Hi and thanks for the query,
You will certain need a proper evaluation by an ENT specialist
. Chronic sinusitis
with possible accumulation of pus, in either the sinuses or nearby structure should be the case. Specific X rays to evaluate the vacuity of the sinuses are compelling. Drainage
and pus culture should be the rule to identify causative organisms and detect specific antibiotics that could be used to treat them. It would be very appropriate to investigate predisposing factor that could favor persistence or aggravation of this infection. These could range from immune depressing diseases like Diabetes
, HIV AIDS, cancers and other tumors, nasal polyps and a tumor of the carvum, which should be systematically ruled.
It might be of interest to investigate nearby structures like the throat, the mastoid process
to ensure complications have not spread to these regions yet. Consult your ENT specialist for proper medical care.
Thanks and hope this helps as I wish you the best of health. Kind regards,
Bain LE, MD.