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Endoscopic sinus surgery | healthdirect

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If medication does not help, endoscopic sinus surgery should help prevent the sinusitis from coming back."> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <meta name="referrer" content="always" /> <meta name="DC.Format" schema="DCterms:IMT" content="text/html" /><meta name="DC.Type" content="text/html"> <meta name="DC.Title" xml:lang="EN" content="Endoscopic sinus surgery" /> <meta name="DC.Creator" content="Healthdirect Australia"> <meta name="DC.Subject" xml:lang="EN" content="Sinusitis"> <meta name="DC.Publisher" content="Healthdirect Australia"> <meta name="DC.Date" scheme="ISO8601" content="2024-10-09T22:02:11.530Z"> <meta name="DC.Description" xml:lang="EN" content="Sinusitis is not usually serious but it can cause unpleasant symptoms. 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}; function onError(error) {}</script> </div> </div> <script type="text/javascript"> initialiseSocialShare('socialshare-node-desktop-mode', "https://www.healthdirect.gov.au/surgery/endoscopic-sinus-surgery"); </script> </span> </div> <div id="readspeaker_button1" class="rs_skip rsbtn rs_preserve"> <a rel="nofollow" class="rsbtn_play" accesskey="L" title="Listen to this page using ReadSpeaker" href="//app-oc.readspeaker.com/cgi-bin/rsent?customerid=8207&amp;lang=en_au&readid=mainContentArticleText&url=https://www.healthdirect.gov.au/surgery/endoscopic-sinus-surgery"> <span class="rsbtn_left rsimg rspart"><span class="rsbtn_text"><span>Listen</span></span></span> <span class="rsbtn_right rsimg rsplay rspart"></span> </a> </div> </header> <div class="main_content-body-text"><nav class="cont_nav-index-table__double-col"> <h2>On this page</h2> <ul> <li><a href="#what-is">What is endoscopic sinus surgery?</a></li> <li><a href="#benefits">What are the benefits?</a></li> <li><a href="#alternatives">Are there any alternatives?</a></li> <li><a href="#involve">What does the procedure involve?</a></li> <li><a href="#prepare">How can I prepare myself for the procedure?</a></li> <li><a href="#complications">What complications can happen?</a></li> <li><a href="#after">What happens after the procedure?</a></li> <li><a href="#searchGeneralResults">Related information on Australian websites</a></li> </ul> </nav> <div class="cont_layout-container"> <div class="cont_layout-col"> <h2 id="what-is">What is endoscopic sinus surgery?</h2> <p>Endoscopic sinus surgery is a procedure to help stop sinusitis. Sinusitis is an infection in the lining of your sinuses (air-filled spaces behind your forehead, between your eyes and behind your cheeks, that are connected to the inside of your nose).</p> <p>Sinusitis causes symptoms of pain, a blocked nose, discharge, reduced sense of smell and the feeling of mucus at the back of your nose or throat.</p> </div> <div class="cont_layout-col"> <figure> <img src="https://media.healthdirect.org.au/images/inline/original/endoscopic-sinus-surgery-illustration-c61add.png" alt="Illustration showing the sinuses." data-hda-inline-image> <figcaption>The sinuses.</figcaption> </figure> </div> </div> <h2 id="benefits">What are the benefits?</h2> <p>The aim is to widen the passage between the sinus and your nose so that mucus no longer becomes trapped and your healthcare team can give you medication to treat inflammation.</p> <h2 id="alternatives">Are there any alternatives?</h2> <p>Antibiotics may help to clear the infection.</p> <p>If your sinusitis is caused by an allergy, you may be able to prevent sinusitis by avoiding the &#x2018;triggers’ of your allergy or by taking medication such as antihistamines, nasal steroid spray or a nasal wash.</p> <p>If you use a nasal steroid spray for a long time, you can reduce the size of polyps, which may mean that you do not need surgery.</p> <h2 id="involve">What does the procedure involve?</h2> <p>The procedure is usually performed under a <a href="/general-anaesthetic">general anaesthetic</a> but a <a href="/local-anaesthetic">local anaesthetic</a> can be used. The procedure usually takes 1 to 2 hours.</p> <p>Endoscopic sinus surgery is performed through your nostrils and does not result in any facial scars or change to the outside shape of your nose.</p> <p>Your surgeon will use a small telescope (endoscope) to examine your nasal passages. They will use instruments to remove any polyps and to widen the passages from your sinuses into your nose.</p> <h2 id="prepare">How can I prepare myself for the procedure?