Hello,
Thank you for using Ask a Doctor Service from Doctor Spring.
I can understand your problem, and will try to help you the best possible
Let me explain the disease first ?
Your symptoms are;
• Intermittent Right sided hemifacial pain causing disturbed sleep
• Right nasal obstruction and dryness
• History of rhinoplasty surgery
One sided nasal obstruction and pain can be caused by various diseases(most commonly chronic sinusitis, migraine, nasal polyp). To treat we should get correct diagnosis.
Because it is present for long duration (Years) we should do investigation including Rigid nasal endoscopy (Direct examination of nasal cavity with endoscopic camera, can be done by local ENT doctor) and CT scan of paranasal sinuses.
If nasal endoscopy is not possible, you can do only CT scan of paranasal sinuses (coronal cuts), it will be adequate. If you can scan the CT Film and can mail me again it will help in getting correct diagnosis, and I will able to guide regarding treatment.
Your present symptoms are unlikely related to previous surgery
Hope this helps. Feel free to ask if you have any further queries.
Thank you.
Regards
Dr. Sunil Jalan
MBBS, DLO,MS(ENT), DNB,DAA