Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
136 Doctors are Online

Extensive mucoperiosteal thickening throughout the visible paranasal sinuses and air-fluid levels in the right sphenoid sinus. Help?

After having a CT scan done to see what is going on behind my ear drum. (I have had 5 tubes put in my ear drum in the last 5 years because my eustachian tube does not drain the liquid properly). They found extensive mucoperiosteal thickening throughout the visible paranasal sinuses and air-fluid levels in the right sphenoid sinus. They took a culture yesterday because the ear got infected again from the tube I had put in 2 months ago(this is the 3rd infection). They stated they will probably have to remove the tube and then we will decide what to do about the draining issue. Should I be worried about all of this? The Dr. doesn't seem to be but after looking online I'm finding all kinds of problems that can result from what I have going on in my sinuses and mastoids. Should I be having surgery to correct these issues?
Asked On : Mon, 8 Apr 2013
Answers:  1 Views:  355
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics
Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The CT scan findings of muco-periosteal thickening of the paranasal sinus and air fluid levels in the sphenoid sinus suggests a chronic inflammation in the para-nasal sinus and acute infection in the sphenoid sinus.
A culture of the fluid accumulated in the sphenoid sinus will isolate the infectious organism and thus, help to plan the antibiotic drug.

You have mentioned that you have an eustachian tube dysfunction. The ear communicates with the nasal cavity via eustachian tube, and in turn the nasal cavity communicates with the para-nasal sinuses.
The long history of the eustachian tube defect has led to a chronic inflammatory process in the para-nasal sinuses.

The treatment of choice is correction of the structural defect (if any) in the eustachian tube.
Consult your treating doctor for further details.
The immediate management is the clearance of infection with antibiotics.

I hope my answer is of help to you.
Thanks and take care.
Dr Shailja P Wahal
Answered: Mon, 8 Apr 2013
I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor