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A 33-year-old male asked:

I had a septoplasty and turbinate reduction surgery, but i still get alternate nostril block entire day and night and the intensity of blockage keeps varying. what should i do?

5 doctor answers9 doctors weighed in
Dr. Otto Placik
Surgery - Plastics 35 years experience
Evaluate allergies: It is quite normal for blockage to vary during the day due to the autonomic nervous system and change in vascular congestion from one side to the other. However for this to cause complete blockage following surgery requires a more thorough evaluation of your possible allergies as well as decongestants and steroid nasal sprays. Discuss with allergist or ent.W.
Dr. Christopher Khorsandi
Plastic Surgery 23 years experience
Variable Swelling: Variation in the size of the turbinates is a normal physiological process in all individuals, even after surgery. However your persistant complete obstruction may indicate that your first surgery may have been too conservative and needs further evaluation. Follow-up with your primary surgeon or seek a second opinion.
Dr. Jeremy White
Surgery - Plastics 17 years experience
Nasal Cycle: It is normal to have an alternation in intranasal swelling, a phenomenon called the nasal cycle. If your symptoms are severe despite septoplasty and turbinate reduction surgery, you should be re-evaluated by your surgeon. If there is no anatomic cause, nasal sprays may help. Otherwise, assuming that your post-surgical swelling swelling is down, you might have other anatomic nasal issues to address.
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Nasal Breathing: You do not mention when you had your surgery. Typically, swelling will continue to improve for 4-6 weeks. If you continue to have problems, consult with your surgeon.
Dr. Suzanne Galli
ENT and Head and Neck Surgery 25 years experience
Septum/turbs: If your surgery was in the recent past, your symptoms may indicate persistent swelling. But they may be due to the nasal cycle. please discuss your concerns with your surgeon.

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Last updated Oct 23, 2017

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