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Re: Sinuses- Concha Bullosas

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Which kind of sinus surgery does he want to do? How much scillia

will be damaged? What is causing the swelling and why is it getting

worse? I don't know where these guys get their 90% success rate. Ask

him what he considers " success " . Does he culture the organisms for

follow-up care? Can you talk to some of his " success stories " who

had the same symptoms you do? (they'd have to call you, or give the

doc permission for you to call them due to patient privacy laws).

Where are you located? There's a good ENT in San Diego who does

these things correctly, but she's the exception, not the rule.

penny

>

> Hello,

> I'd posted on the subject of turbinate injections a while ago. I

had

> the 3 shots, but they didn't do very much. Today, I saw a new dr.

who

> specializes in just sinuses (this is my 5th ENT). I've had chronic

> maxillary sinusitis for over 7 months now. I do feel better than

last

> fall but it's still not going away. He said that my concha bullosas

> are very large and they're blocking the passages. I also learned

that

> the thickening of the mucosal wall started well before the horror

show

> I caught last July and that it's probably going to get worse. He

saw

> my sinuses thru a camera- I saw it on a tv screen. He wants to

> complete the surgery to correct this defect. He looked at my scans

> (I've had 3), compared each one and actually said that the problem

is

> getting worse. None of the pills, shots, steroids got to the root

of

> the problem. Has anyone had this done before and did it work? The

> strange this is that before I caught that sinus infection last

July, I

> noticed I began getting sinus headaches without any sneezing,

watery

> eyes, etc. for afew years I'd say. Maybe he's right. Just don't

know

> anymore. He said he's performed thousands of sinus surgeries w/ a

90%

> success rate. He seems to know what he's doing. I'm 42 and in

decent

> shape, used to go to the gym (member for 16 years) but energy so

low

> had to stop, I eat a very healthy diet.

> Thanks to all for taking the time to read this.

>

>

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,

Apparently the concha bullosa is an anatomical defect of the middle

turbinate. It must be removed and the middle turbinate resected. What

is very important is the ent have enough experience not to remove too

much of the turbinate. This will cause way too much air to go into

your sinuses at once and will be very bothersome. I recall it being

called something like, empty head syndrome or something to that

effect. Get a very good surgeon.

> > >

> > > Hello,

> > > I'd posted on the subject of turbinate injections

> > a while ago. I

> > had

> > > the 3 shots, but they didn't do very much. Today,

> > I saw a new dr.

> > who

> > > specializes in just sinuses (this is my 5th ENT).

> > I've had chronic

> > > maxillary sinusitis for over 7 months now. I do

> > feel better than

> > last

> > > fall but it's still not going away. He said that

> > my concha bullosas

> > > are very large and they're blocking the passages.

> > I also learned

> > that

> > > the thickening of the mucosal wall started well

> > before the horror

> > show

> > > I caught last July and that it's probably going to

> > get worse. He

> > saw

> > > my sinuses thru a camera- I saw it on a tv screen.

> > He wants to

> > > complete the surgery to correct this defect. He

> > looked at my scans

> > > (I've had 3), compared each one and actually said

> > that the problem

> > is

> > > getting worse. None of the pills, shots, steroids

> > got to the root

> > of

> > > the problem. Has anyone had this done before and

> > did it work? The

> > > strange this is that before I caught that sinus

> > infection last

> > July, I

> > > noticed I began getting sinus headaches without

> > any sneezing,

> > watery

> > > eyes, etc. for afew years I'd say. Maybe he's

> > right. Just don't

> > know

> > > anymore. He said he's performed thousands of sinus

> > surgeries w/ a

> > 90%

> > > success rate. He seems to know what he's doing.

> > I'm 42 and in

> > decent

> > > shape, used to go to the gym (member for 16 years)

> > but energy so

> > low

> > > had to stop, I eat a very healthy diet.

> > > Thanks to all for taking the time to read this.

> > >

> > >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>

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,

Jersey is pretty close to NY,NY. I would go see Dr. Tichnor.

www.sinuses.com

I'm sure he would recommend one of the best surgeons available too.

Maybe he would be a good fifth opinion as well. And his opinion may

differ from the ent's.

I think these are some good ones:

www.docdavid.com

Professor Dr. Heinz Stammberger: Graz University, Austria and

s Hopkins University, Baltimore (He is a major figure in the

development of FESS, and he trained W. Kennedy, M.D.)

W. Kennedy, M.D.: Professor and Chairman of Otolaryngology

University of Pennsylvania School of Medicine, Philadelphia.

He introduced FESS to the United States in 1985.

Lanza, M.D.: Associate Professor of Otolaryngology

University of Pennsylvania

School of Medicine, Philadelphia

> > >

> > > Hello,

> > > I'd posted on the subject of turbinate injections

> > a while ago. I

> > had

> > > the 3 shots, but they didn't do very much. Today,

> > I saw a new dr.

> > who

> > > specializes in just sinuses (this is my 5th ENT).

> > I've had chronic

> > > maxillary sinusitis for over 7 months now. I do

> > feel better than

> > last

> > > fall but it's still not going away. He said that

> > my concha bullosas

> > > are very large and they're blocking the passages.

> > I also learned

> > that

> > > the thickening of the mucosal wall started well

> > before the horror

> > show

> > > I caught last July and that it's probably going to

> > get worse. He

> > saw

> > > my sinuses thru a camera- I saw it on a tv screen.

