Q. I still get some sinusitis after FESS and septoplasty. Why?
Hello doctor,
I have a history of sinusitis. Last year, I had chronic sinus symptoms and got a CT scan. It showed, nasal septum deviation, blocked maxillary and frontal sinusitis due to nasal polyps. I got a FESS and septoplasty done. This year, the symptoms reappeared strongly. I have severe headaches, facial pressure, nasal discharge and pain in jaws and ears. Along with that, I have a frequent infection in sinuses and have done an antibiotic course four times in three months. I got a CT scan and it shows complete opacification of maxillary sinus, little ethmoid sinus and hypertrophy of nasal turbinates. I am using Nasonex (steroid) spray twice a day, getting nasal rinse done repeatedly with saline water. I am taking steam and anti-histamine before sleeping but not getting better. Please help.
Hello,
Welcome to icliniq.com.
I shall tweak your medicines a bit and let us see if that gets you an improvement. Change the antihistaminic to one with Montelukast. Say like Levocetirizine or Fexofenadine plus Montelukast 10 mg. Take this once daily. Take another antihistamine different from above at a different time daily. That means you will be getting two antihistamines per day and one with montelukast combination. Take a short course of Deflazacort 6 mg twice daily. Take the same for five days and taper it to once daily for the next five days. Use the Nasonex (Mometasone furoate) spray appropriately twice daily. There are particular instructions as to using the spray. It has to be held in a particular way and sprayed. If you have thick nasal discharge or fever or throat pain it is prudent to add an antibiotic preferably Clarithromycin 500 mg twice daily for five days. Let us know the progress with these medicines. Please upload previous and current CT scan films to us when you write to us the next time. Do provide all previous treatment records and medication details when you get back.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Does nose bleeding occur after a septoplasty?
Is it because I missed out taking the nasal spray while I was asleep or any other reason ... In my set up, in addition to giving saline nasal drops or douching, we also give Mupirocin ointment to Read full
I get cold frequently with fever and heavy head. Why?Hi doctor, I spent three nights with a girl I met online a week ago. There was no intercourse, but we had unprotected oral sex, mutual masturbation, and kissing. I later found out that she has had a pretty crazy sexual history (unprotected anal sex and vaginal sex). Read full
There is no improvement with tinnitus post surgery. Why?Hi doctor, I spent three nights with a girl I met online a week ago. There was no intercourse, but we had unprotected oral sex, mutual masturbation, and kissing. I later found out that she has had a pretty crazy sexual history (unprotected anal sex and vaginal sex). Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask an ENT Otolaryngologist Now* guaranteed answer within 4 hours.