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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can polyp in maxillary antrum cause trigeminal neuralgia?

I am 38 year old female. 5 foot tall, 60 kg and relatively healthy. I have been prescribed antibiotics for sinus infection 2 months ago with not much relief have had 4 courses. In past 3 days have developed trimenigal neuralgia and was sent for CT. CT retured with polypodial mucosal thickening involving maxillary antra bilaterally including 3 cm polp in left antrum and 2 cm polyp in right antrum. Left polyp extending into and occluding the ostium antrum. There is also marked narrowing of the nasal cavity bilaterally. There is a small concha bullosa of the left middle turbinate. The post nasal space is clear . I am off to GP this afternoon and am worried and just wanted to know could this be the reason for TN? Thanks
Tue, 19 Jun 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The report shows you have a polyp obstructing the antrum which is some what serious. Yes, this may cause trigeminal neuralgia but not always. As for the treatment, if your general practitioner advise you to undergo surgical treatment you make sure to do it.

Hope I have answered your query. Let me know if I can assist you further.
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