Sir, My age 23y suffering from persistent headache and cough with minor fever due to sinus problem from almost 8+ years. I was treated by lots of antibiotics, decongestant, nasal spray but all gone in vain. My CT PNS showed blockage of bilateral infundibulum and maxillary antrum due to large bilateral haller cells And mild polypoidal mucosal thickening in both maxillary sinuses. Which I think allergic and fungal. In addition there is thickening of both inferior nasal turbinates. I lost somewhat food taste and severe allergy to foods. I feel like some solid in my sinuses and severe tightness below nose which make my breathing difficult and painful. I want sinus surgery done for this please help me and also tell the cost. Thank You.

Dr. Parveen ChawlaENT Specialist23yrs exp

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Weather change and anatomical variation of the nose leads to change in the aerodynamics of the nose hence leads to watery nose this most of the time is over snsitivity on nose to outer environment, and we consider this as allergy all the time. Sinus is a normal roomy structure around nasal cavity its infection called sinusitis, if a person suffering from nasal obstruction along with sinusits and mild to moderate nasal allergies it means most probably he is suffering from dns (deviated nasal septum. Nasal obstruction is because of the deviated portion of the nasal septum (this is the bony partition of the nose cavity. Allergies are because of the hampered muco-ciliary mechanism (normally mucus is produced in the nose to moisten our nose cavity, oral cavity, and help food bolus to move downward, this mucus is basically moves on the cilia of the nasal mucosa) this mechanism gets hampered and mucus start accumulating in the nose and sinus cavity which is why thick mucus comes from nose in patients of nose obstruction and person develops sinusiits. When a surgeon removes the nasal septum deviation has not been removed properly the symptoms persists, and patient thinks that the nose bone has again regrown. It is not because of regrowth but because of half surgery done or due to the non removal of the deviation (reason can be many) nowadays nasal septal deviation can be removed endoscopically. Everything is explained in this, I hope this will benefit you. 

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