Welcome in H.C.m. for consultation.
I have gone through your query regarding allergic sinusitis
with epistaxis, you have also provide us the findings of C.T.scan of paranasal sinuses
As per findings of C.T.scan of paranasal sinuses your child is having -
(1) Deviation of nasal septum to left side with indentation to inf turbinate.
(2) Right inferior turbinate hypertrophy.
(3) Concha bullosa
(4) Mild mucosal thickening in both maxillary sinuses.
Out of four above listed abnormalities first three are responsible for nasal obstruction
and recurrent infection that may cause nasal bleeding
due to infection. These three defects can be corrected only by surgery. Fourth abnormality i.e. mucosal thickening of maxillary sinuses is due to allergy and that can be managed by conservative treatment. Though there is no radical treatment of allergy, but if recurrent infection is controlled by surgical correction of first three defects, the allergic episodes will automatically come down to minimum.