I have ear pressure bcz hyperpneumatised both frontal and maxillary sinuses. Mucosal polyp in both maxillary sinus, nasal septum deviation. Surgery need?

Medical tx. Middle ostia and eustachian tube obstruction may be tx medically. Localnasal or short term steroids are worth a trial.
Sinusitis . Surgery is sometimes needed... See a rhinologist (an ENT sub-specialist) to sort out your options. In my practice around 15% of patients with your symptoms ultimately require surgery. Allergy , gerd , aspirin, sub-optimal medical treatment can all be to blame. If significant issues are not treated polyps can rapidly recur. I saw a patient who had undergone 63 surgeries for polyps - aspirin!

Related Questions

Hello Dr, I had nosal dripping, my MRI shows "Right Maxillary sinus mucosal thickening" & "deviation of nasal septum to right" what does this mean?

Sinusitis. You have thickening of the right maxillary sinus due to inflammation, likely infection in the sinus. Your nasal septum is the part that divides the two sides of your nose. When deviated it can cause excessive mucosal thickening and difficulty breathing, especially at night. I recommend you use Neil Med Sinus rinse as directed twice a day and consult an ENT specialist. Read more...

My paranasal sinuses test show:nasal septum is deviated, nasal turbinates are prominent and both maxillary sinuses shows mucosal thickening sinusitis?

Chronic sinusiitis. Actually we call this chronic rhinosinusitis with a deviated septum. If you haven't seen an allergist for testing then consider that. Treatment is initially with salt water washes twice daily followed by a nasal corticosteroid. Read more...
Deviated septum. a deviated septum can be corrected surgically to bring the septum to the midline. If there are symptoms like nasal obstruction, snoring or recurrent sinusitis, have your nose evaluated by a board certified otolaryngologist. Read more...

I have two "small" sinus polyps of the each maxillary sinuses. When should I consider having surgery? What's the likelihood of recurrence?

Sinus Polyps. If the polyps are small and are not affecting your breathing they may not have to be removed. However, if they are large and obstructing the maxillary sinuses; and if you are experiencing breathing issues they should be evaluated fro removal. Please seek the advice through consultation with a periodontist or oral surgeon. Read more...
When symptomatic. Generally, asymptomatic sinus polyps can be left alone. We treat them if they become chronically infected, cause pain or created blockage. Read more...
ENT doc. Depends on symptoms. Probably no treatment without symptoms or radiographic changes. Make sure you are followed up by ENT doc. Read more...
See Immunologist. Nasal polyps should be evaluated for underlying potential causes (disease, medication effect, etc) and treated with medication or possibly even using procedures to decrease the activity of certain metabolic pathways; or by avoidance of contributing factors. An Allergist/Immunologist may be best equipped to perform this work-up. Polyps usually return after they have been removed surgically. Read more...

I'm having polyp in my left maxillary sinus and bilateral sphenoid sinus. Dont have any problem in nose or breathing but have continuous head heavyness?

Sinusitis . Sinusitis or inflammation of the sinuses can cause head heaviness. Sometimes the sphenoid sinus infection can be caused by allergies and difficult to threat. Infection can develop when there is blockage of the sinus passage ways. It is important to maintain a follow-up visit with an ears nose and throat physician or otolaryngologist to monitor your symptoms. Read more...