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Do I Need Operation Had CT Scan, It Shows Total Opacification Of Soft Tissues Attenuation How Soon Have To Do It?

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Posted on 2 days ago
Question: Hello, looking for consultation of the ENT doctor. Just did CT scan, it shows total opacification of soft tissues attenuation with round superior contours and hyperdence central area.
Osteomeatal complex: OBLITERATED.
overal diagnoses FUNGAL SINUSITIS.

its continuing for the last 2 month (July- Sep), despite some medical treatment. do i need operation? how soon i have to do it?
thank you
doctor
Answered by Dr. Dr.Raju.A.T (17 hours later)
Brief Answer:
Need some more details

Detailed Answer:
Hi,

Thanks for your query

I would like to know some more details

Are you a Diabetic?
Were you treated with antifungal medication till now ?
Presently what medications are you on?
Are you on long term immuno suppressant therapy?

Waiting for your response
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Raju.A.T (26 hours later)

Are you a Diabetic? YES I AM (on metformin and sitagliptin, tablets only)
Were you treated with antifungal medication till now ? yes when i learn that its fungal i started taking flukonazol, nistatin,
Presently what medications are you on? metformin and sitagliptin, eutherox, and telmisartan, and for the last couple of weeks on antifungal.
Are you on long term immuno suppressant therapy? no never.
doctor
Answered by Dr. Dr.Raju.A.T (18 minutes later)
Brief Answer:
Repeat scan

Detailed Answer:
Hi,

Thanks for the information.

Firstly, it is very important that you keep your blood glucose levels under normal range, as high blood sugar can lead to worsening of fungal infection anywhere in the body.

As you have already completed antifungal medication a repeat check scan would be necessary to ascertain the clearance of infection.

If the repeat scan shows infection again, then an option of endoscopic sinus surgery can be considered.

Hope, I answered your query

Wishing you good health

Regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4926 Questions

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Do I Need Operation Had CT Scan, It Shows Total Opacification Of Soft Tissues Attenuation How Soon Have To Do It?

Brief Answer: Need some more details Detailed Answer: Hi, Thanks for your query I would like to know some more details Are you a Diabetic? Were you treated with antifungal medication till now ? Presently what medications are you on? Are you on long term immuno suppressant therapy? Waiting for your response