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Q. What could be the reason for right-side nasal blockage after septoplasty?

Answered by
Dr. Akshay B K
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 01, 2022

Hello doctor,

I had my septoplasty last year, which improved my nose blockage by 90 percent, but every night while sleeping, one side of my nose is still blocked. I used to sleep in a fixed position on the right side, and mostly the right side of my nose is blocked. I also have allergic rhinitis.

Kindly help.

Thank you.

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#

Hello,

Welcome to icliniq.com.

I understand that post septoplasty, you have nose blockage. But, as you said, mostly it is on the right only. My questions are:

1. Are you sure that the other side has no obstruction because alternating nasal obstruction will usually be due to allergic rhinitis?

2. Along with septoplasty, was turbinectomy or rhinoplasty also performed?

3. Are you taking any oral medication or nasal sprays?

Thank you.

Hello doctor,

Thank you for your response.

Yes, there is a blockage on both sides, but as I said, it is mainly on the right side nose. I usually sleep on my right side, and it is slightly blocked when I move to the left side. Currently, I am not taking any medications.

Thank you.

#

Hello,

Welcome back to icliniq.com.

Considering your symptoms, I think the nasal obstruction might be due to allergic rhinitis. After consulting your specialist doctor, you must start oral anti-allergic medications and nasal sprays.

I hope I was helpful to you.

Thank you.

Hello doctor,

Thank you for your response.

I forgot to mention that turbinoplasty was performed, and polyps were also removed a year back. Is there any chance of deviating nasal septum happening again?

I asked my surgeon this question, and he said there was no chance as the extra bone was removed during the surgery. But looking at the blockage on the right side, I am confused about recurrence.

Kindly help.

Thank you.

#

Hello,

Welcome back to icliniq.com.

Since the polyps were also removed, there might be a recurrence of the polyps, and this can be one of the causes of your nasal obstruction. However, deviated nasal septum (DNS) does not recur once removed as the deviated bone or cartilage would have been removed, and it cannot grow back.

1. Are the polyps bilateral or unilateral?

2. When was the last time you consulted your ENT (ear, nose, and throat) specialist post-surgery?

3. Did the surgeon do a proper manual or endoscopic nasal examination and rule out the recurrence of polyps?

Kindly answer these questions for further reference.

Thank you.

Hello doctor,

Thank you for your response.

Polyps were bilateral, and the doctor did a routine checkup every month after the surgery. I made three visits post-surgery. My last visit was ten days back, and he did an endoscopic examination and said that the sinuses are opened after surgery and may be mainly due to an allergy. Nasals were clear, and there were no signs of polyps.

He prescribed Fluticasone nasal spray and Bilasure M for five days. Using these medications gives me total relief, but after stopping nasal blockage comes back.

I have cats at home. Can allergies occur due to cats or dust mites?

Kindly help.

Thank you.

#

Hello,

Welcome back to icliniq.com.

I am glad that the endoscopy was done and that you are free of polyps. Cat hairs and dust mites are the most common causes of allergic rhinitis.

Please continue using tablet Bilasure M (Bilastine and Montelukast) and Fluticasone nasal spray (corticosteroid) daily (consult your specialist doctor, talk with them and take medications with their consent). It has to be used continuously and should not be stopped on a short-term basis.

I hope I was helpful to you.

Thank you.


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