Surgery for Runny Nose

Are you tired of constantly carrying tissues around to deal with your runny nose? Do you feel self-conscious when you’re in public because of your constant sniffles? If so, you may be interested in learning more about the available surgeries to correct a runny nose. Although it may seem like a minor issue, a runny nose can greatly affect your quality of life and may be a sign of an underlying medical concern. In this article, we’ll take a closer look at the different surgical options available to those looking to find a long-term solution to their runny nose woes. So, let’s dive in and explore your options!

Explanation of What a Runny Nose Is 

A runny nose, also known as rhinorrhea or rhinitis, occurs when fluid is discharged from the nose. This fluid can range from thin and clear to thick and yellow-green. It may drip or run out of the nose and down the back of the throat, a condition known as postnasal drip. Rhinitis, which involves irritation and swelling inside the nose, is usually the cause of a runny nose. It is important to understand that rhinorrhea and rhinitis are different terms. Rhinorrhea refers to the clear fluid running from the nose, while rhinitis refers to the irritation and swelling within the nose. A runny nose is a common occurrence during colds, flu, or allergies, and it doesn't necessarily indicate an infection or a serious problem.

Common Causes of a Runny Nose

A runny nose occurs when the nasal tissues produce excessive mucus, leading to a constant flow of liquid from the nostrils. While it can be bothersome and uncomfortable, understanding the causes behind a runny nose can help manage and treat the symptoms effectively.

Causes of a runny nose includes:

1. Allergies: One of the most common causes of a runny nose is allergies. When an individual comes into contact with allergens such as pollen, dust mites, pet dander, or mold, their immune system triggers an allergic response. This response releases histamines and other chemicals into the bloodstream, causing inflammation in the nasal passages and excessive mucus production.
2. Common Cold: The common cold is another frequent culprit for a runny nose. Viral infections like rhinovirus can cause irritation and inflammation of the nasal lining. As a result, the body produces more mucus to trap and eliminate these viruses from the body.
3. Sinusitis: Sinusitis refers to the inflammation of the sinuses due to infection or allergies. When this occurs, excess mucus can accumulate in the nasal cavities and drain through the nostrils, causing a runny nose.
4. Environmental Irritants: Exposure to certain irritants in our surroundings can trigger a runny nose as well. These irritants include strong odors (perfumes or chemicals), air pollution, smoke (cigarette or wood smoke), or sudden changes in temperature.
5. Spicy Foods: Eating spicy foods can also cause a temporary runny nose for some individuals. This reaction may be triggered by capsaicin—the compound responsible for giving chili peppers their heat—which stimulates nerve endings in our nasal passages.
6. Structural abnormalities: Some individuals may have structural abnormalities in their nasal passages that contribute to chronic rhinorrhea.
   

What are the Different Treatment Options for a Runny Nose?

Non-Surgical Options

Home remedies

There are several home remedies that can help provide relief for a runny nose. One popular method is steam inhalation, where you lean over a bowl of hot water and breathe in the steam. This can help loosen mucus and promote better drainage. Another option is to drink warm fluids like herbal tea or warm water with honey and lemon, which can help soothe your throat and thin out mucus. Using a humidifier in your bedroom at night can also add moisture to the air and make it easier to breathe. Additionally, applying a warm compress to your face for 10-15 minutes can help loosen mucus and encourage drainage. These natural remedies can provide relief.

Medications

When it comes to treating a runny nose, medications can be an effective option. There are different types of medications available that can help alleviate the symptoms. One such medication is Ipratropium and in severe cases, your healthcare provider may prescribe a corticosteroid nasal spray. Additionally, there are also over-the-counter medications that can provide relief, such as decongestants and antihistamines. These medications work by reducing nasal congestion and addressing the underlying trigger of the runny nose, whether it's allergies or a cold. It's important to follow the recommended dosage and consult with a healthcare professional before starting any medication.

Surgical Options

If medications and other treatments haven't provided relief, you may need to consider a surgery. There are several surgical options tailored to address specific issues and promote better nasal drainage.

Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery is a minimally invasive procedure used to treat sinus-related problems. The main objective of FESS is to enhance sinus aeration and improve mucociliary transport by enlarging the sinus ostia.

Balloon Sinuplasty

Balloon Sinuplasty is a minimally invasive procedure used to treat chronic or recurrent sinusitis that hasn’t responded to medical therapy. During this procedure, small balloons are used to dilate the sinus openings, allowing them to drain better. The objective of this procedure is to provide permanent results without requiring implants or additional support.

Nasal Cryotherapy

Nasal cryotherapy is a treatment that uses controlled cooling of the nasal mucosa, specifically the area above overlying the posterior nasal nerves cavity. The purpose of this treatment is to interrupt the signaling pathway responsible for causing a runny nose (rhinitis). In general, this minimally invasive procedure is performed in a medical office using endoscopes for visualization



Nasal Radiofrequency (RF) Energy Treatment of the Posterior Nasal Nerves.

Nasal Radiofrequency (RF) energy treatment is an office-based procedure performed via an endoscope, which delivers an RF thermal device to the posterior mucosal nerves (PNN), specifically targeting and relieving symptoms from rhinitis. The neural bundle is warmed by applying low-level RF energy, which interrupts signaling toward the brain that results in symptoms of rhinitis.

Choosing the right surgeon for a surgical treatment option

When preparing for surgery, it's important to choose the right surgeon. Look for a qualified, experienced, and board-certified surgeon who specializes in your type of surgery. You can also check their credentials, reviews, and ratings. Additionally, make sure to complete all pre-op procedures and tests, and follow your surgeon's instructions regarding medications, eating, drinking, and personal hygiene. Bring your identification, insurance card, and any necessary items with you. Finally, arrange for a responsible adult to drive you home after surgery and stay with you for the first 24 hours. Remember to contact your doctor immediately if you experience any changes in your health before surgery. 

Conclusion

A runny nose can have various causes ranging from allergies and colds to sinusitis and environmental irritants. Other than providing relief, most symptoms are solved by applying effective treatments whether by medications or surgical procedures. By understanding the underlying causes and exploring appropriate treatment options, individuals suffering from a runny nose can find comfort and regain control over their daily lives.

Medical Reviewers

Last Review Date: July 2023

Content Reviewers:

• Dr. Jeffrey Nau, MD
• Dr. Joseph J. Creely, MD
• Dr. Bryan Murphy, MD
• Dr. Thomas Higgins, MD, MSPH