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Have Continuous Nose Blockage. Using Otrivin Or Nasivion. Should Turbinoplasty Be Done?
hello doctors,
I'm 25 yrs old male,i have been suffering from continous nose blockages since 6 months,sometimes in any of the nostril,but most of the time in both the nostrils.so i have been using nasal sprays like otrivin or nasivion for getting relief(continously about 5 times daily).i have consulted an ENT doctor,he adviced it as the allergic rhinitis and he told me that my nasal blood vessels have become swollen,temporarily he precribed antihistamine corticosteriod spray for 15 days.but he adviced for permanent relief laser turbinoplasty has to be done. Please advice your views on this.
Thanks
I'm 25 yrs old male,i have been suffering from continous nose blockages since 6 months,sometimes in any of the nostril,but most of the time in both the nostrils.so i have been using nasal sprays like otrivin or nasivion for getting relief(continously about 5 times daily).i have consulted an ENT doctor,he adviced it as the allergic rhinitis and he told me that my nasal blood vessels have become swollen,temporarily he precribed antihistamine corticosteriod spray for 15 days.but he adviced for permanent relief laser turbinoplasty has to be done. Please advice your views on this.
Thanks
Mon, 28 Oct 2013
Hi,
Thank you for your query.
1. You have developed a condition known as Rhinitis Medicamentosa due to regular use of decongestant nasal drops. These drops ideally act for 10-12 hours, but increasing doses are required (such as 5 times a day) to achieve the same effect (relieving the nasal obstruction).
2. Yes, your ENT doctor has put you on the correct trial of medication. Try to decrease or stop your nasal decongestant drops at the same time, if you can. Add regular plain steam inhalation.
3. If this medical therapy fails, get a plain CT PNS (Para Nasal Sinuses) done with 1mm coronal, axial and sagittal cuts, pre and post decongestion with nasal decongestant drops (Otrivin or Nasivion). Use adequate drops and wait 15 minutes between scans. Compare the scans.
4. Better than laser turbinoplasty will be radio-frequency turbinate reduction (Sutter / Ellman) or coblation assisted channeling (Arthrocare).
5. You may follow up with the scan images directly at bit.ly/Dr-Sumit-Bhatti
Regards.
Thank you for your query.
1. You have developed a condition known as Rhinitis Medicamentosa due to regular use of decongestant nasal drops. These drops ideally act for 10-12 hours, but increasing doses are required (such as 5 times a day) to achieve the same effect (relieving the nasal obstruction).
2. Yes, your ENT doctor has put you on the correct trial of medication. Try to decrease or stop your nasal decongestant drops at the same time, if you can. Add regular plain steam inhalation.
3. If this medical therapy fails, get a plain CT PNS (Para Nasal Sinuses) done with 1mm coronal, axial and sagittal cuts, pre and post decongestion with nasal decongestant drops (Otrivin or Nasivion). Use adequate drops and wait 15 minutes between scans. Compare the scans.
4. Better than laser turbinoplasty will be radio-frequency turbinate reduction (Sutter / Ellman) or coblation assisted channeling (Arthrocare).
5. You may follow up with the scan images directly at bit.ly/Dr-Sumit-Bhatti
Regards.
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