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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ct Scan Reports Got. Is Surgery Required? Suggestions?

CT REPORT IMPRESSIONS ARE AS FOLLOWS.
1) MUCOUS MEMBRANE THICKENING NARROWING THE INFUNDIBULUM OF THE LEFT MAXILLARY SINUS.
2) MUCOUS MEMBRANE THICKENING AND BILATERAL MAXILLARY AND ETHMOID SINUSES AND IN THE RIGHT SPENOID SINUS.
3) SMALL MUCOUS RETENTION CYST OR POLYP IN THE RIGHT MAXILLARY SINUS
4) SEPTUM DEVIATED TO THE RIGHT WITH SMALL LEFT CONCHA BULLOSA
I HAVE HAD CHRONIC SINUSITIS FOR OVER A YEAR WITH THE LAST ROUND LAST 6 WEEKS CAUSEING ME TO BE PUT IN THE HOSPITAL. DO YOU THINK I WILL NOW NEED SURGERY WITH THIS CT RESULT?
Sat, 3 Aug 2013
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Radiologist 's  Response
Hi,
Thanks for writing in.

Your further treatment depends of the contribution of chronic sinusitis symptoms by the deviated nasal septum and the retention cyst in the right maxillary sinus, either singly or together.

For the sinus retention cyst, there is a procedure known as FESS (Functional endoscopic sinus surgery) and this can help relieve symptoms.
As for the deviation of nasal septum, it may be corrected by surgery keeping in mind the degree of deviation.

The sinus surgery can be done first, to see for improvement in symptoms and then the correction of deviated nasal septum can be evaluated.

Hope this helps.
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Ct Scan Reports Got. Is Surgery Required? Suggestions?

Hi, Thanks for writing in. Your further treatment depends of the contribution of chronic sinusitis symptoms by the deviated nasal septum and the retention cyst in the right maxillary sinus, either singly or together. For the sinus retention cyst, there is a procedure known as FESS (Functional endoscopic sinus surgery) and this can help relieve symptoms. As for the deviation of nasal septum, it may be corrected by surgery keeping in mind the degree of deviation. The sinus surgery can be done first, to see for improvement in symptoms and then the correction of deviated nasal septum can be evaluated. Hope this helps.