Sinusitis FAQ

poll surgery nussle polyps

Question:

Hello ,, when will you consider for surgery ? case1 … you have nussle polyps and medicines/nussle supray’s not able to shrink them hense you are tired from mouth breathing cas2…. you have polyps which shrink using of medicines/nussle sprays … but to avoid chances that they can fill sinuses will you choose surgery. case3 …. they bother you occationally . but to avoid chances that they can fill your sinuses  will you go for surgery ? " is surgery is the only option for peoples whose polyps are deep in sinuses " ?

Response:

On 26 May 2005 09:07:38 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: >Hello ,, >when will you consider for surgery ? >case1 … you have nussle polyps and medicines/nussle supray’s not able >to shrink them hense you are tired from mouth breathing

Yes, >cas2…. you have polyps which shrink using of medicines/nussle sprays >… but to avoid chances that they can fill sinuses will you choose >surgery.

Get a CT scan before deciding. >case3 …. they bother you occationally . but to avoid chances that >they can fill your sinuses  will you go for surgery ?

Nit enough information yet to decide.  Get a CT scan and interpretation first. Why guess?

Response:

On 5/26/05 9:07 AM, in article 1117123658.219467.296…@f14g2000cwb.googlegroups.com, "Ankur" <ankuraror…@yahoo.co.in> wrote: > is surgery is the only option for peoples whose polyps are deep in > sinuses

Whether the polyps are in the nose proper or in the sinuses, the treatment is exactly the same.

Response:

and what about surgery ?  can the surgery be done via endoscopic methods . ( by nostril entering pipes in nose which sucks polyps ? …. what is the time that polyps take to grow … i mean lets assume if i decide to wait   1 month to check best surgern of my country can it grow and go into my sinuses … ? i mean what is the rate of growth of polyps .do they  take months to grow or hours or years ? …  can nussle polyps cause facial pressure  or sometimes pain in head or face or medicines that we r  using … or   above sympthoms are associated with  sinus polyps … if someone have polyps in sinus can he shrink his nussle polyps by using sprays ..

Response:

On 29 May 2005 07:40:55 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: >and what about surgery ?  can the surgery be done via endoscopic >methods . ( by nostril entering pipes in nose which sucks polyps ? ….

Endoscopic surgery is now  the only method that is widely used. >what is the time that polyps take to grow … i mean lets assume if i >decide to wait   1 month to check best surgern of my country can it >grow and go into my sinuses … ? i mean what is the rate of growth of >polyps .do they  take months to grow or hours or years ? …

Certainly not hours.  Thay are more a chronic condition. I think that soemone tried to scare you. By the way, they often come back again unless you control them with medication. – Hide quoted text — Show quoted text -> can nussle polyps cause facial pressure  or sometimes pain in head or >face or medicines that we r  using … or   above sympthoms are >associated with  sinus polyps … >if someone have polyps in sinus can he shrink his nussle polyps by >using sprays ..

Response:

I have found that i have polyps about 40 days ago … i am 21 year old male from india …. though i have history of common cold ( usually cold  in  cold season) … i found something ( a  piece of flesh  come out from my nose …  i may have polyps from years but i was not aware of the face reason the polyps just blocked my left nose hense never gave me problem in breathing …. but again one day i feel blocked and appeared that i cant take  breath from my nose ( both nosetails  ) …actually that day was very rainy … i thought something happened to me ….next day immidiately i contacted an ENT … he  first shown me pictures of peoples with polyps kinda peoples with very big red eyes … or a  guy with face like  it was completely burnt … he said basically polyps can go to eyes ( probably he means  sinus available in eyes ) ….. he said never take polyps lightly … he told me  80% of polyps can be cured with medicines… they he asked me to come next day  he said he will go for endoscopy … and he put something light instruments in my nose and told my family that my polyps are going towards my eyes so i must go for surgery ,….   he said if i choose surgery now it will cost me about 150 USD but if polyps hit my eyes it will cost about 1000 USD….. so when i asked how much time i have i mean how much time i can wait for surgery … he said he cant comment on it … he said polyps may  take 1 week or 100 weeks to reach to my eyes so he cant tell me  but he said y r  u taking  risk just go for surgery directly …….. thats alll ,,, till then from 20 days i am constantly thinking about my polyps …. in meanwhile when i contacted lot of homeopathic doctors they told me doctors usually scare to peoples because y would someone go for surgery  if  they will not scare ……………till then i m using homeopathic medicines but still i have lost my peace of mind thats y i have decided that  probably i need to consult best doctors in big cities regarding it and go for surgery directly if they recommend it .,. so from 21 days i have constant headace by constant thinking about  polyps …….. i guess it made my life hell ….. but now i  will consult some good doctors and  get regular medical treatment ( surgery or    medications whatever doctors recommend ) …  ……… however homeopathic medicines have given me relief i dont know it may be temprory too …  may be i am overreacting but m feeling very loose hearted   and my life was never so bad as its now i dont know y what…………. also now i  have fear that polyps may be in sinuses too because  i never go for CTSCAN……..  btw you recommended me CTSCAN … how they will do ctscan … i mean they will put my head in machine or my whole body in machine …. and how much time it will take to CTSCAN ….. also what is surgery ? i mean in sinus surgery will they do it by entering something in my nose ( some rubber things etc ) ..  does sinus/polyps both surgeries are done by  entering something in my nose ….. or these are open surgeries … ??? how much pain it  causes / how much time it takes etc ….  how much blood comes from nose ? etc …

