I can't shake an infection i have had for more than five years in upper jaw/ sinus area despite prolonged antibiotic use - what would you recommend?

Have you seen: An ENT doctor? If you haven't this is probably the next best step.

Removal of the sourc: Many times chronic infections of the upper jaw (maxilla) and sinus area are associated with infected molar teeth whose roots can extend into the sinus area. Your local oral and maxillofacial surgeon should be able to perform several radiographic 3 dimensional studies to pinpoint the source of the infection. If so, remove it and replace with a dental implant.

Diagnosis: Sounds like you need to see an ENT or an oral macillofacial surgeon and find out why you have an "infection" and get definitive treatment.

See specialist: See your ENT MD for diagnosis and options. May need to get 2nd opinion. May need surgical intervention. Not good to have any prolonged infection. Get there pronto. Good Luck.

See an ENT: When the maxillary sinuses become infected, the mucus thickens and bacteria can cause pain in the cheeks, under the eyes, or in the upper teeth and jaw. See an ENT for evaluation, imaging and treatment options.