I was diagnosed with chronic sinusitis without nasal polyps two years back. I have had symptoms for this entire time. I received a computed tomography scan and nasal endoscopy from an ear nose throat doctor. I will share these results with you. My doctor said I have mild or mild-to-moderate disease in the ethmoid and maxillary sinuses only. He said there is minimal mucosal thickening and clear mucus. Sinus Ostia are transparent and open. There is no infectious agent. I do not have airborne allergies or asthma. I use Budesonide (Pulmicort) respules rinse two times a day in a nasal saline squeeze bottle. My symptoms are controlled and gone except for a mild clicking sound in my ears when swallowing and a reduced sense of smell. Can you please tell me if my sense of smell will eventually come back since I have responded to treatment and will go back to normal with continued treatment in your experience?
Welcome to icliniq.com.
I understand your concern. You have only mucosal thickening in ethmoid and maxillary sinuses with open Ostia, which means sinusitis is there, and such cases are managed usually by conservative medical treatment. However, you have a reduced smelling sensation that should also be considered. Your ENT (ear, nose, throat) doctor is giving you correct treatment in the form of antiallergic nasal spray, and you are feeling well by treatment as far as nasal symptoms are concerned. You have a reduced smelling sensation that may recover, but I suggest two additions in your treatment.
1) Oral steroid- Tablet Methylprednisolone.
2) Vitamin supplements.
Please discuss with your ENT doctor and, by his consent, take these medicines for a speedy recovery.
Thank you doctor.
Could there be permanent damage to my sense of smell? My sense of taste appears to be fine but slightly diminished. My sense of smell is still weak, however. Have you encountered many cases in your practice where the sense of smell is permanently damaged from chronic sinusitis without polyps? Perhaps there is still some slight inflammation that needs to go away.
Welcome back to iclinq.com.
For the past year, I have usually come across patients having either loss of or reduced smell and taste sensation. This usually is managed by oral steroids and vitamin supplements. But before starting steroids, one has to get physically examined by a doctor and take special care for diabetes, hypertension, hypothyroidism, etc. Therefore, you should consult your ENT doctor for the same. As far recovery is concerned, positive results are expected but can't guarantee.
Welcome back to icliniq.com.
As your doctor had told that the mucosa of the olfactory area is inflamed this may also give rise to throbbing.
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