We strongly oppose aggressively resecting inferior turbinate tissue as we believe that it is very important tissue for nasal breathing. It has nerve fibers that sense airflow, and it also provides resistance to nasal breathing, which seems to be important. In the absence of these two factors, atrophic rhinitis can occur.
Many patients who have nasal obstruction have sinusitis. It is important to remind you that the most common presenting symptom of sinusitis is nasal obstruction. With this in mind, a large number of patients who have nasal obstruction have chronic sinusitis and this should be identified and treated. Most commonly this can be treated with medical therapy; however, at times surgery may be of benefit.
This CT scan belongs to a patient who has severe nasal blockage from her sinuses, perhaps more than most. Endoscopic exam in this patient and others like her will show significant swelling of the mucous membrane lining and also will show thick abnormal discharge.
At times, pollops are discovered in patients who have sinusitis, as shown here :