Sinus Operation Recommendations

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Slick
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Sinus Operation Recommendations

Unread post by Slick » Wed Nov 15, 2017 7:09 am

Morning All

Since my post explaining my situation is rather long, I'll start with the question, and if you have any info/gen/expert advice, feel free to read my autobiography below - Is there anyone who has had Sinus Surgery, who would recommend it?

I've been struggling with Chronic Sinusitis for the last 10 years which often leads to a Post-Nasal drop and either inflamed ears or throat.

Being aware of what it is and how to manage it definitely helps me out a lot, however every now and then it really gets me, despite my best efforts to manage it.

Earlier in the year I took a trip to the ENT Specialist who specialized in Aviation Medicine and Human Factors during his military service with the Air force. We ran some blood tests to see if I was perhaps allergic to anything, and we also did a CAT Scan. The blood tests revealed that I wasn't allergic to anything, and the CAT Scan showed that I wasn't getting sufficient drainage of the Sinus Cavities due to deformed (or damaged) canals (for lack of better medical terminology... sorry).

Up until that point, he would not recommend Sinus Surgery until he knew for sure that it would help me specifically. After the results came back and we studied it, he pointed out that in my case, he would definitely recommend the Surgery which, fortunately for me, is completely covered by my rather expensive medical aid.

The Sinus Surgery he described, in a simple version, was to grind away at the bone/cartilage and insert a "plug". This plug is rather a plug to assist in keeping the canal open and promote drainage, rather than the type of plug that is designed to block something.

Now that you know the majority of the story, I'll revert back to the initial question - Is there anyone who has had Sinus Surgery, who would recommend it?

I have largely heard of the benefits of the surgery, but I haven't heard from any aviators who have had the Op themselves, and I know there are a few.

Kind Regards :D

Edited for grammar...
Last edited by Slick on Wed Nov 15, 2017 11:33 am, edited 2 times in total.
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Re: Sinus Operation Recommendations

Unread post by ACE MAN » Wed Nov 15, 2017 7:22 am

I had FESS 10 years ago after a baro trauma event , the FESS included work on a deviated sceptim. I was allowed six weeks off work and only needed two and was recleared on my class one medical. Highly recommended and would do it again rather than run the baro trauma risk. It is like giving birth through your nostrils, but worth it.
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Re: Sinus Operation Recommendations

Unread post by Wonko the Sane » Wed Nov 15, 2017 9:04 am

Except for a few weeks of discomfort, you will not regret it. I grew up with Sinusitis and only in early adulthood (once I had my own medical aid) did I go for, at that time called Rhinoplasty. Never looked back.


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Re: Sinus Operation Recommendations

Unread post by fcvanwyk » Sun Nov 19, 2017 1:45 pm

Just to point out that you are totally within your rights to go for a second opinion at another ENT. In general about 90% of cases the patients report improvement in recurring infections. Postnasal drip does not always get better but often does. If you have specific questions pm me.
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Re: Sinus Operation Recommendations

Unread post by Ugly Duckling » Sun Nov 19, 2017 6:32 pm

I saw Dr Quitter at the Flora Clinic. He lectures at Wits Medical School. Sorted my 30 year headache problem.
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Re: Sinus Operation Recommendations

Unread post by Slick » Mon Nov 20, 2017 3:02 pm

Hi all

Thanks, Ace Man and Wonko for the recommendations, I' glad to learn that you two were satisfied with your procedures.

Ugly Duckling, were your headaches caused by sinus congestion? If so, I definitely think I might be in the same boat that you were!

fcvanwyk, thanks, I used up my medical savings from that last encounter, so I'm hoping to see somebody else soon for a second opinion. Hoping the previous ENT won't mind emailing the CAT scans through.

Regards
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Re: Sinus Operation Recommendations

Unread post by fcvanwyk » Mon Nov 20, 2017 3:07 pm

Hi Slick,

Just go to the radiology pratice that did your scan and ask for a copy. They may charge you R100 for the CD but saves you bugging the prev ENT. But if you ask for the CD from the ENT he should have no prob giving it to you. Its your scan and you paid for it.
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Re: Sinus Operation Recommendations

Unread post by Whirly » Mon Nov 20, 2017 3:10 pm

My wife had the op a few months ago with Dr KK Carpenter Kling in Pretoria and she is much better now.

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Re: Sinus Operation Recommendations

Unread post by Slick » Mon Nov 20, 2017 3:11 pm

Thanks fcvanwyk

Unfortunately I did the scans in JNB and relocated to CPT shortly afterward, but I'm sure I'll be able to get it eventually :D

I might drop you a PM with some questions in a bit
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Re: Sinus Operation Recommendations

Unread post by Slick » Mon Nov 20, 2017 3:12 pm

Great news, thanks Whirly!
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Re: Sinus Operation Recommendations

Unread post by Ugly Duckling » Mon Nov 20, 2017 8:43 pm

Please get your wife to see an ENT and have a sinus scope and MRI.
See figure 5.3 https://radiologykey.com/paranasal-sinu ... al-cavity/
The turbinates touching each other or other areas of the sinuses are known headache triggers. Look also for polyps as well.
They straightened my septum and removed 3 polyps. I have not had a headache since surgery in 2010.
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Re: Sinus Operation Recommendations

Unread post by Slick » Mon Nov 20, 2017 9:15 pm

Thanks Ugly Duckling

Unfortunately, no wife for me yet. I'll try rectify that abnormality after I've rectified my sinus issues :mrgreen:

I tried to follow the link that you sent, but it would seem that we need a Gold Membership at $50 (for one year) in order to view the entire article. :|
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Re: Sinus Operation Recommendations

Unread post by Ugly Duckling » Mon Nov 20, 2017 10:30 pm

Oops the wife was a discussion via pm :lol:

Look at these images
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Sinus Operation Recommendations

Unread post by Batrakov » Tue Apr 10, 2018 7:45 pm

In my opinion you are mistaken. I can prove it.
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Re: Sinus Operation Recommendations

Unread post by Piggy-Hawk » Tue Apr 10, 2018 8:32 pm

My brothers and I were basically born with sinus.

As far back as I can remember, I've never been able to breathe through my nose.

All three of us have sinus or hayfever on a daily basis, regardless of the season.

10 Years ago my twin brother went for the operation and the painful experience yielded no results.

Two years ago my younger brother went for the operation at a different doctor, hoping for better results and it did absolutely nothing for him.

Based on their experience, I would not recommend it.

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