Hi,
Recurrent green globe and dirty smell after
sinus surgery is indicative of a bacterial infection and most probably changes of
atrophic rhinitis in which the mucus membrane undergoes changes hampering normal functions, least blood supply and changed over
hormonal changes that occur in the body. I would advise you the following:
* Consult an ENT surgeon
* Nasal and ear endoscopy
*
CT scan of sinuses
* Relevant tests of blood
* Send the nasal discharge for lab tests like gram staining, AFB staining for tuberculosis; culture and sensitivity
All these will help for a proper diagnosis and thus for any additional treatment with an appropriate antibiotic, local nasal care,
hormone replacement and so on. Usually a course of iron, multivitamins helps a lot.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon