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Bilateral maxillary sinusitis, mils deviation of anterior midportion of nasal septum, hypoplastic right middle turbine on CT. Surgery?

I have found following in my CT scan for PNS 1) Moderate to gross bilateral maxillary chronic sinusitis 2) Minimum mucosal thickening in frontal sinus 3)Obliterated bilateral obliterated unit 4) Mils deviation of anterior and midportion of nasal septum (perpendicular plate of ethmoid bone)to right. posterior nasal septum is central 5) Hypoplastic right middle turbine ----- what type of surgery required I m from Pune ,Maharashtra (India)
Asked On : Sat, 27 Apr 2013
Answers:  1 Views:  44
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Radiologist 's  Response

Your scan report indicates osteomeatal pattern of sinusitis on both sides. This means that there is blockage of the drainage of both your maxillary sinuses following due to which there is development of sinusitis within both maxillary sinuses. The surgery performed would be to relieve this block or to provide an alternate route of drainage for your sinuses.

Functional Endoscopic Sinus Surgery (FESS) is often employed to clear the blockage and involves putting a tube in your nose with a camera mounted on it and doing the surgery under direct vision. There are few complications and when performed well, it has a high success rate. The alternative older method is the Caldwell Luc surgery where a small portion of your medial maxillary wall is removed to provide an alternate drainage route.

However, sometimes, your symptoms may markedly improve with medications and it would be advisable to consult an ENT surgeon to discuss various options. The deviated nasal septum, hypoplastic turbinate and minimal mucosal thickening in frontal sinus need not be a cause of worry.

Answered: Sat, 27 Apr 2013
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