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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment of sinusitis?

I am suffering from sinusitis since long time.i am 25 year old now i think allergy is with me now around 4-5 years but this sinusitis is around 1-1.5 year old .Few doctors have asked me to get operated but they are of the opinion that it is not a permanent solution.What should be done?
Mon, 23 Apr 2012
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ENT Specialist 's  Response
Dear alejand Hello I ma Dr Ravinder Sharma ENT surgeon On the basis of the info provided it appears you are suffering from chronic rhinosinusitis. Long history of symptoms may make the things difficult as it can lead to formation of nasal polyps. As for as the treatment results are concerned I am of the opinion that you should go ahead for surgery. But here the skill and experience of the ENT surgeon should be inquired about. About recurrence issue --- I would say 60 to 70 percent of the patient do failry well even after 2 years of surgery. For the rest they require some small operative intervention. The need of medicines drastically reduces after successful surgery. Then you can take it like this --- if you plan for surgery there are chances that you will have improvement but if you are not planning for surgery that means it will further worsen and you may need a bigger surgery after some time. I hope this answers your concern with regards Ravinder Sharma
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  Anonymous's Response
Anonymous's  Response

Yes, it need not result in permanent resolution of the problem. Hence you should try it out without surgery. If you are getting more than 5 episodes of sinus infection per year, then surgery is to be considered. Try exercise like walking, steaminhalation and some medications for help.

  User's Response
Dr. RANJITHA's  Response
welcome to healthcare magic.sinusitis s not a major problem.treatment is antihistaminics,decongestants,steroids and antibiotics. if you are getting recurrent attacks like 5 to 6 episodes per day,then surgery is the better option. name of surgery is FESS.
General & Family Physician Dr. Pragnesh Vachharajani's  Response
hi,thanks for query.First of all diagnosis is important.In case of deviated nasal septum and blocked sinus you need surgery.There are other methods like sinus wash etc,which can take care of this effectively.First of all get proper diagnosis is done,I hope you had undergone X ray and other necessary investigation.Allergy could lead to recurrent infection.Avoid cold drinks,junk food etc.Have more of hot soups,tea/coffee etc.
wishing you good health.
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  User's Response
maria's  Response
For sinusitis treatment options are anti-inflamatory drugs ,painkillers,but if u want permanent solution us should go for surgery.but should know what is the type of sinusitis like ..maxillary,frontal..u post what kind of sinusitis and the name of surgery is FESS.
  User's Response
olsenjones's  Response

I have been investigating other paths, besides traditional surgery, and am intrigued by this balloon sinuplasty. Helps improve air flow and ins less invasive. Maybe not right in every case but I may be a candidate. Talking to my doc next tues.

 

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Treatment of sinusitis?

Dear alejand Hello I ma Dr Ravinder Sharma ENT surgeon On the basis of the info provided it appears you are suffering from chronic rhinosinusitis. Long history of symptoms may make the things difficult as it can lead to formation of nasal polyps. As for as the treatment results are concerned I am of the opinion that you should go ahead for surgery. But here the skill and experience of the ENT surgeon should be inquired about. About recurrence issue --- I would say 60 to 70 percent of the patient do failry well even after 2 years of surgery. For the rest they require some small operative intervention. The need of medicines drastically reduces after successful surgery. Then you can take it like this --- if you plan for surgery there are chances that you will have improvement but if you are not planning for surgery that means it will further worsen and you may need a bigger surgery after some time. I hope this answers your concern with regards Ravinder Sharma