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Medical Forum / Diseases and Disorders / Sinusitis / April 2006Operation to maxillary sinus - Please HELP
Hi, A routine dental X-ray detected some "foreign body" in my maxillary sinus, I had the CT scan and a number of larger X-Rays, however doctors are unable to establish what it is. They are thinking that it maybe infection or some sort of fung and offering to clean it by doing an incision under my upper lip. I have no symptoms whatsoever and not sure if I should go ahead with the operation or just leave it as it is. I heard that this kind of operation can have very bed side effects such as permanent numbness of lips, face and sometimes permanent paralysis. Has anyone had this kid of operation done??? Please share your experience or any thoughts you may have. Thank you in advance Oksana. >Hi, > [quoted text clipped - 11 lines] >Has anyone had this kid of operation done??? Please share your experience or >any thoughts you may have. Are you in Germany? That does nto affect anything but I was looking at the headers. I am not bvery knoledgeable in this area but one thing I would ask is if they are looking to rule out the possibility that it could be a tumor. If they feel they need to rule that out, then that could be a factor... Can they do a biopsy with a needle? See http://www.findarticles.com/p/articles/mi_m0BUM/is_8_80/ai_78356813 I guess another way to get to it could be by endoscope but they would have to enlarge the opening of the sinus to get in that way. Or maybe it is in a very awkward location. See http://www.medscape.com/viewarticle/408713_9 I really do not know the pros and cons. I doubt that any form of facial paralysis is likely, though - where did you hear that? Hopefully Dr. Grossan or others more knowledgeable than i will comment...,,.. Hi Don, Thank you very much for your answer. I am in London – UK. The doctor can not rule out a possibility of it being a tumour, although when I checked my old dental X-rays dated August 2001 the “foreign body” was already there. I suggested surgeon to have a look on the x-ray but he told me that since the “foreign body” is in my maxillary sinus it should be removed and it is irrelevant that it has been there for 5 years. During my pre operation check up I was told that one of the possible side effects might be paralysis of left part of the face. I am a 26 years old female and I worry about any changes to my face or side effects very much, and bearing in mind that I do not have any symptoms I keep questioning myself if I should go ahead with the operation. I will try to get in touch with the surgeon on Monday and ask if I can have a biopsy. Once again thank you for you answer, I hope that I will get some more. This site is excellent, I wish I knew about it before, my operation is scheduled for Tuesday 4th April… >>Hi, >> [quoted text clipped - 22 lines] > >Hopefully Dr. Grossan or others more knowledgeable than i will comment...,,.. On 4/1/06 1:10 PM, in article 5e24ae0324699@uwe, "oksana via MedKB.com" <u20362@uwe> wrote: > Hi Don, > [quoted text clipped - 47 lines] >> >> Hopefully Dr. Grossan or others more knowledgeable than i will comment...,,.. If its a foreign body the same procedure for taking a biopsy would allow you to remove it. Besides, hard to take a biopsy if it is a needle. Or a screw. I believe there was a misunderstanding about "facial paralysis". I believe the nurse might have said injury to a facial nerve, meaning the infraorbital nerve that gives feeling to the cheek. But the trochar is place to avoid such a complication. One of the confusions here is that this is not a Caldwell Luc procedure, but most of the references talk about this. ,,.. >If its a foreign body the same procedure for taking a biopsy would allow you >to remove it. Besides, hard to take a biopsy if it is a needle. Or a screw. [quoted text clipped - 4 lines] >One of the confusions here is that this is not a Caldwell Luc procedure, but >most of the references talk about this. Oh ok thanks for clarifying that....... Dr. Grossan, Thanks for your reply. Apart from the foreign body, it seems that my left maxillary sinus is filled with something that looks like infection or fungus. My surgeon said that he will make 3-4 cm. incision under my upper lip and will try to clean it up. I am however worried about consequences of such a big incision and since I do not have any other symptoms or problems with my sinus not sure if it is worth having this operation done on the first place. >On 4/1/06 1:10 PM, in article 5e24ae0324699@uwe, "oksana via MedKB.com" ><u20362@uwe> wrote: [quoted text clipped - 13 lines] >One of the confusions here is that this is not a Caldwell Luc procedure, but >most of the references talk about this. |
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