I am a 50 year old male. in the last 3 years I have experienced a great many complication with my sinuses. they are constantly swollen with a great deal of pressure. 2 years ago, the problem got so bad, that I lost complete hearing in my left ear over night. I have been a several doctors in Canada and the Germany, none want to make the effort to resolve the issue. I know I have a deviated septum, I know that previously an ENT in Canada said I had polyps, I know that my sinuses lately swell so bad I cannot pass any air through my nose, I have constant sinuses headaches, and when they get really bad, my right ear starts to lose hearing. I have read a little about FESS”Functional endoscopic sinus surgery (FESS) is a surgical treatment of sinusitis and nasal polyps, including bacterial, fungal, recurrent acute, and chronic sinus problems. FESS uses nasal endoscopes to restore drainage of the paranasal sinuses and ventilation of the nasal cavity.
Hello. Concerning the sinusitis problem you asked about, its symptoms actually include a feeling of fullness on the sinuses, headache, nasal congestion, and discharge from the back of the throat. These symptoms are seen in sinusitis. But nasal allergies can also cause the same symptoms. So in order to differentiate whether your symptoms are just an allergy or a real sinusitis that has affected all the sinuses, you need to have a CT scan of your nose and sinuses. If you have a CT scan of your nose and sinuses, please send it to me to see it. The drug treatment is completely different based on the CT scan.
No matter how severe the septum deviation, it will never cause headaches and a feeling of fullness on the face or discharges from the back of the throat, and the most important sign of a deviated septum in the middle of the nose is nasal congestion and difficulty in breathing.
But hearing loss in the ear has nothing to do with the nose or sinuses. This is most likely a sudden sensorineural hearing Loss that occurs suddenly and for no apparent reason. Sometimes it may be a viral infection, an autoimmune disease or a series of disorders that we investigate by laboratory tests. Its treatment is corticosteroids, which usually need to be started at first for a period of a week. In 60% of cases, the hearing is restored, and in other cases, it may not return even with medication. To check for hearing loss and deafness, you should have a brain MRI to show whether there is a lesion on the auditory nerve that does not have a specific treatment. The only treatment for this deafness is cochlear implantation, which you can do to restore hearing.
For the nose and sinuses, to determine whether endoscopic or FESS surgery is required, you must have a CT scan for your nose and sinuses. After seeing your CT scan and examining it, I can tell you if functional endoscopic sinus surgery can help.