</h2> <p>If you smoke, stopping smoking now may reduce your risk of developing complications and will improve your long-term health.</p> <p>Smoking stops your nose clearing mucus properly and this can increase the feeling of a blocked nose. People who continue to smoke after sinus surgery are more likely to need another procedure.</p> <p>Try to maintain a healthy weight. You have a higher risk of developing complications if you are overweight.</p> <p>Regular exercise should help you prepare for the procedure, help you recover and improve your long-term health. Before you start exercising, ask the healthcare team or your GP for advice.</p> <p>Speak to the healthcare team about any vaccinations you may need to reduce your risk of serious illness while you recover. When you come into hospital, practise hand washing and wear a face covering when asked.</p> <h2 id="complications">What complications can happen?</h2> <p>Possible complications of this procedure are shown below. Some may be serious and can even be life threatening.</p> <h3>General complications of any procedure</h3> <ul> <li>bleeding</li> <li>infection of the surgical site (wound) </li> <li>allergic reaction to the equipment, materials or medication</li> <li>venous thromboembolism (VTE)</li> <li>chest infection</li> </ul> <h3>Specific complications of this procedure</h3> <ul> <li>adhesions, where scar tissue forms deep inside your nose</li> <li>leak of fluid from your brain</li> <li>damage to the orbit (the bone around your eye)</li> <li>double vision</li> <li>blindness</li> <li>toxic shock syndrome, which is an infection of your bloodstream</li> <li>damage to your tear duct</li> <li>reduced sense of smell</li> </ul> <h3>Consequences of this procedure</h3> <ul> <li>pain</li> </ul> <h2 id="after">What happens after the procedure?</h2> <p>You should be able to go home the same day.</p> <p>If you had non-dissolvable packing in your nose, you will need to stay overnight and the packing will be removed the next morning.</p> <p>Do not blow your nose for at least a week. Your nose will continue to feel blocked for a few weeks.</p> <p>Your surgeon will give you a nasal spray or drops for you to use. You may be given a course of antibiotics to reduce the risk of infection.</p> <p>Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.</p> <p>Most people make a good recovery.</p> <h2>Summary</h2> <p>Sinusitis is not usually serious but it can cause unpleasant symptoms. If medication does not help, endoscopic sinus surgery should help prevent the sinusitis from coming back.</p> <h6>IMPORTANT INFORMATION</h6> <p><small>The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you. Medical Illustration Copyright © Medical-Artist.com.</small></p> <p><small>For more on <a href="/source-references-for-surgical-procedure-information">how this information was prepared, click here</a>.</small></p></div> <p>Learn more here about the <a href="https://www.healthdirect.gov.au/about-our-content">development and quality assurance of healthdirect content</a>.</p> <p>Last reviewed: September 2024</p> <div class="main_content-back-to-top"><a href="#backToTop"><i class="dor-icon_caret-up"></i><br><span class="tablet-up__inline">Back To </span>Top</a></a></div> </main> <!--<button class="main_content-article-btn-read-full">Read full article <i aria-hidden="true" class="main_content-article-btn-read-full-icon"></i></button>--> <section class="main_content-links print-hidden"> <section class="related-pages-section"> <h2>Related pages</h2> <ul> <li> <a href="/sinusitis" title="Sinusitis">Sinusitis</a> </li> </ul> </section> <section class="related-concept-section"> <h2>Search our site for</h2> <ul> <li> <a class="dor-button__pill-btn" href="/search-results/Respiratory System" title="Search results for:Respiratory System">Respiratory System</a> </li> <li> <a class="dor-button__pill-btn" href="/search-results/Nasal Congestion" title="Search results for:Nasal Congestion">Nasal Congestion</a> </li> <li> <a class="dor-button__pill-btn" href="/search-results/Post-Nasal Drip" title="Search results for:Post-Nasal Drip">Post-Nasal Drip</a> </li> </ul> </section> </section> <!-- <content-feedback class="veyron-component" feedbackurl="https://healthdirect.au1.qualtrics.com/SE/?SID=SV_0cQyjgUEO6gU3GZ&Page=https://www.healthdirect.gov.au/surgery/endoscopic-sinus-surgery"></content-feedback> --> <section class="main_content-search"> <header> <h2>Need more information?</h2> <p>These trusted information partners have more on this topic.