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Hypertensive, CT scan shows sinus mucositis, disc reduction in TMJ, anterior displace in TMJ. Had sinus surgery

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hi i have got a answer from my ct scan and i am also hypertensive. medications generally don't work for me and i was wondering if you could interperet what this ct scan is saying.
sphenoid sinus mucositis, left maxilary sinus mucositis. anteriorly displace dis in right temporomandibular joint. disc reduction in the right tmj in manibularr open position.
i have had sinus surgery 2 years ago, but it didn;t fix the pain and pressure i am still feeling. on avaerage my blood pressure is about 170/110.
Posted Thu, 24 May 2012 in TMJ
 
 
Answered by Dr. Raju A.T 1 hour later
Hi,

Thanks for your query.

Sinuses are a group of four paired air-filled spaces that surround the nasal cavity (maxillary sinuses), above the eyes (frontal sinuses), between the eyes (ethmoid sinuses), and behind the ethmoids (sphenoid sinuses). The sinuses are named for the facial bones in which they are located.Each sinus is lined internally by mucosa.

Your scan has identified there is inflammation in the mucosa lining the sphenoid and left maxillary sinus.The cause of which could be infection , allergy , medications, irritants etc.This most of times presents with headache and heaviness in the head.

Temporomandibular joint is the joint of the jaw and is frequently referred to as TMJ.
The joint consists of a disc that is composed of fibrocartilagenous tissue (like flexible elastic cartilage of the ear) which is positioned between the two bones that form the joint.In you there is displacement of the disc in right and disc reduction in the left, this indicate that there is damage in the disc resulting in displacement as the damaged weakened fibres cannot withstand the pull by the bones in the joint while in movements.The cause for such a damage could be trauma , non specific inflammation etc

The above problems should be studied considering your symptoms and plan management which usually is a surgery.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Above answer was peer-reviewed by
 
Follow-up: Hypertensive, CT scan shows sinus mucositis, disc reduction in TMJ, anterior displace in TMJ. Had sinus surgery 2 hours later
the problem is, is that my face and head kills all the time. somedays i just wanna smash my head against the wall..the pain geets so intense i wish i waas dead, it hurts that bad. i had sinus surgery two years ago and i am still in even worse pain. somedays it feels like someone is crushing my skull and face together. i dunno how much more i can take. as i said before that i have high blood pressure is getting a lot worse than before and i can't help feeling that the two are connected. i am not sure of what i can do?
 
 
Answered by Dr. Raju A.T 2 hours later
Hi again,

I can understand what you are going through.

Not always sinus surgeries end successfully.Sometimes there may be need for re-exploration surgery.Do consult the ENT surgeon who may plan to operate again .This may end your problem totally.

Hope I answered all your questions. Please use any answer clarification before closing and rating this answer. I will be happy to explain or expand on any issue you may have.

I wish you the best and a speedy recovery.
Above answer was peer-reviewed by
 
Follow-up: Hypertensive, CT scan shows sinus mucositis, disc reduction in TMJ, anterior displace in TMJ. Had sinus surgery 7 hours later
so how would they fix the disc? and the displacement? the ringing in my right ear is very loud and the side of my face by my ear is incredible. the sinuses and the disc are they connected and if there is surgery could they fix it both at the same time? i am just afraid that they dr's won't touch until i can get my blood pressure down.
 
 
Answered by Dr. Raju A.T 12 hours later
Hi again,

Thanks for writing back.

No, the disc and the sinus pathology are not connected. Both have to be operated in different sessions.

The treatment of the disc displacement would be treated conservatively with a maxillary stabilization appliance while sleeping at night. The splint will be 1.5-mm-thick hard, clear acrylic sheet that was vacuum-adapted to the maxillary cast. The splint is adjusted to ensure occlusal contact of all mandibular teeth in centric relation and mandibular canine guidance in eccentric movement.
Also there are surgeries involving disc reduction for such a displacement if conservative method is not a choice , this is decided by the ENT specialist.

Blood pressure can be lowered with strong medications if emergency surgery is essential.

Hope I answered all your questions. Please use any answer clarification before closing and rating this answer. I will be happy to explain or expand on any issue you may have.

Regards,

Above answer was peer-reviewed by
 
 
 
Answered by Dr. Raju A.T 6 minutes later
Hi,

Thanks for writing back.

No, disc and sinus pathology are not connected and both have to be managed separately.

The disc displacement will be treated conservatively with a maxillary stabilization appliance while sleeping at night. The splint will be 1.5-mm-thick hard, clear acrylic sheet that was vacuum-adapted to the maxillary cast. The splint is adjusted to ensure occlusal contact of all mandibular teeth in centric relation and mandibular canine guidance in eccentric movement.
Also there are disc reduction surgeries to treat the displacement.Whether to treat by surgery or splint will be decided by a ENT specialist.

Blood pressure can be controlled with stronger medications if a emergency surgery is essential.

Hope I answered all your questions. Please use any answer clarification before closing and rating this answer. I will be happy to explain or expand on any issue you may have.

Regards,
Above answer was peer-reviewed by
 
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