Survey 31 : PERSISTENT NASAL CONGESTION BRIDGING CLINICAL APPROACHES AND HCP PERSPECTIVES ON SURGICAL AND NON-SURGICAL THERAPIES

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1. At what minimum duration do you classify nasal congestion as “persistent/ chronic”?

More than 4 weeks

4–8 weeks

8–12 weeks

12 weeks

2. How frequently do you use nasal endoscopy in the initial evaluation of persistent congestion?

Rarely / Never

Occasionally (less than 50%)

Frequently (50–75%)

Routinely (More than 75%)

3. Which is your preferred first-line non-surgical treatment for persistent congestion without clear structural issues?

Intranasal corticosteroids (INCS)

Saline irrigations

Oral antihistamines

Leukotriene modifiers

4. What is the average duration of maximal medical therapy before considering surgical referral?

Less than 8 weeks

2–3 months

3–6 months

6 months

5. For which primary etiology do you most often recommend surgery as the first-choice (definitive) treatment?

Refractory allergic rhinitis

Chronic rhinosinusitis (CRS)

Significant deviated septum

Nasal valve collapse

6. What is the most significant barrier to long-term adherence with medical therapy (e.g., daily sprays)?

Lack of efficacy

Cost / access issues

Inconvenience / regimen burden

Side effects

7. Rate the long-term efficacy of surgery vs maximal medical therapy for persistent congestion (1 = Surgery better; 5 = Medical therapy better)

3 (Equal)

8. How confident are you in in-clinic minimally invasive procedures (e.g., Balloon Sinuplasty, PNN ablation) providing durable relief compared to traditional FESS?

Very confident

Confident

Neutral / uncertain

Not confident

9. Which non-surgical class do you believe will have the greatest future impact in reducing surgical need in severe cases?

New INCS formulations

Targeted biologics

Immunotherapy

Topical antibiotics

10. What is the most critical factor determining the success of surgery for persistent nasal congestion?

Accurate preoperative diagnosis

Surgical technique

Patient post-operative adherence

Addressing all concurrent anatomical issues

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