 
                            What Causes Persistent Bad Smell In Nose While Treating Sinus?
 
 
                                    
                                     Sat, 2 Jul 2016
                                                
                                            
                                                Answered on
                                                
                                                Sat, 2 Jul 2016
                                                
                                            
                                                Answered on
                                             
                                             Mon, 25 Jul 2016
                                                
                                                
                                                Last reviewed on
                                                
                                                Mon, 25 Jul 2016
                                                
                                                
                                                Last reviewed on
                                             
                                            Try hypertonic saline nasal washes with added steroid.
Detailed Answer:
Hi,
Thank you for your query.
1. If you can upload a few CT Scan and Endoscopic images, it will help me to understand the location extent and the size of this nasal polyp.
2. The smell in the nose can be attributed to local inflammation and round the polyp, fungal or bacterial infection, obstruct of airflow to the olfactory mucosa and previous surgery.
3. Hypertonic saline nasal washes should help. You can add half the contents of a a budesonide respule in the nasal wash.
4. An endoscopic biopsy or polyp excision with a debrieder (if medical treatment does not work) should be a simple procedure. An inverted papilloma should be ruled out.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
 
  
 Details as discussed below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Hypertonic saline washes contain 2-3% saline as compared to the regular 0.9% saline solution.
2. It should be possible to remove the polyp without excessive scarring.
3. Some images or Scan reports would be useful.
4. Inverted papillomas are locally aggressive tumours and can be managed well.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
 
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