Pansinusitis. Extensive mucosal thickening in both frontal, ethmoid& sphemoid sinuses are almost completely filled. Extensive mucosa thickening in both maxillary sinuses. Maxillary ostiums and frontal recesses are obliterated. Surgery need?

May be, but. first medical treatment should be tried, cause or pathology has to be defined (allergic, non- allergic, fungal, etc..) other problems as asthma also need to be addressed. Medical treatment may consist of systemic steroids, broad spectrum antibiotics for weeks not days, local steroids , seek the help of an ENT specialist and an allergist/ immunologist, if you have access to one, good luck.