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The nasal anatomy includes a complex system of paranasal sinuses surrounding the nasal cavity that make the treatment of nasal polyps difficult. The ostiomeatal complex, or OMC, is a complex area on the lateral nasal wall where drainage from and ventilation to the sinuses occur. This is the area where nasal polyps typically originate, and inflammation leads to obstruction. The complex anatomy results in poor deposition of traditional spray anti-inflammatory medications high and deep in the OMC and surrounding regions. Here we travel through the narrow passages of the patients left nasal cavity to docHub the superior and posterior regions. Note the ostiomeatal complex near the middle turbinate where sinuses connect. This is where most polyps are located, and where inflammation and polyps obstruct the sinuses. It is challenging for intranasal corticosteroid sprays to docHub these areas. Moving posteriorly along the middle turbinate and the lateral wall we travel past the maxillary sinus t