Response:

On 29 May 2005 08:57:00 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: – Hide quoted text — Show quoted text ->I have found that i have polyps about 40 days ago … i am 21 year old >male from india …. though i have history of common cold ( usually >cold  in  cold season) … i found something ( a  piece of flesh  come >out from my nose …  i may have polyps from years but i was not aware >of the face reason the polyps just blocked my left nose hense never >gave me problem in breathing …. but again one day i feel blocked and >appeared that i cant take  breath from my nose ( both nosetails  ) >…actually that day was very rainy … i thought something happened to >me ….next day immidiately i contacted an ENT … he  first shown me >pictures of peoples with polyps kinda peoples with very big red eyes >… or a  guy with face like  it was completely burnt … he said >basically polyps can go to eyes ( probably he means  sinus available in >eyes ) ….. he said never take polyps lightly … he told me  80% of >polyps can be cured with medicines… they he asked me to come next day > he said he will go for endoscopy … and he put something light >instruments in my nose and told my family that my polyps are going >towards my eyes so i must go for surgery .

He can’t  get into the ethmoid sinuses around the eyes with an endoscope. He can only get into the nose.   I can’t see how he could conclude anything about the polyps affecting the ethmoid sinuses without a CT scan but I could be missing something, in which case others should follow up. Would he do surgery without a CT scan?   That would  be very unusal here…… If he is just going to remove the polyps in the nose using the endoscope and nothing else, and has lots of experience, you could let him do it.    That is relatively straightforward surgery and low risk, *provided* he is a licensed accredited specialist in Ear Nose and Throat (check!)  and has lots of experience.   Really that is no big deal. >,….   he said if i choose >surgery now it will cost me about 150 USD but if polyps hit my eyes it >will cost about 1000 USD….. so when i asked how much time i have i >mean how much time i can wait for surgery … he said he cant comment >on it … he said polyps may  take 1 week or 100 weeks to reach to my >eyes so he cant tell me  but he said y r  u taking  risk just go for >surgery directly …….. thats alll ,,, till then from 20 days i am >constantly thinking about my polyps …. in meanwhile when i contacted >lot of homeopathic doctors they told me doctors usually scare to >peoples because y would someone go for surgery  if  they will not scare >……………till then i m using homeopathic medicines but still i >have lost my peace of mind thats y i have decided that  probably i need >to consult best doctors in big cities regarding it and go for surgery >directly if they recommend it .

An experienced sinus surgeon in a major University Meical Center could be a good option. That said, I would rather have an experienced local surgeon than an inexperienced one in a big city.  That is, even in a big city you still need to be sure that the surgeon is very experienced.  Also, if they are not used to doing endoscopic surgery, do not ask them to do it that way.  It is harder to do at first. >,. so from 21 days i have constant >headace by constant thinking about  polyps …….. i guess it made my >life hell ….. but now i  will consult some good doctors and  get >regular medical treatment ( surgery or    medications whatever doctors >recommend ) …  ……… however homeopathic medicines have given me >relief i dont know it may be temprory too …  may be i am overreacting >but m feeling very loose hearted   and my life was never so bad as its >now i dont know y what…………. also now i  have fear that polyps >may be in sinuses too because  i never go for CTSCAN…….. > btw you recommended me CTSCAN … how they will do ctscan … i mean >they will put my head in machine

Just  the head – it is just a stepped series of Xrays from different angles so that they can see the conditions inside  your sinuses. >or my whole body in machine …. and >how much time it will take to CTSCAN

10 minutes.   It is nothing. > ….. also what is surgery ? >i mean in sinus surgery will they do it by entering something in my >nose ( some rubber things etc ) ..

Yes that is the way endoscopic surgery is done. >  does sinus/polyps both surgeries >are done by  entering something in my nose

Yes these days. > ….. or these are open >surgeries

They used to go in through the palate or under the lip, but only a very few surgeons still do that routinely in the U.S.   No matter how you do it, it is still very minor surgery….. >… ??? how much pain it  causes / how much time it takes etc

Up to a ffew hours.   If it is nasal polyps only, I imagine it would be less. >….  how much blood comes from nose ? etc …

Quite a bit.  It may be done under general anesthetic. Really I would suggest that you ask some local sources there as we are not familiar here with practices in India.

Response:

i have consulted 3 ENT surgerns all of them told me i need to go for surgery to avoid any chances that these polyps go into sinuses …. so can they determine that my polyps are not in  my sinuses  just by looking at my face ….. they asked me to go for CTSCAN before surgery …. but from there experience can these guys tell that polyps r not in sinuses

Response:

On 29 May 2005 11:46:57 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: >i have consulted 3 ENT surgerns all of them told me i need to go for >surgery to avoid any chances that these polyps go into sinuses

They may mean to avoid the chance that they *block* the drainage from the ethmoid sinuses and thereby cause sinusitis in the ethmoid sinuses. > …. so >can they determine that my polyps are not in  my sinuses  just by >looking at my face

I do not know.   They can always guess. > ….. they asked me to go for CTSCAN before surgery >…. but from there experience can these guys tell that polyps r not in >sinuses

Why don’t you get the CT scan first, then borrow it and show it to all 3 doctors? That way you will have a much better basis to decide…..

Response:

Filed under: Ethmoid sinusitis

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