ENT for Sinus Issues in Adults

Nose & sinus conditions in adults

Nose and sinus conditions in adults, including nasal obstruction, chronic nasal congestion, sinusitis and recurrent nosebleeds, are common and can meaningfully affect breathing, sleep quality and everyday comfort. These issues often arise when inflammation, infection or structural narrowing within the nasal cavity disrupts normal airflow and drainage.

Fortunately, many of these conditions are highly treatable and can improve with appropriate medical treatment. An early ENT assessment can clarify the underlying cause, guide appropriate treatment and help improve your overall quality of life.

Understanding nasal and sinus function

The nose and sinuses play essential roles in breathing, filtering air, humidifying it, and clearing mucus.

Inside the nose, the septum divides the nasal passages, and structures called turbinates help warm and humidify air.

Sinuses are air-filled spaces behind your cheeks, forehead, and between your eyes, which produce mucus to trap dust and germs.

When anatomical or inflammatory problems disrupt these natural processes, symptoms such as congestion, discomfort, and infections can occur.

Common nose and sinus conditions

Deviated septum

A deviated nasal septum occurs when the internal wall dividing the nasal passages is significantly bent or displaced, often due to injury or congenital factors.

This can cause blocked nasal airflow, snoring, a dry mouth from mouth breathing, and poor quality sleep. 

A deviated septum can also lead to recurrent sinus infections and chronic nasal congestion.

A deviated septum can result in chronic nasal congestion and be associated with recurrent sinus infections.

Enlarged turbinates

Inferior turbinates are bony structures covered by soft tissue inside your nose, essential for warming and humidifying the air you breathe.

Chronic swelling, often due to allergies or persistent inflammation, can cause turbinate hypertrophy, significantly obstructing nasal passages and causing persistent congestion and difficulty breathing.

Chronic sinusitis

Sinusitis is inflammation of the sinus lining.

Acute sinusitis often resolves quickly, but chronic sinusitis persists for more than 12 weeks, causing ongoing symptoms such as nasal obstruction, facial pressure, nasal discharge, reduced sense of smell, and post-nasal drip.

Factors like nasal polyps, anatomical narrowing, or persistent inflammation can worsen this condition.

Structural obstruction or nasal valve collapse

In some cases, external nasal structures or nasal valve areas collapse or become weakened, significantly obstructing airflow.

These structural issues may result from trauma or anatomical variations and can severely impact breathing.

Complex cases may require structural correction through procedures that address nasal airflow, including forms of nasal obstruction surgery, when non-surgical management is not sufficient. 

When to seek ENT assessment

Signs you shouldn’t ignore

Consider seeking specialist ENT assessment if you experience:

  • Persistent nasal obstruction or congestion
  • Frequent sinus infections
  • Continuous mouth breathing or poor sleep quality
  • Persistent nasal discharge or nosebleeds
  • Difficulty using CPAP equipment due to nasal blockage

Importance of early intervention

Early assessment and treatment by an ENT specialist can substantially improve your comfort, reduce the risk of recurring infections, and support long-term sinus health.

Untreated conditions like septal deviations or enlarged turbinates can worsen over time, potentially leading to complications that become harder to manage effectively.

Supporting your nasal health long-term

You can support long-term nasal and sinus health by:

  • Avoiding nasal trauma and excessive nose-blowing

  • Regularly using saline nasal rinses as directed

  • Managing allergies proactively

  • Avoiding smoking, which impairs nasal healing and mucus drainage

Surgical procedures offered by Dr Phillips

Endoscopic Sinus Surgery (ESS)

A minimally invasive procedure to clear blocked sinuses, improve breathing, and reduce chronic infections when medications no longer help.

Functional Open Septorhinoplasty

Surgical correction of internal and external nasal structures (including septal deviation) to improve airflow, relieve obstruction, and support stable breathing.

Nasal Cautery

A simple procedure to seal blood vessels in the nose, helping prevent frequent or heavy nosebleeds.

