Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
175 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Sinus surgery done, persisting nasal block, increased opacification of maxillary, ethmoid and frontal sinus compared to earlier. Reason?

Hi, I had Moderate paranasal sinus disease. Before surgery, CT results was following: There is some mucosal thickening within the floor of the left frontal sinus that extends into the left frontal ethmoidal recess. There is moderate to marked ethmoid sinus opacification, left greater than right. There is moderate opacification within the sphenoid sinus. There is mild to moderate mucosal thickening within the floor of the maxillary sinuses bilaterally with probable left maxillary sinus fluid level. The right osteomeatal unit appears patent. There is soft tissue obstruction of the left ostiomeatal unit. Asymmetric soft tissue opacification seen within the left nasal cavity which may represent mucosal thickening or polyp formation.. The nasal septum is deviated to the right. Four weeks after surgery, I took CT scan again, and the result was following:The left frontal sinus is completely opacified. The left ethmoid sinuses are nearly completely opacified except for a tiny air bubble in one. The left maxillary sinus is completely opacified. Defect upper medial wall left maxillary sinus is noted which may be postsurgical versus bony destructive change. There is adjacent soft tissue density along the left nasal passages which may represent mucosal thickening and/or polypoid masses. Milder mucosal thickening along the right nasal airways. There is mucosal thickening right maxillary sinus as well as a small amount of fluid and a couple of focal areas of mucosal prominence versus mucous retention cyst or polyps approximate sub-centimeters size. There is a defect in the upper aspect of the maxillary sinus next to the region of the ostiomeatal unit which may be postsurgical. There is some narrowing of the right ostiomeatal unit from mucosal thickening. It appears grossly patent however. Opacification of several right ethmoid air cells noted in mucosal thickening and others. Mucosal thickening in the sphenoid sinus is noted and globular foci suggesting some centimeter mucus retention cysts or polyps. Compared to the prior study there is significantly increased opacification of the left maxillary, ethmoid and frontal sinuses. I wonder if this surgery was done successfully, because now I feel my left nasal blocked. Thanks
Mon, 24 Dec 2012
Report Abuse
Question is related to
Diseases and Conditions ,   ,  
Medical Topics ,   ,   ,   ,  
ENT Specialist 's  Response

Thank you for your query.

1. The healing time after a Sinus Surgery is 4-6 weeks to 4-6 months depending upon the extent of the surgery. Did you have post-op nasal packing? For how long?

2. There is usually a lot of nasal congestion, discharge, crusting and so on for a few weeks after surgery. Have you had a post-op nasal endoscopy and nasal suction & cleaning done?

3. If you can share your CT images (not the reports), I will be able to give you an accurate assessment.

4. Even though it appears that the surgery was inadequate, it may not be so. Use nasal saline washes. 4 weeks was too early for a post-op scan.

I find this answer 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]
Share on

Related questions you may be interested in

doctor1 MD

can you please explain the following:There is mucosal thickening in the base of each frontal sinus more marked on the right side than the left....

Recent questions on  Nasal cavity

doctor1 MD

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...

doctor1 MD

Hi i have quit cocaine now for 10 days.Ihave gone through the acute withdrawl stage.i had been doing it snorting i mean for 4 months.i have created...

doctor1 MD

Hi Doctor, Attached are the reports and doctor prescription of my niece. She had problem of heavy head all the time. Doctor diagnosed that she has...

doctor1 MD

hi i have been snorting coke now for 4 months.yesterday i noticed that there are two craters or indentations on either side of my septum.i have...

doctor1 MD

im having a hard time swallowing every time i swallow i get food /liquid going up the back of my nasal cavity. also it feels as if there is...

doctor1 MD

ive been having pain inside my nasal cavity for about two weeks, went to doctor and prescribed some meds. zpack and antibiotics also zyrtec. Have...

doctor1 MD

oh this is cool. well, i have bizzare symptoms for 2 years now. starting Feb March April each year Shanghai, when it gets dry and cold, i wake up...