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Medical Forum / Diseases and Disorders / Sinusitis / December 2004Help! Surgery is now scheduled for Dec. 2...
I have been suffering for years with recurrent sinus infection that are getting longer every winter. The pain, pressure and vertigo I experience lays me up for weeks, and normally I am an extremely active person. This one started 5 weeks ago, and 3 antibiotics ago. My ears are still blocked and popping, the pressure is still there, and i'm still dizzy. The dr. gave me a steroid inhaler, which gives me a terrible headache, and booked me for deviated septum surgery. Has anyone had this and did it help> I'm so scared, I am getting married May 20, 2005, and I do not want to be sick, or disfigured. I'm petrified!! Thanks for listening, Dawn >I have been suffering for years with recurrent sinus infection that are >getting longer every winter. The pain, pressure and vertigo I experience [quoted text clipped - 6 lines] >or disfigured. I'm petrified!! >Thanks for listening, Dawn The surgery you mention (septal correction) is extremely minor. It will not disfigure you. It might help with your infections but let me ask -- was a CT scan done? - what kind of medical practise is this? (example: sinus specialist at major university medical center. Another Example: neighborhood ENT clinic) - have you had a complete blood workup done for amemia etc? - are you on a fad diet or other possible cause for immune issues? > The surgery you mention (septal correction) is extremely minor. It will not > disfigure you. Well, it could create a perforated septum. That happened to me, when I had the septum straightened (in the same operation as sinus surgery). > - have you had a complete blood workup done for amemia etc? Is there a link between anemia and sinusitis? >Well, it could create a perforated septum. That happened to me, when I had >the septum straightened (in the same operation as sinus surgery). Is that disfigurement? Maybe maining..... >Is there a link between anemia and sinusitis? Certainly some types of anemia (espically thoise affecting white blood count) are going to limit your immune response to fight off infections of any kind. >Is that disfigurement? Maybe maining..... I meant maiming. But you are correct, septal perforation can be a rare complication of septal correction. I think she was primarily concerned with her facial appearance to others. But it is true in any case that septal correction should not be done casually without a definite opinion that it is justified and likely to help, and that it is not done alone if more thorough surgery is really called for. It is sometimes done far too casually. That is why I asked her if a CT scan was done, and what kind of medical practice she was being seen at. She has not replied though. Really any kind of nasal or sinus surgery calls for a second opinion from an expert iodentified independently of the first physician. > It is sometimes done far too casually. That is why I asked her if a CT scan > was done, and what kind of medical practice she was being seen at. She has not > replied though. > > Really any kind of nasal or sinus surgery calls for a second opinion from an > expert iodentified independently of the first physician. I agree. I think it is far too often thrown in with other sinus surgery. ("Might as well straighten your septum while we're at it.") No one's septum is perfectly straight. Septal correction should only be considered if there is a high probability that this will really help the patient. I agree that it is a very good idea to get a second (perhaps third and fourth) opinion(s) before getting nasal and/or sinus surgery. It could make things worse, as well as help people. >I agree. I think it is far too often thrown in with other sinus surgery. >("Might as well straighten your septum while we're at it.") No one's septum >is perfectly straight. Septal correction should only be considered if there >is a high probability that this will really help the patient. Yes. Dr. Kennedy seemed to hold the same view. He did need to remove a septal spur to get the endoscope in properly, but he told me he did not really straighten the septum as such, and only touched the septum minimally . Various other doctors had told me earlier that the septim was quite deviated and would need correction (and in fact one could see that it was on the CT scan). Please look at it from the doctor's point of view. If the septum is deviated and might be a factor, but might not, I can leave it alone while I do the other surgery. BUT then later it turns out that I was wrong and I need to go back in and do another surgery - expense, time off work, pain, etc etc. It is a judgement call. ANYONE can leave the deviated septum while doing sinus surgery. But if you need to return later for a second surgery, it is not a good