Surgery
In a few patients, medical treatment alone is not enough ands surgical treatment may be considered. A deviated septum which is contributing to the blockage may be straightened out. This operation is called a septoplasty or septal repositioning. Turbinates are structures on the side wall of the nose which can swell up with prolonged rhinitis. These turbinates may be reduced in size. Partial removal and diathermy (a type of cautery) are often used. If nasal polyps cannot be controlled by use of antihistamines and steroid drops and sprays, they may be removed too. The operation is most often done through the nose. It may be performed under local or general anaesthetic. Sometimes the surgeon will suggest an operation to clear the sinuses as well. This may include endoscopic (keyhole) sinus surgery. Surgery cannot offer a cure for polyps. There is a marked tendency for them to recur. Despite this, surgery can offer great relief
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