This is the third time I have tried this post.
A lot of the time i the letters for validation are so smushed together
that it is not clear what they are.

I was much more lucid the first two times.

I have been trying to decide how to respond to your post before it
goes poof.

First I would see about getting vaccinated against HPV and HI. Both
vaccinations are available now and both are known to play a role in
sinusitis.
It really helps if the ENTs know what the problem is. There is a
paradigm that the sinuses swell due to allergic inflammation and
become infected with bacillus due to anarobic conditions created by
the swelling. This theory holds that the only thing that is necessary
to create healthy sinus ecology is to open the sinuses up to O2 again.
The problem is that if a virus kills off the cilia and goblet cells,
the bacteria can do it all themselves, they can cause the inflammation
that closes off the sinuses and they are faculative anarobes, which
means that while they can do without O2 they can do just fine with
it.
I dislodged a peice of biofilm from the area of my adenoids that was .
5 inches thick, .5 inches wide 1.5 inches long and highly elastic.
That is thick enough to block just about anything. If that is all you
have, squishing something like that flat with a balloon is not going
to do much more than waste your time and energy, it just bounces back.
Outside the San Diego Naval Hospital, and Penn I doubt that there 10
ENTs in the country that know the enemy, biofilms and nasal warts,
well enough to guard against post operative reinfection. Most people
that I know who have had surgery have lived life in varying degrees of
relapse.

The exception are a couple of people that I know that had heavy
antibiotics before and after surgery. One I know  had Sproanox for 6
weeks before and after surgery. This guy had radio ablation and was
symptom free the last time I saw him, which was 3 years after the
surgery.

I am not saying that you would not benefit from surgery, especially if
you turn out to have some form of nasal squamous papilloma due to
HPV.
http://www.ncbi.nlm.nih.gov/pubmed/18421612?ordinalpos=1&itool=EntrezSystem2.PEn
trez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
http://www.ncbi.nlm.nih.gov/sites/entrez
These can turn into some of the most invasive tumors known to man, and
probably need to be cut out pronto.

HPV has a stigma as a social disease, but it is found in the sinuses
of dolphins and whales too, so I hypothesize that it is actually
transmissible in seawater at certain temperatures.

Again, I think the key to your being happy with your surgical results
it finding an ENT who knows what they are up against and has a plan to
keep the bugs at bay long enough for the area to heal after the
surgery.

Oh and you might drink plenty of Welches Concord Grape Juice. The blue
pigment attaches to the bugs. Otherwise the film will just be mostly
clear when the doc looks at it, and he won't see much.
but you could make him mad, as I did with my infectious disease
consult. i had used congo red and methyl blue and victora green and a
yellow dye I can't remember in preparations a various times, looking
for something that would diffuse into the biofilm rapidly and kill it.
Evidently when he looked at my adenoids he saw multicolored patches
and he did not react well.