Richard Harvey Richard Harvey

The Missing Cause of Nasal Obstruction

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Many patients with nasal blockage are treated for septal deviation or turbinate enlargement, yet symptoms persist. One commonly overlooked structure is the septal swell body—a dynamic, gland-rich area of the septum that enlarges in allergy and contributes to airflow resistance. Evidence shows that treating it alongside standard surgery improves outcomes.

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Richard Harvey Richard Harvey

Why a Constant Runny Nose Isn’t Always Allergy

It All Begins Here

A persistent watery nose is often treated as allergy—but in many patients, it’s driven by overactive nerve signals within the nose. Modern treatment now targets these pathways directly through posterior nasal nerve surgery. Importantly, another overlooked structure—the septal swell body—also contributes to mucus production. Addressing both offers a more complete and durable solution.

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Richard Harvey Richard Harvey

Why Surgery Still Matters in the Era of Biologics

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Biologic therapies have transformed the treatment of chronic sinusitis with nasal polyps—but they don’t replace surgery. The best outcomes are seen when surgery restores sinus function and biologics control inflammation. This combined approach shifts the goal from symptom relief to true disease control and remission.

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Richard Harvey Richard Harvey

Why “Sinusitis” Is No Longer Enough

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The term “chronic sinusitis” is outdated and overly simplistic. Modern understanding recognises multiple disease subtypes with different causes and treatments. Moving toward precise classification allows better treatment decisions, particularly with the rise of biologic therapies and personalised medicine.

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