Shape Nose Without Surgery

Question:

I'm looking for advice, experiences, .02 worth, etc. A CT scan of my sinuses has revealed that I have a deviated septum. My ENT says that the septum is blocking drainage of my left maxillary sinus, causing the sinus infection I've been fighting for almost 5 months now! He thinks the infection in my right maxillary is due to "spillover" from the left sinus. He wants to do surgery to correct the septum, clean the infection out of my maxillaries, and adjust the turbinates on both sides. I'm probably going to go ahead and do it because I'm desperate for relief and it looks to me like a cut-and-dried situation--something--my septum--is blocking the sinus drainage; we move the blockage; the sinus drains properly; I don't have chronic infections anymore. Am I oversimplifying this or letting my desperation for relief cloud my judgment? I'd like to hear other peoples' stories, experiences, and perspectives on this procedure
 

Answer:

your situation sounds very similar to mine. I had been fighting a sinus infection for 7 months without success, so I too elected to have surgery similar to yours--septoplasty, turbinate reduction, naso-antral window, removal of cyst that was totally blocking left maxillary sinus. I had the surgery on August 13, 1997.

Good news: It's a good thing that I had the surgery, if for no other reason than that when the surgeon went in there he found that my sinus disease was actually worse than the CT scan had showed. So he also did a double ethmoidectomy. According to my ENT, my sinus disease would never have cleared without surgery. In the last few months, I no longer need antibiotics. The most recent CT scan and rhinoscopy show the sinuses are in good shape, apparently. And I can breathe freely thru my nose without decongestants--I haven't needed decongestants in months.

Bad news: I continue to suffer from sinus symptoms at a low-to-moderate level. These symptoms include post nasal drip (some of which is discolored), which is significantly worse on my left side (which was the side with the worst sinus disease); sore throat; laryngitis and chronic cough. Every morning, when I irrigate my sinuses, a bit of yellow material comes out. My ENT had tried me on Ceftin just to see if there was some residual infection, but Ceftin had no effect. I sometimes still think I have some low-level infection, because sometimes the exudate has that odd odor that I always only used to get with an acute infection. But my ENT doesn't think so, and the sinus culture didn't show anything.

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