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@seekinginfo (@nrd1)

Post Surgical Nasal Sinus Dysfunction/ENS

Ear, Nose & Throat (ENT) | Last Active: Sep 16, 2023 | Replies (28)

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@nrd1, My Mayo ENT basically told me surgery can end up making it worse and end up requiring an additional surgery if there are complications. He went over pretty much the same thing as is described on the Mayo website for septoplasty risks - https://www.mayoclinic.org/tests-procedures/septoplasty/about/pac-20384670

Since my deviated septum is not life threatening but more bothersome for the quality of life we talked about some options that could improve the breathing. What we are trying now that is working pretty good for allowing me to breath better through both nostrils is a twice a day nasal rinse (morning and evening) followed by 2 sprays in each nostril of a Mayo Clinic proprietary nasal spray. The nasal spray contains Mometasone for inflammation, Ipratropium to reduce nasal drainage and Diphenhydramine an antihistamine to also help reduce nasal drainage. I'm into my 3rd month of using it now and it is working much better than I expected.

Are you have nasal problems from a surgery?

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Replies to "@nrd1, My Mayo ENT basically told me surgery can end up making it worse and end..."

@johnbishop-you are very fortunate you had an honest ENT whom told you it could make your situation worse.

Knowing what I know now, and hearing from so many people who’ve suffered bad outcomes, I can’t believe these surgeries are still offered.
They should be saved only if someone has been in an accident and has broken their nose and require reconstruction.

Yes. I have experienced irreversible damage. Neurologically, functionally and systemically now.

I should mention that I only found this forum when trying to find answers online, as how to cope and manage effectively. When I reached out to Mayo Clinic and explained the issues. I was accepted through Neurology first, as the ENTs knew nothing they had do offer could help. Patients can not trust the statistics that ENTs provide as “rare” occurrences as most surgical damage or “failed” surgery is never truly captured. I know my surgeon did not acknowledge my post surgical condition and started referring me out to other specialty’s. I am just one of many cases not included in the “rare” statistics. Which is why more awareness needs to be brought to the public when looking for advice before surgery. Surgeons only report the happy outcomes to their stat sheet.

I think the ENTs at Mayo, over the years have probably seen so many cases of people from all over looking for answers from unnecessary surgeries, that they most likely do their best to persuade people as they know medical management/therapy is truly the only thing can help nasal/sinus issues. Years and years of mis-information is now catching up with the ENT community. They are just now admitting that they need to be better at understanding how immunology plays a role in the nose and that these are systemic issues and not anatomical issues. Hence all the “failed” or need for “revision” surgeries.

John, I have a deviated septum that, after surgery years ago, was different but no better. I consulted with a few ENT surgeons and studied 'second surgery studies and the caution from surgeons that I could possibly be no better off with another surgery. (The first surgery left me with less cartilage, ergo less structural material.)

One of the best surgeons I could find, who advised against surgery, started offering the Vivaer radio-frequency protocol a few years later. I had that and it increased breathing comfort significantly with no cosmetic difference and no further loss of cartilage.

Hi John,

I have been considering septoplasty, but would like to try the Mayo Clinic proprietary nasal spray. How does one procure it? Thanks!