Suggest Treatment For Pain On Side Of Face When Diagnosed With Sinus Infection

Posted on Thu, 8 Oct 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 8 Oct 2015 Answered on

Mon, 2 Nov 2015 Last reviewed on

Question : Hi, I have a history of long term sinus infection and issues particularly over the past 5 years. I constantly have an ache on the right side of my face under my eye and a sore nect. I just had a ct scan and it shows that I have very small maxilarry sinus on the same side. It also shows a high located wisdom tooth in the area with the root of the tooth possibly located in the area near the sinus, could this possibly be the cause of the problem and would removing the tooth simply fix the problem? Thanks

Answered by Dr. Hariom Sharma (45 minutes later)

Brief Answer:
Wisdom tooth may be the root cause of your problem

Detailed Answer:
Hi Sir,
I have gone through your query and report; it suggests that most probably you are suffering from the right maxillary sinusitis and wisdom tooth may be the root cause of your problem.

I also suggest for extraction of the wisdom with at least five days course of proper antibiotic with antiseptic gargles.

It simply fixes your problem if osteomeatal complex of right side is not blocked.

Thanks

Wish you good health

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Hariom Sharma (28 minutes later)

Thankyou for your response. If the osteomeatal complex is blocked would this not allow the area to drain, thus clearing the remaining infection? How would i know if this is the case and how could it be dealt with?

Answered by Dr. Hariom Sharma (14 minutes later)

Brief Answer:
If OMC is blocked this would not allow the area to drain

Detailed Answer:
Hi Sir,
I have gone through your follow up query; and for your kind information if osteomeatal complex (OMC) is blocked this would not allow the area to drain.

Just go through your CT scan paranasal sinus report or send me the whole images of your CT scan with report to rule out this condition.

Management part i.e. medical or surgical depends on severity of diseases.

No need to worry but it is absolute necessary to first go for extraction of wisdom tooth.

Thanks

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Hariom Sharma (24 minutes later)

I have uploaded another image of the ct further up on the transverse plane. I think this shows a passage to the maxillary sinus? I do have experience from studying a masters degree in sports science and rehabilitation however only on soft tissue injuries e.g. knee, shoulder etc. I can;t figure out how to easily load all the ct files though? Thanks

Answered by Dr. Hariom Sharma (16 hours later)

Brief Answer:
Please send me the whole images of CT scan PNS or consult with your doctor

Detailed Answer:
Hi Sir,

I have gone through your follow up query and image, but I would prefer to look at all the CT images. I think you cannot upload all the files here. Therefore I suggest you to upload the images to drop box / google drive or any similar cloud sharing sites and send me the link.

Thanks

Wish you good health

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hariom Sharma (25 hours later)

Thanks, below is a link to the file with the scan. Why is the maxillary sinus so small? Is this an under developed issue also? or from the issue?

https://drive.yyyy.com/fyyyyyyyyid=0B4oSrg7s5NBFUVQ0aG9CVUtGbVE&usp=sharing

Answered by Dr. Hariom Sharma (35 hours later)

Brief Answer:
Underdeveloped right maxillary sinus

Detailed Answer:
Hi Sir,
I have gone through your query and link; it suggest that you are having underdeveloped right maxillary sinus.

In my opinion extraction of wisdom tooth and conservative management are suffice to relieve your symptom.

Wish you good health

Above answer was peer-reviewed by : Dr. Raju A.T