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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Nose Surgery, Put Med-por Implant. Had Deviated Nasal Septum, Did Septoplasty. Have Swollen Adenoids, Referred To ENT. Problems Caused By Implant?

I ve been dealing with intensely discomforting head pressure since December 3, 2011. That night I had smoked marijuana and drank a half bottle of vodka. The pressure hasn t gone away since. I had cosmetic nose surgery in July 2009 while I was in the Navy. Had a Med-Por implant put on my radix. Complained of dissatisfaction with my deep radix. So I was a smoker and resumed smoking only a week afterwards. I had a dull pressure/discomfort in left nostril since then, the same nostril the doc inserted the implant through, but never took it serious while on the boat and even after coming back home on September 3, 2011. Also, I saw countless docs, general, ents, and er, that did nothing to help except one. That was an ent surgeon who discovered a deviated septum and asymmetrical turbinates (one huge and one tiny). He performed a septoplasty and balloon procedure on a select number of sinuses, plus turbinate reduction on August 16, 2012. Thought that would definitely solve the problem, but it didn t. I appreciated his effort though. I also quit smoking the day of the surgery, a couple of hours prior to it, and havent smoked since then nor do i plan to. GI was going to stop earlier but surgeon said that would only complicate surgery by my bo dy producing excessive mucus if I had quit two weeks prior. He then discovered I had mild/moderately swollen adenoids on both sides. This was on a post surgical follow-up a month after the surgery. He said he doesn t do ears so referred me to an ear specialist who I see on December 3 (what a coincidence). It s been a year. I m suffering. Somebody please help me as to fill me in on what I m doing wrong and how I can figure this out. Could it be that I have subchondral cystic changes in left tmj that may affect my left ear because of the close proximity, therefore feeling extra pressure on left side even though both adenoids are equally mildly swollen according to surgeon? Could I have infected med-por implant when I smoked only a week after it was inserted and it was slowly getting worse all these years, even though there s no pain, only pressure on left side? Could it be the implant didn t heal correctly and is pressing up against a nerve causing the pressure? What else could this possibly be? A combination of them all? Help?!?
Thu, 31 Oct 2013
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Pediatrician 's  Response
Hi
Thanks for your query
I can feel your concern
yes this can be one of the cause for adenoids but I guess that this problem seems to be existing since the problem of nose and identified latter. you can use some oral medication to settle this issue before going to surgery.

Have a proper clinical examination
Hope it helps
Regards
Dr imran
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Had Nose Surgery, Put Med-por Implant. Had Deviated Nasal Septum, Did Septoplasty. Have Swollen Adenoids, Referred To ENT. Problems Caused By Implant?

Hi Thanks for your query I can feel your concern yes this can be one of the cause for adenoids but I guess that this problem seems to be existing since the problem of nose and identified latter. you can use some oral medication to settle this issue before going to surgery. Have a proper clinical examination Hope it helps Regards Dr imran