestion and the resultant mouth breathing can lead to gingivitis (gum disease), cavities, halitosis (bad breath), chronic reactive airway disease, chronic sore throat, obstructive sleep apnea and, in young children, midfacial skeletal changes. Our physicians have extensive training in the evaluation and treatment of nasal disorders. Many cases of nasal obstruction and congestion can be treated with safe medical therapies. A smaller percentage of cases of nasal obstruction require surgical treatment to alleviate the blocked airway and restore healthy nasal breathing. Our physicians will find the source of your nasal obstruction and discuss the spectrum of treatment options with you.

Medical treatment for nasal obstruction and congestion

  • Nasal saline rinses
  • Nasal steroid sprays
  • Nasal steroid/antihistamine spray combination
  • Allergen avoidance
  • Immunotherapy (allergy shots)*
  • *We do not perform allergy testing or shots but can refer you to an allergy specialist for this if deemed necessary

Surgical Treatment of Obstructed Breathing & Nasal Congestion

  1. McLane ML, Nelson JA, Lenner KA, et al. Integrated response of the upper and lower respiratory tract of asthmatic subjects to frigid air. J Appl Physiol 2000; 88:1043–1050.
  2. Griffin MP, McFadden ER Jr. Ingram RH Jr. Airway cooling in asthmatic and nonasthmatic subjects during nasal and oral breathing. J Allergy Clin Immunol 1982; 69:354–359.

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