1. recent sudden attack vertigo ( medical dx, ( room rotate, vomit, decreased balance)) 2. ct scan without contrast showed: gray matter white matter well preserved, an air fluid level noted within right maxillary sinus, right maxillary sinus air fluid level correlate acute sinusitis, mild mucosal thickening ethmoid air cells, opacified left maxillary sinus likely consistent with chronic sinusitis 3. hearing test showed right hearing loss ( below what is considered border line for hearing, ex can hear man voice, child level and higher nope) left ear ok 4. vertigo has subsided, balance better, tinnitus and decreased hearing left ear remain 5. question is don t know what could be Labyrinthitis, maxillary inflamm disease, Meniere s ., how to manage it