Nasal Issues: Post-Surgery Concerns and Symptoms Explained - Otolaryngology

More Info

---

Hello! Thank you for your question regarding your nasal issues and post-surgery concerns. It sounds like you are experiencing a range of symptoms that can be quite distressing. Let’s break down your concerns and provide some clarity.

Firstly, regarding your question about the inferior turbinate (下鼻甲) after laser surgery: Yes, it is possible for the inferior turbinate to become enlarged again after surgery. This condition is known as turbinate hypertrophy. The extent and timing of recurrence can vary significantly from person to person. Factors such as underlying allergies, environmental irritants, and anatomical predispositions (like your nasal septum deviation) can influence this. Generally, if the underlying causes are not addressed, there is a chance that the turbinate may regrow or become hypertrophied again within a few months to years after the procedure.

Your symptoms of feeling heavy-headed, experiencing headaches, and waking up with nasal congestion and post-nasal drip (where nasal mucus flows down the back of your throat) could indeed be related to your deviated septum. A deviated septum can obstruct airflow in one or both nasal passages, leading to chronic nasal congestion, which can cause headaches due to increased pressure in the sinuses. Additionally, when you sneeze, if there is obstruction, mucus may not drain properly, leading to the sensation of it flowing backward.

It’s also important to consider other potential causes of your symptoms. Chronic sinusitis, allergic rhinitis, or even non-allergic rhinitis could contribute to your nasal congestion and headaches. If you have a history of allergies, they could exacerbate your symptoms, especially if you are exposed to allergens like dust, pollen, or pet dander.

To address your concerns effectively, I recommend the following steps:
1. Consult an ENT Specialist: Since you have a history of nasal surgery and are experiencing ongoing symptoms, it would be beneficial to see an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, possibly including nasal endoscopy, to assess the current state of your nasal passages and determine if there is any obstruction or other issues.

2. Allergy Testing: If allergies are suspected, consider undergoing allergy testing. Identifying specific allergens can help in managing your symptoms more effectively, possibly through avoidance strategies or medications.

3. Nasal Saline Irrigation: Regularly using saline nasal sprays or performing nasal irrigation can help keep your nasal passages moist and clear out mucus, which may alleviate some of your symptoms.

4. Medication: Depending on the findings, your doctor may recommend medications such as antihistamines for allergies, nasal corticosteroids to reduce inflammation, or decongestants to relieve nasal congestion.

5. Lifestyle Modifications: Pay attention to environmental factors that may trigger your symptoms. Keeping your living space clean, using air purifiers, and avoiding known irritants can help.

6. Follow-Up: Regular follow-ups with your ENT specialist will be crucial in monitoring your condition and making any necessary adjustments to your treatment plan.

In summary, while it is possible for the inferior turbinate to enlarge again after surgery, your symptoms may also be influenced by other factors, including your deviated septum. A comprehensive evaluation by an ENT specialist will provide you with the best course of action to address your concerns. Don't hesitate to reach out for further assistance, and I hope you find relief soon!