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Medical Forum / Diseases and Disorders / Sinusitis / October 2003FESS
Hi there. I've suffered from recurrent sinus infections for many years now. However after some kinesiology/homeopathy treatment about 18months ago I've only had 2/3 full blown infections (by full blown I mean streaming green goo and feeling awful!). I also douche regularly although not with a water pik as I don't seem to be able to get one in the UK. I have been seeing an ENT who specialises in sinuses and sinus surgery. My CT scans continue to show congestion, I am slowly loosing my sense of smell & I have an almost constant headache with feelings of pressure in my sinuses, with a cough and a messy chesty cough especially in the morning. However due to not having constant infections and not being on antibiotics I consider myself to be greatly 'improved' to 2 years ago. The last time I saw the ENT an endoscope was used in the office and I was told my sinuses are infected and dripping pus! despite the fact I consider myself to be in one of my, for me, 'good' periods. Now to the point. My ENT has recommended FESS to clear the congestion and improve air flow into the sinuses, as the area they drain through in the nose is very closed up. My worry is that I might end up worse after the surgery and whether I should just leave well alone at the moment. Any comments / experiences that might help me?? Many thanks >Hi there. I've suffered from recurrent sinus infections for many years now. >However after some kinesiology/homeopathy treatment about 18months ago I've [quoted text clipped - 18 lines] > >Any comments / experiences that might help me?? Whetehr to have FESS is important but equally important is who to have do the surgery. It is partly an art not completely a science yet. I would get at least 2 second opino\ions from experts *you* find (not your doctor). Try a Universirt medcial center. Mayo is conservative about surgery so they would be good to include... If you are greatly improved, I'd not do the surgery. I've had it, and I prefer how I felt before. I do not like the sense of air in my nostril without the turbinates. It's loud and the air doesn't get cooled when it comes in. A cold day is hard. The surgery healed with scarring, so in some ways the draining is worse now. IF you can improve without it, that is saying a LOT. > >Hi there. I've suffered from recurrent sinus infections for many years now. > >However after some kinesiology/homeopathy treatment about 18months ago I've [quoted text clipped - 28 lines] > > Mayo is conservative about surgery so they would be good to include... >If you are greatly improved, I'd not do the surgery. I've had it, and I >prefer how I felt before. I do not like the sense of air in my nostril >without the turbinates. It's loud and the air doesn't get cooled when it >comes in. A cold day is hard. The surgery healed with scarring, so in some >ways the draining is worse now. To prevent scarring, there need to be follow-ups rights after surgery and then every week for a month or so for debridement. If the turbinates are reduced, the reduction should not be excessive and the mucus should be preserved.. Unfortunately, people can not necessily expect perfect technique unless they pick their surgeon only after a careful search.... >IF you can improve without it, that is saying a LOT. from http://www.arabmedmag.com/issue-30-06-2003/orl/main01.htm .... In conclusion, FESS is not the panacea for all sinus disorders, and its role has been overemphasized. In allergy-associated chronic rhinosinusitis, FESS actually aggravates allergic symptoms. We found FESS to be more troublesome than beneficial because of the incidence of persistent or even increased postnasal drip. This was probably the result of the increase in mucosal surface area that became available for allergen exposure plus the drying effect of the increased volume of air as a result of overzealous turbinate resection and total ethmoidectomy. FENS, on the other hand, provides a safe and efficient method of relieving obstruction in the nasal passage and osteomeatal complex. At the same time, it protects the sinuses from allergen exposure, ventilating them during an allergen-free expiratory phase. It is not merely a viable alternative in the management of allergy-associated chronic rhinosinusitis, it is a superior alternative. ... Better use the netti pot and have along hot shower everyday...I am sure there are also pitfalls in FENS. We are paying them a hefty sum for the experiments that are performed on our bodies. > >If you are greatly improved, I'd not do the surgery. I've had it, and I > >prefer how I felt before. I do not like the sense of air in my nostril [quoted text clipped - 12 lines] > > >IF you can improve without it, that is saying a LOT. >from http://www.arabmedmag.com/issue-30-06-2003/orl/main01.htm >.... [quoted text clipped - 15 lines] >chronic rhinosinusitis, it is a superior alternative. >... Interesting article for a different point of view on sinus surgery. (There are quite a few points of view...) |
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