Download FREE Practo app
Get ₹200 HealthCash
Chronic sinusitis
Hi,
I have had chronic sinusitis for many years. Not able to breathe through my nose.
PFA recent CT scan report. Will I need surgery? There synechia on right. The left side is also congested.
Currently on -
Defza 6
Metaspray
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Hi, I am Dr. Atul Kumar Nimawat MS ENT.
Thank you for your detailed query and for sharing the CT scan images and report.
Based on the findings from your CT Paranasal Sinus (PNS) report, the following points are relevant:
Key Findings:
Minimal left-sided nasal septal deviation.
Atrophy of the superior and middle turbinates—this may contribute to dryness or crusting.
Mucosal hypertrophy in the right maxillary sinus with dependent air-fluid level—suggestive of acute on chronic sinusitis.
Bilateral ethmoid and sphenoid mucosal thickening and blockage of the osteomeatal complex, leading to poor sinus drainage.
Possible adhesions (synechia) noted, though not explicitly stated in the report.
Clinical Correlation:
Your symptoms of nasal obstruction, chronic sinus pressure, and difficulty breathing through the nose are consistent with chronic rhinosinusitis, possibly with nasal synechiae contributing to localized obstruction.
Regarding Your Current Treatment:
Defza 6 (Deflazacort) is a steroid that helps reduce inflammation but is not a long-term solution.
Metaspray (Mometasone) is appropriate for maintenance therapy but may not be sufficient if anatomical obstruction is severe.
Next Steps
Continue nasal steroid spray (Metaspray) regularly.
Consider saline nasal irrigation to clear secretions.
A trial of broad-spectrum antibiotics (if infection persists).
If no significant improvement in 2–4 weeks, FESS may be strongly considered.
Surgical Consideration:
Given your history and CT findings, Functional Endoscopic Sinus Surgery (FESS) may be advised if:
Symptoms persist despite 4–6 weeks of optimal medical therapy.
There is persistent sinus blockage, recurrent infections, or anatomical obstructions (e.g., synechiae or infundibular blockage).
Surgery aims to restore sinus ventilation, remove obstructions, and prevent recurrence. It is a safe and effective procedure when conservative measures fail.
Health Tips
Please consult your ENT specialist with these findings. Surgical intervention is often beneficial in such chronic cases, especially when imaging supports poor drainage and mucosal disease.
Answered
1/2 people found this helpful
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.