Sinusitis Nose

Monday, April 26th, 2010 No Commented
Categorized Under: Diseases

I’ve heard many times people ask why in the world they are sinusitis sufferers. There are many reasons but one that is not often discussed is having what is known as a sinusitis nose. This refers to a specific structural deviation or abnormality that predisposes you to having sinusitis. Most doctors only focus on one specific structurally abnormality for the nose, a deviated nasal septum. So do you have a sinusitis nose?

Well let’s look at the most common one, which is a deviated nasal septum. The nasal septum is composed of both cartilage and bone and divides the nasal passages into two sections. If this septum is deviated from the mid-line, it can occlude the sinus or nasal passageways. This occlusion very often leads to chronic sinusitis. Symptoms of a deviated nasal septum include snoring, waking up extremely tired, frequent nosebleeds or extremely dry nasal passages, and an occluded nasal passageway. Septoplasty is a quick and easy outpatient solution for severe deviated nasal septum. I’ve seen many times though that doctors quickly jump to this procedure without getting an accurate diagnosis so please make sure you see a specialist before going this route.

Another common sinusitis nose abnormality is nasal polyps. These are local proliferation of the nasal mucus forming a small mass. This mass then can cause occlusion or irritation of the surrounding tissues. It is true that sinusitis can actually cause nasal polyps but in my experience they usually precede it. In my opinion allergies are more likely the cause of this tissue growth. Chronic irritation with pollen or other allergens is the culprit. I have had a few patients where polyps have decreased by removing allergens and using some nasal irrigation techniques but it is far and few in between. Surgical removal is usually the best solution but as with septoplasty, please make sure to see a specialist to make sure.

Enlarged adenoids can mimic a nasal polyp as well. Your adenoids are lymphoid tissues which act as the “guardians”, monitoring for bacteria and viruses that you breathe in. The symptoms of enlarged adenoids are often confused with a deviated nasal septum as they are very similar. Only visualization can differentiate between the two. As with polyps allergies are most often the cause for increased adenoids. Focusing on removing allergens, dust and pollens are necessary for this solving this. Many specialists are recommending ablation, or removal, of this tissue to help. Although this can relieve symptoms there are a few studies showing that people without their adenoids have more frequent viral infections. This makes sense since not having adenoids means you lose some of the immune tissue that is responsible for keeping you healthy.

If you’ve had a history of cleft palate then you definitely are someone predisposed to sinusitis. The unfortunately thing is that there is not much you can do to help solve this one. Using sinus irrigation techniques and other immune boosting agents to help reduce any other sinusitis factors is the best treatment option for those with a history of a cleft palate.

Lastly trauma to the face can give you a sinusitis nose. As with a history of cleft palate there is not much you can do about this one unless you’re dead set on plastic surgery. There are some anecdotal reports of some who had plastic surgery to their nose experienced a decrease in sinusitis infections. This is rare but it can happen.