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This patient needs surgery or what please interpret this report

Reading File
analyse_media
analyse_media
Finding Sources
Finding Sources
Searching PubMed

chronic rhinosinusitis AND surgery

Searching the Web

EPOS chronic rhinosinusitis nasal polyps surgery indications guideline

This CT suggests significant sinus disease and a possible left-sided antrochoanal nasal polyp. It does not, by itself, prove that surgery is mandatory, but an ENT specialist should assess the patient soon because surgery may well be recommended.

What the report means

  1. Deviated nasal septum to the right (DNS)
    The internal wall dividing the nose bends to the right. This can contribute to blockage.
  2. Enlarged inferior turbinates on both sides
    These are normal structures inside the nose that have become swollen/enlarged, further narrowing airflow.
  3. Inflammation in multiple sinuses
    Mucosal thickening is reported in the maxillary, ethmoid, frontal, and sphenoid sinus regions. Several sinus drainage pathways are blocked. This is consistent with chronic rhinosinusitis/pansinusitis.
  4. Possible antrochoanal polyps, more on the left
    The report describes soft tissue extending into the left nasopharynx, the space behind the nose. An antrochoanal polyp generally arises from the maxillary sinus and grows backward, causing persistent nasal blockage. These are usually benign, but are often removed endoscopically when confirmed and symptomatic. The radiologist says “possibility,” so the ENT should confirm it with nasal endoscopy. Textbook guidance describes antrochoanal polyps as a relative indication for surgery and notes endoscopic removal as management.
  5. Widening/remodelling of sinus walls
    This can happen with long-standing blockage or a polyp. The report does not diagnose cancer. Still, direct ENT examination is important to establish exactly what the tissue is.

Does the patient need surgery?

Possibly, and it may be likely if an antrochoanal polyp is confirmed. Typical treatment would be endoscopic sinus surgery to remove the polyp and open blocked sinus drainage passages. Depending on examination and symptoms, the surgeon may also recommend:
  • Septoplasty to straighten the deviated septum
  • Inferior turbinate reduction
  • Functional endoscopic sinus surgery (FESS) for the diseased/blocked sinuses
However, surgery is usually decided after:
  • ENT examination with a nasal endoscope
  • Review of symptoms, such as constant blockage, facial pressure, thick discharge, reduced smell, snoring, recurrent infections
  • A trial of appropriate medical treatment when suitable, often saline rinses and steroid nasal spray, with other medicines only when the clinician finds them indicated
A current EUFOREA care pathway similarly places saline irrigation and nasal corticosteroids first, then considers endoscopic sinus surgery for persistent or severe uncontrolled disease. EUFOREA CRS pathway

What to do next

Arrange an appointment with an ENT surgeon/rhinologist within days to 1-2 weeks, taking this CT report and images if available. Ask specifically:
  • “Is there an antrochoanal polyp on the left?”
  • “Do I need FESS, septoplasty, and turbinate reduction?”
  • “What medical treatment should be tried before surgery, if any?”

Seek urgent care today if there is

Eye swelling/redness, double vision or reduced vision, severe headache, high fever, facial swelling, neck stiffness, confusion, or repeated vomiting. These can indicate uncommon but serious sinus complications.
The key point: this is not a report to ignore, but it is not an automatic emergency operation either. An ENT endoscopic examination will determine whether surgery is needed and what type.
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