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Post Surgical Nasal Sinus Dysfunction/ENS

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

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@nrd1

@bride-thank you for adding in your comments. And it is great to hear that you had met with someone who was honest.
• The only way people or perspective surgical patients will get this information is by sharing it.

Many patients are unaware that when they get a referral or ask for a referral to an ENT that they are meeting with a surgeon. And that by the time you end up there, they are prepared for you to be ready to elect for a surgery.
•There is a code of silence in medicine. Especially in the ENT community, as the procedures that they offer make them a lot of money in a small amount of time. With little to know evidence that they actually work.
•Just to shed some light to help understand. Take a septoplasty for example. If you look at the “risks” that John provided from Mayo. Perhaps it would help to understand how a “hole” in the septum happens and how bad that can be. The skin is cut and lifted away from the septal cartilage. From there, the cartilage is shaved and cut in a chisel like way. The ENT has no way of telling if your cartilage is thick enough to withstand the chiseling and rocking back and forth of this cartilage, which is what shapes and holds your entire nasal cavity. If a hole is punctured through, which is very common, this is very hard to repair. Their are only a handful of doctors who are comfortable truly repairing this. So now you are left to find someone who can help with a new issue that you never had.
•I have spoken with a very reputable ENT at Stanford whom admits that half of the time, they do not even know how or why these procedures work. He also informed me that ENTs do not fully understand how the nose even works/functions. They are trained to “remove” things that look like they shouldn’t be there. They are not educated on the inflammatory/immune response, nor the cross over of the cranial nerve innervation to the neck and face. And the last thing their are equipt to assess is facial pain.
90% of the time the only doctors that should assess/address issues associated from the neck up should be a GP/Neurologist/Allergist/Dermatologis

This selection of doctors will help get to the root cause which is systemic and not driven by anatomy.

Much of this is genetic predisposition and how your body responds systemically. It has to be addressed from the inside.

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Replies to "@bride-thank you for adding in your comments. And it is great to hear that you had..."

I feel I need to respond here just to say that not everyone has a bad outcome, and that sometimes the surgery is necessary.

Age a teen, I had a badly broken nose, and the GP said we needed to "keep an eye on it." In my 20's and 30's I had a constant round of sinus, ear and throat infections. After over 2 solid years of antibiotics, sprays and exams, at 40 my ENT said "Enough - the sinus cavities are now completely filled with nodules that are probably all infected. The side with the deviated cartilage is so narrow I can no longer scope it. We need to do surgery." I had the very painful surgery and recovery, but he was able to clean things out and reset the septum, and I had no complications.

Fast forward 30 years - I can count the number of ear and sinus infections since the surgery on one hand.

The takeaway - If anyone asked for my opinion, I would tell them it would be MY choice of last resort, but in the end, I am very happy I had it done. It improved my health immensely, so the benefit was worth the risk.

Has anyone else had sinus surgery that turned out well?

Sue

Thank you so much! I know I'm suffering from a butcher surgeon in Texas.

So sorry for your pain and suffering. I have a minor problem with my nose such that when I talk for awhile, as teachers must do, my nose gets completely blocked and I can’t get any air in through the nose. It takes several hours to unblock. I was going to see an ENT doctor about this but after having read your testimonial I have changed my mind. Thank you for your advice.