This involves making an incision on the side of the nose extending down from the eyebrow in a semi-circle to allow more complete resection of the ethmoid sinuses. The makers of Ocean are advocating the use of Singulair dissolved in Ocean as a treatment for nasal polyps. It is critical that patients be evaluated for outside agents which may exacerbate sinusitis. As stated elsewhere, tobacco smoke causes paralysis of the cilia and must be avoided if one is to hope to treat sinusitis adequately. The same applies for marijuana smoke.
Alcohol can also cause dehydration, forgetfulness concerning medications, and in some cases allergy.
We have found that patients on virtually all antidepressants as well as antihistamines can have an excessive amount of dryness in the sinuses and become symptomatic as a result. A report by Dr. Steinsvag from Norway suggests that a preservative called benzalkonium chloride, which is contained in almost all AQ formulations of nasal spray may cause loss of cilia from the nose. It is also in Ocean and Ayr. Whether it can cause worsening of nasal symptoms is unclear at this time. We often suggest that patients start on preventive treatment at the first sign of developing upper respiratory symptoms.