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Abstract:

A 28-year-old male presenting with persistent nasal obstruction (left > right) despite numerous past nasal procedures. Symptoms improve with intermittent use of Afrin/oxymetazoline sprays and caffeinated drinks.

He has never experienced any noteworthy, lasting reduction in nasal obstruction despite consistent use of saline rinses, nasal steroid sprays × 6 months (has tried 3 brands), or saline + budesonide rinses × 3 months…

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