Question: A 43 year old male is evaluated for chronic rhinosinusitis with nasal polyposis. During the visit he takes a puff of an albuterol inhaler mentioning that the air quality is poor. He notes that every time he gets a “sinus headache” and takes ibuprofen, his nasal congestion and breathing symptoms worsen. Which of the following agents may also be a trigger for his symptoms?

a) Nicotine

b) MSG

c) Caffeine

d) Alcohol

[Answer will be posted with next week's new question]

Answer to last week's question, “About Face” (September 7, 2020)

B - Immediate operative exploration with neurorraphy of all involved branches.