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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Nasal Polyp With Headache

Hi , i have a large nasal polyp and suffer form persistent headaches...could it be becuase of the polyp?could you analyze this image please? http://gyazo.com/cdb6faffba4b58091cb518b1a1f57535 i know its just 1 image and i have many, i suffer from hyperosmia
Mon, 15 Sep 2014
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ENT Specialist 's  Response
Hi. I had a look at your MRI image. It shows nasal polyposis.

The turbinate enlargement and polypoid tissue in your nasal cavity reduces the airway circulation into your sinuses thereby precipitating collection of mucus within the sinus which gets infected(sinusitis). In your MRI, the whitish hyperintensity in the maxillary sinus on both sides is indicative of infective material and explains why you have headaches. Aslo, the blockage of air currents created by the polyp and the enlarged turbinates and inflammation, reduce the air reaching the roof of your nose causing alteration in smelling capabilities.

What you need is a CT scan followed by endoscopic sinus surgery for removal of your polyp and widening of the sinus opening. Following the surgery you will need nasal sprays and medications for many months to prevent the reoccurrence of the polyp.

Please do share the CT scan as well. MRI does not give a good sense of the bony landmarks that are important before surgery.

Let me know if you have any further questions
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Suggest Treatment For Nasal Polyp With Headache

Hi. I had a look at your MRI image. It shows nasal polyposis. The turbinate enlargement and polypoid tissue in your nasal cavity reduces the airway circulation into your sinuses thereby precipitating collection of mucus within the sinus which gets infected(sinusitis). In your MRI, the whitish hyperintensity in the maxillary sinus on both sides is indicative of infective material and explains why you have headaches. Aslo, the blockage of air currents created by the polyp and the enlarged turbinates and inflammation, reduce the air reaching the roof of your nose causing alteration in smelling capabilities. What you need is a CT scan followed by endoscopic sinus surgery for removal of your polyp and widening of the sinus opening. Following the surgery you will need nasal sprays and medications for many months to prevent the reoccurrence of the polyp. Please do share the CT scan as well. MRI does not give a good sense of the bony landmarks that are important before surgery. Let me know if you have any further questions