A member asked:

Suspected sphenoid sinus infection, 2 months after fess surgery. endoscopy shows swollen mucosa, waiting ct scan results. what is recom treatment?

6 doctors weighed in across 2 answers
Dr. Steven Chmielewski answered

Specializes in Diagnostic Radiology

Depends: Usually steroids and antibiotics are first line therapies.

Answered 10/1/2016

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Dr. Franklyn Gergits answered

Specializes in ENT and Head and Neck Surgery

Sphenoid sinus: Hello, a sphenoid sinusitis may be difficult to diagnose especially after fess. 2 months after surgery, your normal mucosal clearance may not be normal and the ct scan will show inflammation. Since the endoscopic exam showed swollen mucosa, the ostea must be patent. I would recommend continued sinus irrigation followed by an intranasal steroid 2x/day. A PO dose of Prednisone may also help.

Answered 6/30/2014

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