> > He wants to

> > > complete the surgery to correct this defect. He

> > looked at my scans

> > > (I've had 3), compared each one and actually said

> > that the problem

> > is

> > > getting worse. None of the pills, shots, steroids

> > got to the root

> > of

> > > the problem. Has anyone had this done before and

> > did it work? The

> > > strange this is that before I caught that sinus

> > infection last

> > July, I

> > > noticed I began getting sinus headaches without

> > any sneezing,

> > watery

> > > eyes, etc. for afew years I'd say. Maybe he's

> > right. Just don't

> > know

> > > anymore. He said he's performed thousands of sinus

> > surgeries w/ a

> > 90%

> > > success rate. He seems to know what he's doing.

> > I'm 42 and in

> > decent

> > > shape, used to go to the gym (member for 16 years)

> > but energy so

> > low

> > > had to stop, I eat a very healthy diet.

> > > Thanks to all for taking the time to read this.

> > >

> > >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>

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No I haven't seen dr. Tichnor. I live in tx

> > > > >

> > > > > Hello,

> > > > > I'd posted on the subject of turbinate

> > injections

> > > > a while ago. I

> > > > had

> > > > > the 3 shots, but they didn't do very much.

> > Today,

> > > > I saw a new dr.

> > > > who

> > > > > specializes in just sinuses (this is my 5th

> > ENT).

> > > > I've had chronic

> > > > > maxillary sinusitis for over 7 months now. I

> > do

> > > > feel better than

> > > > last

> > > > > fall but it's still not going away. He said

> > that

> > > > my concha bullosas

> > > > > are very large and they're blocking the

> > passages.

> > > > I also learned

> > > > that

> > > > > the thickening of the mucosal wall started

> > well

> > > > before the horror

> > > > show

> > > > > I caught last July and that it's probably

> > going to

> > > > get worse. He

> > > > saw

> > > > > my sinuses thru a camera- I saw it on a tv

> > screen.

> > > > He wants to

> > > > > complete the surgery to correct this defect.

> > He

> > > > looked at my scans

> > > > > (I've had 3), compared each one and actually

> > said

> > > > that the problem

> > > > is

> > > > > getting worse. None of the pills, shots,

> > steroids

> > > > got to the root

> > > > of

> > > > > the problem. Has anyone had this done before

> > and

> > > > did it work? The

> > > > > strange this is that before I caught that

> > sinus

> > > > infection last

> > > > July, I

> > > > > noticed I began getting sinus headaches

> > without

> > > > any sneezing,

> > > > watery

> > > > > eyes, etc. for afew years I'd say. Maybe he's

> > > > right. Just don't

> > > > know

> > > > > anymore. He said he's performed thousands of

> > sinus

> > > > surgeries w/ a

> > > > 90%

> > > > > success rate. He seems to know what he's

> > doing.

> > > > I'm 42 and in

> > > > decent

> > > > > shape, used to go to the gym (member for 16

> > years)

> > > > but energy so

> > > > low

> > > > > had to stop, I eat a very healthy diet.

> > > > > Thanks to all for taking the time to read

> > this.

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > >

> > >

> > > __________________________________________________

> > >

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Well, if you came to see our local ENT (the only good one I know of,

and I've visited MANY) she'd first culture your sinuses to see

what's causing the infection and inflammation. She'd then treat you

with the appropriate antibiotics based on the bugs' sensitivies in

the culture dish.

Then she'd see if the infection had cleared and the inflammation had

reduced. She'd see surgery as a last resort, or only necessary if

there truly WAS a defect.

If you've got inflammation, there's a reason for it. Perhaps you

have some kind of abnormality, but I find it very suspicious how

many people seem to be dx'd with " abnormalities " rather than

infection and the subsequent and natural inflammatory response

(swelling).

I bet not one of those ENTs has discussed the infection itself,

right? They're blaming the infection on the inflammation (swelling),

not the other way around, right?

Like I said, I'd talk to a whole lot of people who've had surgery

and do a lot of research before letting him drill in my head, and

destroy all that fragile scilia, which is the one thing in your

sinuses designed to move stuff out of there.

Just keep this in mind. The head of the ENT department at UCSD told

me that he's " just a plumber " .

I'm not comfortable with a " plumber " drilling that close to my brain

while completely ignoring the infection itself.

penny

p.s. It's important to know if you have any other illness symptoms

which could indicate that your sinus problem is bigger than you

think.

> > >

> > > Hello,

> > > I'd posted on the subject of turbinate injections

> > a while ago. I

> > had

> > > the 3 shots, but they didn't do very much. Today,

> > I saw a new dr.

> > who

> > > specializes in just sinuses (this is my 5th ENT).

> > I've had chronic

> > > maxillary sinusitis for over 7 months now. I do

> > feel better than

> > last

> > > fall but it's still not going away. He said that

> > my concha bullosas

> > > are very large and they're blocking the passages.

> > I also learned

> > that

> > > the thickening of the mucosal wall started well

> > before the horror

> > show

> > > I caught last July and that it's probably going to

> > get worse. He

> > saw

> > > my sinuses thru a camera- I saw it on a tv screen.

> > He wants to

> > > complete the surgery to correct this defect. He

> > looked at my scans

> > > (I've had 3), compared each one and actually said

> > that the problem

> > is

> > > getting worse. None of the pills, shots, steroids

> > got to the root

> > of

> > > the problem. Has anyone had this done before and

> > did it work? The

> > > strange this is that before I caught that sinus

> > infection last

> > July, I

> > > noticed I began getting sinus headaches without

> > any sneezing,

> > watery

> > > eyes, etc. for afew years I'd say. Maybe he's

> > right. Just don't

> > know

> > > anymore. He said he's performed thousands of sinus

> > surgeries w/ a

> > 90%

> > > success rate. He seems to know what he's doing.

> > I'm 42 and in

> > decent

> > > shape, used to go to the gym (member for 16 years)

> > but energy so

> > low

> > > had to stop, I eat a very healthy diet.

> > > Thanks to all for taking the time to read this.

> > >

> > >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>

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