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Medical Forum / Diseases and Disorders / Sinusitis / May 2008

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New pituitary MRI had comment on my maxillary sinus

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Susan - 01 May 2008 00:19 GMT
As I posted last year, a very nice ENT with a specialty in FESS refused
to consider surgery on me despite my symptoms of chronic sinusitis and
the fact that I correctly pointed to the one spot that was abnormal on
my last C-T, my frontal sinus as the one having pain; it had mucosal
thickening.

The radiologist commenting on my new pit MRI noted that there is slight
mucosal thickening of my right maxillary sinus, too.  I'd mentioned this
to the ENT as the only other sore one I get when I have a cold.  Now
it's been sore for no reason the past week or two.

The ENT felt that except for the mucosal thickening, my C-T represented
a liability problem for him if he operated on me with an otherwise clean
C-T scan.

For most folks, this is sickening, for me, with pituitary/adrenal
disorder, it throws me into adrenal insufficiency states constantly, to
the point that I have to stress dose with hydrocortisone for things like
dental appointments so I don't get dizzy, faint or have severe back spasms.

What a world.

Oh, yeah, there are subcortical punctate white matter hyperintensities
all over.

Susan
truehawk - 01 May 2008 04:32 GMT
> x-no-archive: yes
>
[quoted text clipped - 24 lines]
>
> Susan

That mucosal thickening is the biofilm Dear.
They should be able to use something like radio frequency ablation to
debride and steralize the surface. Then you will need to keep it from
recolonized until it heals.
judy.n - 01 May 2008 13:21 GMT
> > x-no-archive: yes
>
[quoted text clipped - 29 lines]
> debride and steralize the surface. Then you will need to keep it from
> recolonized until it heals.
Susan,
 Almost every MRI I get shows some sinus thickening--they are overly
sensitive, and not specific. I wish I could get you a good reference
to document that--I'll look for it.
  Also, the white matter stuff, shows up all the time, it's usually
attributed to migraine--or lyme.
Judy
Susan - 01 May 2008 15:42 GMT
> Susan,
>   Almost every MRI I get shows some sinus thickening--they are overly
[quoted text clipped - 3 lines]
> attributed to migraine--or lyme.
> Judy

Or MS, or maybe steroid damage?  In the past, I've had an abnormal SPECT
scan consistent with Lyme.

Judy, my thickening sites noted on MRI and C-T are exactly the spots
that are sore.  My right maxillary started hurting last week, the
frontal is always draining.

Susan
Susan - 01 May 2008 15:40 GMT
> That mucosal thickening is the biofilm Dear.

My thought, exactly.

> They should be able to use something like radio frequency ablation to
> debride and steralize the surface. Then you will need to keep it from
> recolonized until it heals.

I can't get anyone to even consider going in there.  I got a new name
off of ratemds.com, so I'll try him. Or maybe bring that C-T article
with me to my inf. diseases doc and ask him to advocate for me.

It's eating up all my cortisol, and I'm needing to stress dose with
Cortef, like just to have an MRI, something that's never bothered me before.

Susan
 
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