6 doctors weighed in:

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
Dr. Steven Chmielewski
Diagnostic Radiology
5 doctors agree

In brief: Depends

Usually steroids and antibiotics are first line therapies.

In brief: Depends

Usually steroids and antibiotics are first line therapies.
Dr. Steven Chmielewski
Dr. Steven Chmielewski
Thank
Dr. Franklyn Gergits
ENT - Head & Neck Surgery
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Franklyn Gergits
Dr. Franklyn Gergits
Thank
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