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Septal deviation and big turbinates is not a diagnosis

Septal deviation and big turbinates is not a diagnosis

by Richard Harvey | May 10, 2026 | Nose and Sinus Blog

“Septal deviation and big turbinates” is not a diagnosis: why nasal obstruction often returns after surgery One of the commonest referral patterns I see as a tertiary rhinologist is the patient who has had nasal surgery, initially felt better, and then slowly...
Why ENT Surgeons Must Review Sinus CT Scans — Not Just the Report

Why ENT Surgeons Must Review Sinus CT Scans — Not Just the Report

by Richard Harvey | May 3, 2026 | Nose and Sinus Blog

Australia has one of the most accessible and high-quality radiology ecosystems in the world. In NSW in particular, a competitive private imaging market has delivered rapid access, excellent technology, and broad geographic coverage. For patients, this is a clear...
Septal Swell Body The Overlooked Cause of Nasal Obstruction

Septal Swell Body The Overlooked Cause of Nasal Obstruction

by Richard Harvey | Apr 15, 2026 | Interesting articles on nose and sinus disease, Nose and Sinus Blog

The Septal Swell Body: The Missing Target in Nasal Obstruction Surgery Despite decades of refinement in nasal airway surgery, one structure continues to be consistently overlooked: the septal swell body (SSB). While inferior turbinate reduction and septoplasty...
Watery Nose Treatment: Why PNN Surgery and Septal Swell Body Matter

Watery Nose Treatment: Why PNN Surgery and Septal Swell Body Matter

by Richard Harvey | Apr 5, 2026 | Interesting articles on nose and sinus disease, Nose and Sinus Blog

Treating a Watery Nose (Rhinorrhea): Why Targeted Nerve Surgery Is Changing Practice A persistently watery nose—rhinorrhea—is one of the most common yet poorly understood symptoms we see in rhinology. Patients often arrive having been treated repeatedly for...
Lateral Sphenoid CSF Leak: Why the “Transpterygoid” Debate Misses the Real Surgical Question

Lateral Sphenoid CSF Leak: Why the “Transpterygoid” Debate Misses the Real Surgical Question

by Richard Harvey | Mar 29, 2026 | Interesting articles on nose and sinus disease, Nose and Sinus Blog

Repairing a spontaneous nasal CSF leak in the lateral sphenoid is one of the more misunderstood operations in endoscopic skull base surgery. At a recent national meeting, I was struck by how often panelists used the term “transpterygoid approach” while clearly...
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