Chronic nasal obstruction is one of the common complaints for which a patient consults the rhinologist. Many such patients travel from one physician to another because they fail to receive relief from the obstruction and its associated discomforts.
The anatomic deformities, either developmental or the result of injury, are easily diagnosed. These include deviated nasal septum, nasal spurs, bullous turbinates and atresia. The treatment of such conditions is surgical.
Abnormal growths may also produce nasal obstructions. Adenoidal hypertrophy, chondroma, papilloma, osteoma and nasopharyngeal fibroma are benign lesions which may occlude the nasal or epipharyngeal airway. Surgical removal is the method of choice. Nasopharyngeal fibroma treated with x-rays or radium before surgery reduces the vascularity of this tumor. Cancers of the sinuses occasionally occur and eventually involve the nasal passages. Discussion on such cases, which require radical surgery and irradiation, is not within the scope of this paper.
Chronic inflammatory lesions
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