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Contributing factors may include: Allergies, which can keep the nasal and sinus lining chronically swollen and reactive Asthma and other inflammatory conditions that often coexist with sinus disease Nasal polyps, which are soft growths that can block the nasal passages and sinus openings Structural issues such as a deviated septum, enlarged turbinates, or narrow drainage pathways Repeated infections that never fully resolve between flares Environmental irritants and exposures common in an urban environment Prior sinus surgery that did not fully address the underlying problem or has scarred over time Because these factors interact, treating only one of them may provide partial or temporary relief