Is a surgery mandatory for nasal turbinate issues?

Question

Hello doctor,

I have a problem of nasal congestion for almost 15 days now. It started with running nose first and then the nose got blocked. In the past, I have taken antibiotic for eight days. For three days, I had taken Augmentin 375 twice a day and Erythrocin 500 one tablet a day for five days. I had shown it to an ENT specialist at my place. He has done endoscopy and diagnosed some turbinate issue in my nose for which he has suggested laser treatment. I would like to have second opinion on the same, to reaffirm whether it is required at this stage? I am a 46 year old male with no past medical record on this. If not required then what could be the treatment? I am attaching the diagram drawn by doctor after endoscopy. Red marking is the issue shown. Please let me have a detailed opinion. Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

If the problem is only for 15 days, then in my opinion, surgery can be withheld now. If you have any long-standing problem like nasal obstruction, nasal discharge, sneezing, post-nasal drip or allergic symptoms then you may go ahead with surgery. Your nose has septal deviation and turbinate (structures present on side walls inside the nose)hypertrophy (enlarged) according to the diagram (attachment removed to protect patient identity). If you are not going for surgery, then use topical nasal spray for three weeks.

Answer 2

Hi,

Welcome back to icliniq.com.

Fluticasone nasal spray once daily in both nostrils for three weeks.