Suggest Treatment For Presence Of Fluid In Left Maxillary Sinus Area

Posted on Sun, 2 Aug 2015

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

Sun, 2 Aug 2015 Answered on

Tue, 25 Aug 2015 Last reviewed on

Question : Hi
I have fluid seen in the left maxillary sinus with almost complete opacification. Moderate mucosal thickening in the right maxillary sinus, sphenoid sinus and ethmoid air cells. Fluid level is also seen in the left sphenoid sinus.
What does this mean?

Answered by Dr. Shafi Ullah Khan (25 minutes later)

Brief Answer:
Sinusitis. Radiological findings

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. FLuids with opacification and air fluid levels in maxillary sinus means inflammation of maxillary sinus call sinusitis. Usually these radiological findings correlate with clinical history of Fever, headache, postnasal discharge of thick sputum, nasal congestion and abnormal smell.

As you have taken 5 courses of antibiotics over 5 months with still symptoms present means it is a chronic sinusitis( inflammation lasting longer than 8 weeks). Antibiotics alone do not suffice. Saline nasal irrigation. nasal steroids , oral or injected corticosteroids, decongestants, aspirin desensitization and immunotherapy are some of the options. Last but not the least option is invasive surgery like endoscopic sinus surgery.

Talk to your otorhinolaryngologist and let them decide what is best for you.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar