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Had Asthma, Have Dust Allergy. CT Scan Showed Septum Deviated, Hypertrophic Turbinates, Mucosal Thickening. Explain
Hi Doctor,
I have dust allergy since childhood.Since the past 3-4 years i am experiencing frequent nose block/frequent colds during winter and rainy seasons. Last year i had an asthma attack for which i am using preventer inhalers and my asthma is under control now.This year i consulted an ENT doctor for remedy to my nose block problem in my town and he referred for a CT scan .The CT scan report says 1)septum deviated to left 2)inferior frontal,ethmoidal,maxillary and sphenoid sinuses polypoidal mucosal thickening 3)Obliteration of both infundibulae 4)Narrowing of both OMC.5)Narrowing of both frontal recess 5)bilateral concha bullosa with mucosal thickening6)Hypertrophic turbinates 7)Visualised skull base apperas normal.
The doctor asked to go for FESS and then long term medication(sprays and anti allergy tablets).
My question is will long term medication alone not cure the problem.Is surgery necessary?I dont have any symptoms apart from nose block and frequent colds.
I have dust allergy since childhood.Since the past 3-4 years i am experiencing frequent nose block/frequent colds during winter and rainy seasons. Last year i had an asthma attack for which i am using preventer inhalers and my asthma is under control now.This year i consulted an ENT doctor for remedy to my nose block problem in my town and he referred for a CT scan .The CT scan report says 1)septum deviated to left 2)inferior frontal,ethmoidal,maxillary and sphenoid sinuses polypoidal mucosal thickening 3)Obliteration of both infundibulae 4)Narrowing of both OMC.5)Narrowing of both frontal recess 5)bilateral concha bullosa with mucosal thickening6)Hypertrophic turbinates 7)Visualised skull base apperas normal.
The doctor asked to go for FESS and then long term medication(sprays and anti allergy tablets).
My question is will long term medication alone not cure the problem.Is surgery necessary?I dont have any symptoms apart from nose block and frequent colds.
Mon, 21 Oct 2013
Hello dear,
I have gone through the case history as mentioned in the post.
1. Deviated septum, hypertrophied turbinates, sinusoidal polyp & other findings as observed in CT scan are all related to each other.
2. These changes in the normal mucosal anatomy is responsible for your symptoms
3. Intake of medications will only provide symptomatic relief. But, unless the underlying cause is treated, symptoms will keep recurring.
4. You might have to take medications life long for this & have to suffer their side effects, while the mucosal changes may aggravate further to cause irreparable damage.
5. Keeping in mind the above mentioned facts, your ENT Specialist might have advised you the surgery.
Kindly discuss about this & then take a decision.
Take care.
I have gone through the case history as mentioned in the post.
1. Deviated septum, hypertrophied turbinates, sinusoidal polyp & other findings as observed in CT scan are all related to each other.
2. These changes in the normal mucosal anatomy is responsible for your symptoms
3. Intake of medications will only provide symptomatic relief. But, unless the underlying cause is treated, symptoms will keep recurring.
4. You might have to take medications life long for this & have to suffer their side effects, while the mucosal changes may aggravate further to cause irreparable damage.
5. Keeping in mind the above mentioned facts, your ENT Specialist might have advised you the surgery.
Kindly discuss about this & then take a decision.
Take care.
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