judgement. By the way the doctor recieves a lower fee if he does the septum at the same time as the sinus surgery than if he does them at separate surgeries. Murray Grossan, M.D. http://www.ent-consult.com Please don't get turbinate reduction. You'll life will be hell! and theirs no way to reverse it. My whole life is devastating. Believe me, death is my only hope! please don't get rhinoplasty! if the ENT messes up you will suffer more than anything you can imageine. Trust me having a stuffy nose, or infections is not 10 % as bad as this! Don't ever have surgery, unless its the only way. Make sure they only touch your septum! ENT's are notorious butchers and will do uncinectomies,ethmoidectomies and antrostomies ans partial or even worse total turbinate resections!! BEWARE!!! Don'truin your life!! Your life as you know it now might cease to exist! Ask if you'll have to irrigate for the rest of your life!!!!! Yuo will probably still get infections and you might get them even more frequently! Are you sure you can't survive without surgery! try some irrigation before surgery and find a doctor willing to work with you for a few years before even considering surgery! Good Luck! I hope you don't turn out totally miserable and suffering with no life or future and a nose that does'nt work anymore because the ENT did his MINOR OUTPATIENT surgery that was suppose to be 90% successful and back to work in a week!!! IT WAS BULL CRAP!!!!! Don't let it happen to you! wow. questoryia: have you had a bad experience or what? i hope you are not speaking from experience, that would be tragic. i have had five surgeries in three years, it did not ruin my life or my face. in fact it gave me a quality of life and the ability to want to stay living after years of hell. each person has a different experience and a lot of them have been posted on this newsgroup. nfnitedawn: do a search on sinus surgery or deviated septum and see what others say. i agree that you want to tell your surgeon (who should have done thousands of these) you only want the surgery he is planning, no matter what he finds. good luck and let us know what you find. trudy. >I have been suffering for years with recurrent sinus infection that are >getting longer every winter. The pain, pressure and vertigo I experience [quoted text clipped - 6 lines] >or disfigured. I'm petrified!! >Thanks for listening, Dawn Dawn, I've known many who have had deviated septum surgery, my mother included. It was quite minor. Certainly no worse than getting a wisdom tooth yanked. The reply you got from questoryia may scare the hell out of you. Obviously he/she got butchered. And while their story is no doubt an extreme case I can vouch that you need to be on your toes whenever dealing with the medicos. You really need to make sure everything is spelled out and there is a complete understanding of what is/is not going to be done to you surgically. I went in for oral surgery once and, honest to god, it was on Xmas eve, late in the afternoon - the whole office was partying, they kinda took a little 'break' to do my surgery and damn near extracted a perfectly healthy molar instead of the abcessed tooth next to it that they where supposed to take! Can you imagine how insanely pissed off/depressed I would have been if they pulled a good molar and left my abcessed tooth in the socket - Oops. It was only my awareness and the fact that someone was right there with me watching that prevented the disaster. I'm sure these kind of 'accidents' are few and far between, but it's a good idea to 'keep an eye' on the docs - they are not infallable. iJah Dawn, Info is power. Please go to MedicineNet.com and type sinusitis in the search box. There are links for pre-op, post-op, and many pgs on sinusitis. It is excellent. It is written in laymen's terms but explicit enough to be encylopedic. Please do not let horror stories make you feel worse when you 're feeling vulnerable. Dara > I have been suffering for years with recurrent sinus infection that are > getting longer every winter. The pain, pressure and vertigo I experience [quoted text clipped - 6 lines] > or disfigured. I'm petrified!! > Thanks for listening, Dawn Yes - I had a septoplastic 22 years ago - I was under local anesthesia and a few depressants besides.. The good news is it did help but the procedure was well, worth it I guess. The procedure for me was a moderately (not severly) unpleasant experience - probably on the scale of ...multiple root canals with meagadoses of anethesia.. Afterwards they pack your nose for a week to heal so you have to breath through your mouth which drys out at night. That's really all there is to it - no disfiguration or anything, it is internal to the nose. You'll be down for a week and will need a support team in place. Hang in there, El Squid |
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