Patient Question: Disease:My nose is uncomfortable when the weather changes and I feel a foreign body between my nose and throat Description:Hello, my nose is uncomfortable when the weather changes and I often feel a foreign body between my nose and throat. The first one said the septum was too deviated and recommended surgery, which cost 4-5,000, and the second one said it was rhinitis and recommended surgery, which cost 4-5,000.
I would like some help:Are these two doctors talking about the same disease? Is the surgery the same procedure? I always feel weird.
The hospital department visited: Nanyang Central Hospital Ear, Nose and Throat Nanyang City Health School Affiliated Hospital Ear, Nose and Throat Beijing Chaoyang Hospital Ear, Nose and Throat Liu Jinfeng Reply: Rhinitis is a vague diagnosis containing many nasal discomforts. For example, nasal obstruction, headache, loss of smell, and runny nose.
The effects of deviated septum are mainly nasal obstruction, as well as nasal bleeding and headache.
Surgery can correct the effect of deviated septum on nasal aerodynamics and improve nasal ventilation.
However, one should not have high hopes for septal deviation surgery.
At the same time, there must be indications for surgery for deviated septum, because the septum is basically not completely straight geometrically speaking. As the saying goes, nine out of ten people are deviated. Clinically, nasal septal deviation is only called pathological nasal septal deviation if it causes nasal dysfunction or produces symptoms, and only then does it require intervention.
Several indications are available for reference 1. Long-term persistent nasal congestion caused by nasal septal deviation.
2.High deviation of septum affects sinus drainage and causes sinusitis.
3.Recurrent rhinorrhea or secretory otitis media due to septal deviation.
4.Reflex headache caused by deviated nasal septum, which is ineffective by conservative treatment.
5.Vasomotor rhinitis (structural rhinitis) with obvious deviation of the nasal septum.
6.Patients with allergic rhinitis or bronchial asthma who have severe deviation of the nasal septum and whose treatment by other methods is ineffective.
Treatment recommendation: Assess whether it is related to nasal septal deviation when treatment with medication is ineffective first. If the mucosal inflammation is flushed alone, surgery does not improve it.