</p> </header> <div class="main_content-general-text"> <div> <div class="main_content-search-results-partners"> <nav class="dor-tabs__2 veyron-search-tabs" role="tablist"> <label class="dor-tabs_item" role="tab" aria-controls="searchGeneralResults" aria-selected="true"> <input type="radio" checked name="tab"> <div class="dor-tabs_item-btn veyron-search-tab-btn">General search results</div> </label> <label class="dor-tabs_item" role="tab" aria-controls="searchProfessionalResults" aria-selected="false"> <input type="radio" name="tab"> <div class="dor-tabs_item-btn veyron-search-tab-btn">Results for medical professionals</div> </label> </nav> <section id="searchGeneralResults" data-total-records="50"> <p>Top results</p> <a href="https://mydr.com.au/respiratory-health/sinusitis/" data-partner-url="partners/mydr" class="main_content-search-tile" target="_blank" data-guid="ECM001|90a26e7f-3195-4773-be22-bfaef3385b36"> <h3>Sinusitis - myDr.com.au</h3> <div class="main_content-search-tile-intro"> <p>Because the drainage holes from the sinuses are narrow, they block up easily. So any excess mucus production can cause a blockage, and pressure builds up in the sinuses.</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on MyDoctor website</i></p> <img class="main_content-search-tile-logo" alt="MyDoctor" src="https://media.healthdirect.org.au/images/logos/h40/mydoctor-new_logo-1f39cc.png"> </a> <a href="https://raisingchildren.net.au/guides/a-z-health-reference/sinusitis" data-partner-url="partners/raisingchildren.net.au" class="main_content-search-tile" target="_blank" data-guid="ECM001|c5811d17-69be-453b-93b4-96f717e2ac61"> <h3>Sinusitis in children and teenagers | Raising Children Network</h3> <div class="main_content-search-tile-intro"> <p>Sinusitis is inflammation of the sinuses, with symptoms like pressure, pain or swelling under the eyes. If your child has sinusitis, it’s good to see a GP.</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on raisingchildren.net.au website</i></p> <img class="main_content-search-tile-logo" alt="raisingchildren.net.au" src="https://media.healthdirect.org.au/images/logos/h40/raising-children_logo-f6777f.png"> </a> <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/sinusitis" data-partner-url="partners/better-health-channel" class="main_content-search-tile" target="_blank" data-guid="ECM001|7a87f1d1-fedc-4bd3-91d7-2761a5a736bf"> <h3>Sinusitis - Better Health Channel</h3> <div class="main_content-search-tile-intro"> <p>If you suffer from sinusitis, it?s important to see if there is any trigger which can be treated.</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on Better Health Channel website</i></p> <img class="main_content-search-tile-logo" alt="Better Health Channel" src="https://media.healthdirect.org.au/images/logos/h40/bhc-rectangle-image-e99950.png"> </a> <a href="https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/sinusitis-and-allergy" data-partner-url="partners/australasian-society-of-clinical-immunology-and-allergy-ascia" class="main_content-search-tile" target="_blank" data-guid="ECM001|5930377d-6257-4741-9ab0-ddc4475c2b9f"> <h3>Sinusitis and allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA)</h3> <div class="main_content-search-tile-intro"> <p>Sinusitis and Allergy Frequently Asked Questions</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website</i></p> <img class="main_content-search-tile-logo" alt="ASCIA – Australasian Society of Clinical Immunology and Allergy" src="https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png"> </a> <a href="https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis" data-partner-url="partners/australasian-society-of-clinical-immunology-and-allergy-ascia" class="main_content-search-tile" target="_blank" data-guid="ECM001|981276ed-a6f6-49a8-bd70-678703711211"> <h3>Allergic rhinitis (hay fever) and sinusitis - Australasian Society of Clinical Immunology and Allergy (ASCIA)</h3> <div class="main_content-search-tile-intro"> <p>Allergic rhinitis, hay fever, sinusitis, pollen</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website</i></p> <img class="main_content-search-tile-logo" alt="ASCIA – Australasian Society of Clinical Immunology and Allergy" src="https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png"> </a> <a href="https://www.diabetesaustralia.com.au/blog/medications-for-respiratory-tract-infections/" data-partner-url="partners/diabetes-australia" class="main_content-search-tile" target="_blank" data-guid="ECM001|aa5c0a21-e2b3-4e2a-94e9-e2bccc7d18f3"> <h3>Medications for respiratory tract infections: The good, the unreliable, and the old fashioned | Diabetes Australia</h3> <div class="main_content-search-tile-intro"> <p>Your