sinus surgery and nose job

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example2278@hotmail.com - 22 Jul 2005 22:59 GMT

1. Been thinking about possibility of having sinus surgery. Been having
Chronic congestion/inflammation for several years that worsens with any
thing that I intake that is sour or has alchohol. No runny nose and no
infections. tried everything.. nasal wash, steriod sprays, antibiotics,
allergy shots etc
Am I a candidate ?

2. Would they be able to combine this with a nose job - ie restructure
my nose to a desired cosmetic shape (within a reasonable extent - make
nostrils less wide) along with the sinus surgery as an added benefit ?

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Don Brady - 23 Jul 2005 00:09 GMT

>1. Been thinking about possibility of having sinus surgery. Been having
>Chronic congestion/inflammation for several years that worsens with any
>thing that I intake that is sour or has alchohol. No runny nose and no
>infections. tried everything.. nasal wash, steriod sprays, antibiotics,
>allergy shots etc
>Am I a candidate ?

Possibly if CT scans show blockages, thickening etc. A clinical exam. has to
be done to really say.

>2. Would they be able to combine this with a nose job - ie restructure
>my nose to a desired cosmetic shape (within a reasonable extent - make
>nostrils less wide) along with the sinus surgery as an added benefit ?

It can be done but will lengthen the surgery and maybe take the sole focus away
from doing the best sinus surgery (which is tricky enough as it is).. You
might need a plastic surgeon plus a sinsu surgeon, ot you might find both in
one person, but then you are restricting your choice of surgons.

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Steven L. - 23 Jul 2005 00:35 GMT

> 1. Been thinking about possibility of having sinus surgery. Been having
> Chronic congestion/inflammation for several years that worsens with any
> thing that I intake that is sour or has alchohol. No runny nose and no
> infections. tried everything.. nasal wash, steriod sprays, antibiotics,
> allergy shots etc
> Am I a candidate ?

Have you had a CT scan of your sinuses? If so, what did it show?

Incidentally, if you suffer from sinus problems, you shouldn't drink
alcohol at all. It is known to worsen sinusitis.

> 2. Would they be able to combine this with a nose job - ie restructure
> my nose to a desired cosmetic shape (within a reasonable extent - make
> nostrils less wide) along with the sinus surgery as an added benefit ?

I wouldn't mix the two. An ENT surgeon is usually a different person
than a plastic surgeon. And each type of surgery has a different
recovery path and different post-operative care.

Finally, while endoscopic sinus surgery is not supposed to change the
shape of your nose significantly, in my case it did. Because my septum
was so deviated and my nostrils so narrow, the surgery ended up making
my nose slightly wider and straighter. So I would suggest having the
sinus surgery and see what it does to your nose and face.

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Rich256 - 23 Jul 2005 02:27 GMT

> 1. Been thinking about possibility of having sinus surgery. Been having
> Chronic congestion/inflammation for several years that worsens with any
> thing that I intake that is sour or has alchohol. No runny nose and no
> infections. tried everything.. nasal wash, steriod sprays, antibiotics,
> allergy shots etc
> Am I a candidate ?

Go to an ENT. I rather doubt that sinus surgery would be recommended. It
is not a procedure to enter into without a good cause. After continuous
infections I finally had to consent. Fortunately it cured the infections.
Other problems still exist but I can live with them.

> 2. Would they be able to combine this with a nose job - ie restructure
> my nose to a desired cosmetic shape (within a reasonable extent - make
> nostrils less wide) along with the sinus surgery as an added benefit ?

Not done by the same doctor. Recovering from Endoscopic Surgery is enough
without other problems.

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