I was just looking at one of my tooth x-rays, taken at my last dental
appointment. ...Evidently, the bottom of my right maxillary sinus is
sitting right on the root tips of my upper wisdom tooth. ...Is it not
possible that for a stubborn, chronic infection in this area, an
antibiotic would do a lot better job, if it was injected diretly into
this sinus via the mouth?
...And also.. What about the frontals? ...Is there any soft area of
bone over lapping them, such that a needle could be pushed through the
exterior skin, to put a dose of antibiotic, or saline solution, directly
into this sinus ?
It strikes me as an exercise in futility to even hope to get a few drops
of liquid into a "closed end" sinus via irrigation, when all you're
doing is sending a 1 minute flow of water, in a half-assed manner past
an opening, which at the best of times, is barely a few millimeters
wide. ...Would it not be better to get the antibiotic or saline solution
directly into the sinuses themselves, and then let this liquid flush the
infected material out? ....Jon
Ghamph - 29 Oct 2007 23:05 GMT
> I was just looking at one of my tooth x-rays, taken at my last dental
> appointment. ...Evidently, the bottom of my right maxillary sinus is
[quoted text clipped - 15 lines]
> directly into the sinuses themselves, and then let this liquid flush the
> infected material out? ....Jon
An ENT can inject sinuses with various medications such as antibiotics and
stuff to help wash out stuff.
I've heard something about going in through the gums but I can't remember if
that is an approved process or a rare case.
Jamffer
Steven L. - 30 Oct 2007 02:12 GMT
> I was just looking at one of my tooth x-rays, taken at my last dental
> appointment. ...Evidently, the bottom of my right maxillary sinus is
> sitting right on the root tips of my upper wisdom tooth. ...Is it not
> possible that for a stubborn, chronic infection in this area, an
> antibiotic would do a lot better job, if it was injected diretly into
> this sinus via the mouth?
Because of ciliary action, one dose of antibiotic delivered directly to
your sinuses won't stay in there very long. My ENT told me that topical
medication placed into a sinus cavity is flushed out naturally by the
body in less than two hours.
So you would have to go to the doctor or nurse every single day for
weeks on end to have them inject daily doses into your sinuses. That's
inconvenient and very expensive. Or do you think you would have the
intestinal fortitude and skill to inject a hypodermic into your own
mouth by yourself?
What does exist now, is technology to let you perform intravenous (IV)
antibiotic therapy in your own home, on a regular basis if necessary.
And IV antibiotics are often more effective than oral. But that's
typically done only for severe diseases like cystic fibrosis.

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Steven L.
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