respiratory tract is made up of an upper section (mouth, throat, nose, sinuses and vocal cords) and a lower respiratory tract (bronchi or breathing tubes</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on Diabetes Australia website</i></p> <img class="main_content-search-tile-logo" alt="Diabetes Australia" src="https://media.healthdirect.org.au/images/logos/h40/diabetes-australia_logo-958373.png"> </a> <a href="https://allergyfacts.org.au/__interest/sinusitis/" data-partner-url="partners/allergy-and-anaphylaxis-australia" class="main_content-search-tile" target="_blank" data-guid="ECM001|88fa4a7e-a662-44fa-a4aa-c406be863be2"> <h3>Chronic rhinosinusitis - Allergy & Anaphylaxis Australia</h3> <div class="main_content-search-tile-intro"> <p>On this page Types of rhinosinusitis Risk factors Symptoms Warning signs Management Treatment Webinar What is chronic rhinosinusitis? Swelling and inflammation of the lining of the sinuses and nose is called rhinosinusitis. Rhinosinusitis affects 5-10 percent of adults and is common in people who also have asthma or other allergic diseases. If symptoms go on</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on Allergy and Anaphylaxis Australia website</i></p> <img class="main_content-search-tile-logo" alt="Allergy and Anaphylaxis Australia" src="https://media.healthdirect.org.au/images/logos/h40/a&aa_logo_vertical_tagline_rgb-(1)-537d5d.png"> </a> <a href="https://allergyfacts.org.au/__interest/allergic-rhinitis/" data-partner-url="partners/allergy-and-anaphylaxis-australia" class="main_content-search-tile" target="_blank" data-guid="ECM001|1a8bce6e-3b11-4d05-879c-06026da18756"> <h3>Allergic rhinitis (hay fever) - Allergy & Anaphylaxis Australia</h3> <div class="main_content-search-tile-intro"> <p>The body’s immune system reacts to these common allergens which for most people are harmless. The immune system's response causes symptoms. Common symptoms include Runny nose Itchy nose Sneezing Itchy and watery eyes Blocked nose and snoring Some people need to clear their throat often because mucus can run from their sinuses to the back</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on Allergy and Anaphylaxis Australia website</i></p> <img class="main_content-search-tile-logo" alt="Allergy and Anaphylaxis Australia" src="https://media.healthdirect.org.au/images/logos/h40/a&aa_logo_vertical_tagline_rgb-(1)-537d5d.png"> </a> <a href="https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/nasal-polyps" data-partner-url="partners/australasian-society-of-clinical-immunology-and-allergy-ascia" class="main_content-search-tile" target="_blank" data-guid="ECM001|a7462ab9-0a30-433a-92c9-e460ba5a2dab"> <h3>Nasal polyps - Australasian Society of Clinical Immunology and Allergy (ASCIA)</h3> <div class="main_content-search-tile-intro"> <p>Nasal Polyps Frequently Asked Questions</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website</i></p> <img class="main_content-search-tile-logo" alt="ASCIA – Australasian Society of Clinical Immunology and Allergy" src="https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png"> </a> <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/adenoids" data-partner-url="partners/better-health-channel" class="main_content-search-tile" target="_blank" data-guid="ECM001|52d54d51-2493-4273-9087-8f694a85071a"> <h3>Adenoids - Better Health Channel</h3> <div class="main_content-search-tile-intro"> <p>Since adenoids are constantly in the path of germs, infections are common.</p> </div> <p class="main_content-search-tile-read-more"> <i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> <i id="read-more">Read more on Better Health Channel website</i></p> <img class="main_content-search-tile-logo" alt="Better Health Channel" src="https://media.healthdirect.org.au/images/logos/h40/bhc-rectangle-image-e99950.png"> </a> <section class="main_content-search-show-more "> <button class="main_content-search-show-more-btn" title="Show more search results" rel="nofollow">Show more</button> <i aria-hidden="true" class="main_content-search-show-more-loading"></i> </section> </section> <section id="searchProfessionalResults" class="hidden" data-total-records="6"> <p>Top results</p> <a href="https://www.ausmed.com/learn/articles/respiratory-tract-infections" data-partner-url="partners/ausmed-education" class="main_content-search-tile" target="_blank" data-guid="ECM001|149a5a21-e562-497d-bd64-8f8005a2d77b"> <h3>An Overview of Common Respiratory Tract Infections | Ausmed</h3> <div class="main_content-search-tile-intro"> <p>The following article aims to help re-familiarise you with the different symptoms and presentations of the most commonly seen respiratory illnesses so that you can be confident in the care you provide.