[fnordpiglet]

Yes, but systemic antibiotics are substantially worse in this regard as they change your entire systemic micro biome, and a chronic sinus infection is a permanent highly negative micro biome in your nose. Sometimes it’s better to hit the reset button than endure misery for the rest of your life :-)

[DrAwdeOccarim]

Just to add this, my ENT prescribed a nasal probiotic prior to my surgery due to staph risk. I used it for 6 months prior to the surgery and now I continue to use it because, either it's a placebo or something special, it seems to improve the airflow in my nose beyond what I'd expect from just squirting some buffered water up my nose. Additionally, I seem to have fewer head-colds that also seem to resolve more rapidly (I have two small children, so my house is literally an incubator for infections). This is the product: https://liviaone.com/collections/probiotics/products/probiot... in case you were curious.