Nose, Sinus & Airway Care in Bangalore

Persistent Nasal Blockage & Failed Septoplasty

Many patients undergo septal surgery only to find their nasal obstruction persists unchanged weeks or months later. A straight anterior septum does not guarantee a functional airway.

Common reasons for persistent blockage include:

• High or Posterior Septal Deviations: Deflections near the skull base or posterior bony spurs that were unaddressed during initial surgery
• Nasal Valve Collapse: Weakness of the lateral nasal wall cartilage where the nostril collapses inward during normal inspiration
• Turbinate Dysfunction: Either untreated enlargement crowding the airway or excessive resection that impairs airflow sensation

Endoscopic assessment confirms whether the issue is structural, dynamic, mucosal, or a combination requiring revision correction.

Chronic Rhinosinusitis & Nasal Polyps

Chronic sinus inflammation lasting longer than 12 weeks disrupts normal drainage pathways, leading to trapped mucus, bacterial colonies, and polypoid swelling. Patients experience constant congestion, facial fullness, thick post-nasal drip, and reduced smell.

When comprehensive medical management fails, Functional Endoscopic Sinus Surgery (FESS) widens natural drainage ostia and clears diseased tissue while preserving normal mucosa to restore self-cleaning clearance.

Dental Sinusitis (Odontogenic Sinusitis)

The floor of the maxillary sinus lies directly over the roots of the upper molar and premolar teeth, often separated by only a paper-thin layer of bone or bare mucosa. Up to 40% of chronic, single-sided maxillary sinus infections originate from dental problems rather than typical colds or allergies.

Symptoms typically involve persistent, foul-smelling unilateral discharge, facial pressure, or recurring infections following dental implants, root canals, or extractions. Resolving the problem requires treating both the sinus drainage pathways and the dental source together.

Oro-Antral Fistula (OAF)

An oro-antral fistula is an unnatural communication between the oral cavity and the maxillary sinus, most frequently occurring following the extraction of an upper molar whose roots projected into the sinus cavity.

Patients notice air escaping into the mouth when blowing the nose, liquids entering the nasal passage while drinking, or persistent, unpleasant discharge. Successful repair requires clearing the underlying secondary sinus infection and performing a tension-free surgical flap closure to ensure permanent healing.

Sphenoid Sinus Disorders

The sphenoid sinus sits deep at the skull base, directly bordered by critical structures: the internal carotid artery, the optic nerve responsible for vision, the cavernous sinus, and the pituitary gland.

Isolated sphenoid sinus disease can easily be missed because it rarely causes a runny nose. Instead, it frequently manifests as a deep, non-throbbing headache felt at the crown of the head or behind the eyes, or unexplained visual disturbances. Navigating and treating isolated sphenoid lesions, fungal balls, or mucoceles demands absolute anatomic precision.

Allergic Rhinitis & Turbinate Hypertrophy

Chronic environmental allergies cause the inferior turbinates to swell persistently, leading to severe alternating congestion, mouth breathing, and sleep disturbance.

When medical therapy provides insufficient relief, targeted turbinoplasty or radiofrequency volume reduction reduces the swollen tissue shelves while preserving the mucous membrane needed for airway humidification.