</p> </div> <p class="main_content-search-tile-read-more"><i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> Read more on Ausmed Education website</p> <img class="main_content-search-tile-logo" alt="Ausmed Education" src="https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png"> </a> <a href="https://www.allergy.org.au/patients/food-other-adverse-reactions/milk-mucus-and-cough" data-partner-url="partners/australasian-society-of-clinical-immunology-and-allergy-ascia" class="main_content-search-tile" target="_blank" data-guid="ECM001|6e0fd0d6-a37c-4933-a9c0-5e1ba0611be8"> <h3>Milk, mucus and cough - Australasian Society of Clinical Immunology and Allergy (ASCIA)</h3> <div class="main_content-search-tile-intro"> <p>Some people complain that milk makes their nose run, coats their throat and triggers coughing. Why is this so?</p> </div> <p class="main_content-search-tile-read-more"><i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website</p> <img class="main_content-search-tile-logo" alt="ASCIA – Australasian Society of Clinical Immunology and Allergy" src="https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png"> </a> <a href="https://www.cochrane.org/CD004609/INJ_does-hyperbaric-oxygen-therapy-improve-the-survival-and-quality-of-life-in-patients-with-traumatic-brain-injury" data-partner-url="partners/cochrane-australia" class="main_content-search-tile" target="_blank" data-guid="ECM001|a5720201-5be2-47a3-af16-66615d2f2638"> <h3>Does hyperbaric oxygen therapy improve the survival and quality of life in patients with traumatic brain injury? | Cochrane</h3> <div class="main_content-search-tile-intro"> <p>Authors' conclusions:  In people with traumatic brain injury, while the addition of HBOT may reduce the risk of death and improve the final GCS, there is little evidence that the survivors have a good outcome</p> </div> <p class="main_content-search-tile-read-more"><i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> Read more on Cochrane Australia website</p> <img class="main_content-search-tile-logo" alt="Cochrane Australia" src="https://media.healthdirect.org.au/images/logos/h40/cochrane_australia_stacked_rgb-15fbd4.png"> </a> <a href="https://www.ausmed.com/learn/articles/earache" data-partner-url="partners/ausmed-education" class="main_content-search-tile" target="_blank" data-guid="ECM001|b8a2cd43-8bcf-41a7-8271-027d81d2e703"> <h3>Earache: Causes, Symptoms and Treating Otalgia | Ausmed</h3> <div class="main_content-search-tile-intro"> <p>Earache (otalgia) is the term used to describe feelings of discomfort, including pain, pressure or blockage, in one or both ears.</p> </div> <p class="main_content-search-tile-read-more"><i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> Read more on Ausmed Education website</p> <img class="main_content-search-tile-logo" alt="Ausmed Education" src="https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png"> </a> <a href="https://www.ausmed.com/learn/articles/headaches" data-partner-url="partners/ausmed-education" class="main_content-search-tile" target="_blank" data-guid="ECM001|3791c11c-08b5-4b64-a6f4-ec6c6c3cd0ac"> <h3>Headaches & Migraines: Symptoms and Causes | Ausmed</h3> <div class="main_content-search-tile-intro"> <p>Headaches are a varied and common symptom of many conditions. In fact, about 15% of Australians are estimated to be taking medication for a headache at any given time.</p> </div> <p class="main_content-search-tile-read-more"><i aria-hidden="true" class="main_content-search-tile-read-more-icon"></i> Read more on Ausmed Education website</p> <img class="main_content-search-tile-logo" alt="Ausmed Education" src="https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png"> </a> <a href="https://www.immunisationcoalition.org.au/resources/antiviral-treatments-for-influenza/" data-partner-url="partners/Immunisation-Coalition" class="main_content-search-tile" target="_blank" data-guid="ECM001|1471ee99-f1ad-441b-9ea0-f17202cecfd5"> <h3>Antiviral Treatments For Influenza - Immunisation Coalition</h3> <div class="main_content-search-tile-intro"> <p>About Influenza Antivirals Which Antiviral Treatments Are Available In Australia? How Do Influenza Antiviral Medicines Work? When To Use Influenza Antivirals Treatment With Influenza Antivirals Prophylaxis With Influenza Antivirals Side Effects How Effective Are Influenza Antivirals? 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