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Have some sort of mass in sphenoid sinus cavity. How to treat it other than surgery?

I have some sort of mass they believe is fluid in my sphlenoid sinus cavity. It was discovered on a CAT scan . The doctor I have seen also thinks I may have a polyp . He was able to shrink it with medlyprednisone and zithromax. He feels that it is imperative that I have surgery to remove it. I am wondering if there is any other option as having surgery in this cavity so close to the brain and carotid artery scares me terribly.
Asked On : Thu, 10 Oct 2013
Answers:  1 Views:  29
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Neurologist 's  Response
Nov 2013
Thank you for posting your query.

First of all, sphenoid sinus surgery is safe, and there is no risk of injury to brain, even though it is close to brain and pituitary gland. This is provided the surgery is performed by an experienced surgeon.

If there is fluid in sphenoid sinus cavity, then medical treatment alone would suffice and surgery would not be needed.

However, in case of polyp, surgery may be needed. The decision can be taken on the basis of symptoms, as surgery is optional and not mandatory in this condition.

I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
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Answered: Tue, 22 Oct 2013
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