I've had chronic sinusitis for many years. 2 fess surgeries, allergy shots & all the antiinflammatory/histamines, nasal rinse have not worked. maybe balloon sinuplasty, or could it be a fungal prob?

Have u tried : A combination of singular, Flonase at night and an antihistamine all together? Its likely not a fungal problem but likely an anatomy issue. I'm not aware of the procedure but you sound like u need relief. Oh yeah, what about an air purifier?

Immune workup: You have certainly tried a variety of medical and surgical treatments for the very frustrating problem of chronic rhino-sinusitis. One avenue of evaluation which you may have missed is to check whether your immune system is working properly. Ask the allergist if this has been evaluated. You will need to check whether you make good quality and quantity antibodies.

Immune evaluation.: I believe you warrant an immune evaluation to find out if a immune defect is the cause for your refractory sinusitis. See a board/certified allergist.

See Rhinologist: May be due to anatomic issue (scar tissue), immune issues(immune deficiency), microbial issues (resistant organisms), or many other possibilities. You may benefit from seeing an ENT physician who subspecializes in sinus and allergy issues (rhinologist). The american rhinological society website may be helpful in finding a doc if you are in the us.