Brief Answer:
CT PNS images, DNE, PND, medication.
Detailed Answer:
Hi,
Thank you for your query.
1. If you can upload any CT PNS Scan images, it will help understand the extent of the previous three surgeries and the relationship of the dental problem with the sinus disease. An oro-antral fistula can be ruled out.
2. A Diagnostic Nasal
Endoscopy (DNE) will also help. If you can upload the video or images, the current state of the mucosa cal be seen. Here the possibility of a
fungal infection or 'biofilm' formation may explain your symptoms. Swabs can be sent for bacterial and fungal culture.
3. The
hairy tongue and bad taste in the mouth may be a result of a
Post Nasal Drip (PND).
Acid reflux (sliding hernia), nutritional and vitamin deficiencies must be ruled out. Is your diabetes under control? High blood sugar levels contribute to persistent infection and delayed healing.
4. Treatment should be based on the CT , DNE findings and culture results. The tongue and oral problems may respond to anti-allergics, mucolytics, decongestants, steroid nasal sprays and regular steam inhalation.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
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