Septoplasty & Turbinate Reduction

Surgery to correct a deviated septum and reduce swollen nasal tissue, helping improve airflow, ease congestion, and support better sleep.

Book a consultation

If you’re experiencing chronic nasal blockage, congestion, or sinus pressure, Dr Phillips can provide a thorough assessment and discuss treatment options tailored to your needs.

ENT for Sinus Issues – FAQs

The term “sinus specialist” isn’t a formal medical title, but sinus conditions are treated by an ENT (ear, nose and throat surgeon). ENT surgeons complete a medical degree followed by specialist training through the Royal Australasian College of Surgeons, managing conditions affecting the nose, sinuses and the head and neck region.

They assess problems such as a blocked nose, chronic sinusitis, throat problems, ear disorders and hearing loss. Some ENT surgeons also undertake additional training in areas such as paediatric ENT or aspects of neck surgery. Professional standards are supported by organisations such as the Australian Society of Otolaryngology Head and Neck Surgery.

In everyday language, patients may use “sinus specialist” to describe an ENT surgeon with special expertise in managing sinus concerns, including procedures such as septoplasty or turbinate reduction when structural narrowing affects breathing.

Sinus surgery, including endoscopic sinus surgery, may be considered when symptoms persist despite appropriate medical treatment. Surgery can help improve sinus drainage, reduce inflammation and address structural issues contributing to ongoing problems. Although rare, more complex cases involving nearby head and neck structures may require highly specialised surgical intervention, which Dr Phillips can manage if relevant to your condition.

To book with Dr Phillips, you’ll need a referral from your GP or specialist. If you have symptoms such as nasal blockage, sinusitis or ongoing nasal congestion, your GP can assess you and send a referral directly to Dr Phillips’ rooms by Medical Objects, fax or email.

Once the referral is received, the team will contact you to schedule an appointment at ENT Clinics Pindara on the Gold Coast. If you have questions about the process, you can also phone your nearest clinic using the numbers listed on our contact page.

ENT surgeons manage conditions affecting the nose, sinuses and the broader head and neck region. Some sinus or nasal concerns can cause referred discomfort around the neck or upper airway. As a trained neck surgeon, Dr Phillips also assesses neck-related issues when they may be connected to nasal or sinus symptoms. Adults on the Gold Coast with persistent symptoms can seek an ENT assessment to clarify the cause and discuss appropriate treatment.
Persistent blocked nose or long-term sinus symptoms are usually assessed by an ENT surgeon. They diagnose causes such as structural narrowing, inflammation or chronic sinusitis, and also manage related issues, including throat problems, ear disorders and hearing loss. An ENT assessment can help clarify the cause and guide appropriate treatment.
Nasal obstruction surgery may be considered when long-term nasal blockage does not improve with medical treatment. Structural factors such as a deviated septum, turbinate hypertrophy or narrowing of the nasal valve can restrict airflow and contribute to ongoing symptoms. Procedures such as septoplasty or turbinate reduction may help improve breathing when these structural issues are present. Your ENT surgeon will assess whether surgical or non-surgical management is the most appropriate option for your situation
Recurring symptoms such as a blocked nose, congestion or facial pressure may need further assessment to determine whether inflammation, infection or an anatomical issue is contributing. An ENT surgeon can outline medical and surgical options and coordinate ongoing management to ensure quality care. If children are experiencing similar issues, early review can help guide appropriate treatment.
Sinus symptoms, including congestion or facial pain, may be caused by inflammation, a bacterial infection, acute bacterial sinusitis, allergy-related swelling, fungal sinusitis, or impaired sinus drainage. However, facial pain is commonly due to non-sinus causes, and an ENT assessment can help confirm whether the sinuses are involved or rule out sinusitis as the source of discomfort. This helps ensure the right treatment pathway is followed.
A steroid nasal spray is often used as first-line treatment to reduce sinus inflammation. It can help improve airflow and support drainage, particularly when swelling or irritation is contributing to symptoms. If symptoms persist, conditions such as polyps or acute bacterial sinusitis may need to be ruled out.