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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...
Surgery and Biologics in CRS: Why Combination Therapy Is the Key to Remission

Surgery and Biologics in CRS: Why Combination Therapy Is the Key to Remission

by Richard Harvey | Mar 22, 2026 | Nose and Sinus Blog

The management of chronic rhinosinusitis (CRS)—particularly diffuse type-2 disease such as CRSwNP or eosinophilic CRS—has entered a new era. Biologic therapies have transformed outcomes. But an important question remains: Can biologics replace surgery—or is the...
If “Chronic Lungitis” Sounds Wrong, Why Do We Still Say Chronic Sinusitis?

If “Chronic Lungitis” Sounds Wrong, Why Do We Still Say Chronic Sinusitis?

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

Why “Chronic Sinusitis” and “Nasal Polyps” Are Misleading Terms Understanding why modern rhinology is moving beyond these outdated disease labels For decades, patients and doctors alike have used the term chronic sinusitis to describe persistent inflammation of the...
Nasal Congestion vs Nasal Obstruction: Why Objective Nasal Airflow Testing Matters

Nasal Congestion vs Nasal Obstruction: Why Objective Nasal Airflow Testing Matters

by Richard Harvey | Mar 8, 2026 | Interesting articles on nose and sinus disease, Nose and Sinus Blog, Uncategorized

Why “Blocked Nose” Doesn’t Always Mean Blocked Airflow The importance of objective testing in nasal breathing Many patients come to clinic saying they have a “blocked nose” or “nasal congestion.” It is one of the most common symptoms in ENT practice. Yet what patients...
Sinus Surgery and Biologics in CRSwNP: The New Goal Is Remission, Not Just Relief

Sinus Surgery and Biologics in CRSwNP: The New Goal Is Remission, Not Just Relief

by Richard Harvey | Mar 1, 2026 | Interesting articles on nose and sinus disease, Nose and Sinus Blog

Remission in Chronic Rhinosinusitis with Nasal Polyps (CRSwNP): Why “Feeling Better” Is No Longer Enough For years, success in chronic rhinosinusitis with nasal polyps (CRSwNP) meant one thing: the patient feels better. But in 2025, that is no longer our goal. With...
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