I get runny nose with small bony defect in ethmoid region. Do I need surgery?

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Sure, you need surgery to correct DNS (deviated nasal septum) or to resect hypertrophied turbinate, and to close the bony defect. The operation has a high success rate, as it will be an endoscopic nasal operation. There are some complications such as bleeding, orbital fat herniation, orbital hematoma and injury of the brain as the defect is at the base of the skull. Do not get panic. All these complications are rare when done under a well-trained surgeon. Please send your CT scan report.

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If you have normal breathing with no problems with inspiration and snoring, so you can avoid surgical correction of your septum. Also, you can use intranasal corticosteroid spray for hypertrophied turbinates. The surgery is optional for DNS and hypertrophied turbinates. But the bony defect in the roof of the ethmoid must be corrected surgically, and it is not optional. Until you undergo surgery, you have to know about the precautions. Avoid sneezing, cough, straining, crying and anxiety. Even if you have to sneeze obligatory, you have to open your mouth while sneezing to make sure that the pressure comes out from the mouth.

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Please say whether you analyzed the secretion coming from the nose. If it is mucosal nasal secretion, then the treatment is an intranasal corticosteroid. If the fluid is cerebrospinal fluid, it comes from the bony defect, and the only remedy is a surgical operation to close the existing defect. I studied the scan carefully, and I can see the small bony defect.

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If the nasal discharge is cerebrospinal fluid, it comes from the bony defect, and the surgery will completely solve the problem. If the nasal discharge is a mucus, then the dental and turbinate surgery can decrease the symptoms. But it will not solve the problem completely. The side effects are profuse bleeding due to an injury of any main blood supply, orbital fat herniation, orbital hematoma and cerebrospinal fluid leak due to iatrogenic meningeal injury. All these previous side effects are uncommon with a well-trained surgeon. You can leave the hospital in two days, and you need complete rest for a week at home under medical treatment. Go ahead for surgery to close the defect. Septal and turbinate surgery is not mandatory especially, as you do not have breathing problems.

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You need functional endoscopic sinus surgery. This surgery is performed with the help of endoscopes. So there are no external incisions. Usually, the defect is closed by a fatty tissue or synthetic cement according to the size of the defect and the surgeon choice.

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Do it as quick as possible. Today is better than tomorrow. Till the time of surgery, avoid straining, sneezing, coughing and anxiety.

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Yes, it can be the main cause.

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You need to do liver and kidney function tests, bleeding profile, electrocardiogram, complete blood picture, fasting, and postprandial blood sugar.