From skdankle@earth.execpc.com Sun Mar 23 01:04:59 1997 Return-Path: skdankle@earth.execpc.com Received: from mailgate.execpc.com (mailgate.execpc.com [169.207.16.5]) by kurilec.euclid.oh.us (8.7.4/8.7.3) with ESMTP id BAA00621 for ; Sun, 23 Mar 1997 01:04:58 -0500 Received: from Pskdankle.execpc.com (nun.execpc.com [169.207.9.115]) by mailgate.execpc.com (8.8.5/8.8.3) with SMTP id AAA19772 for ; Sun, 23 Mar 1997 00:08:52 -0600 Message-ID: <3334C89D.3F5C@earth.execpc.com> Date: Sun, 23 Mar 1997 00:07:25 -0600 From: Steven Dankle X-Mailer: Mozilla 3.0 (Win95; I) MIME-Version: 1.0 To: ENT Moderator Subject: Re: polyps, frontal cavaties (fwd) References: <199703061342.IAA03224@kurilec.euclid.oh.us> Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Status: RO ENT Moderator wrote: > > Hi Steve, > > Last one for this morning. > > Thanks > > John > > Forwarded message: > > From ljtn@webtv.net Tue Mar 4 16:33:25 1997 > > Message-Id: <199703042137.NAA25058@mailtod-1.alma.webtv.net> > > From: ljtn@webtv.net (Lisa Teague Neal) > > Date: Tue, 4 Mar 1997 16:37:07 -0500 > > To: xx108@ofcn.org > > Subject: polyps, frontal cavaties > > Content-Type: TEXT/PLAIN; CHARSET=US-ASCII > > Content-Transfer-Encoding: 7BIT > > MIME-Version: 1.0 (WebTV 1.0) > > > > I had a CT scan and 1 visit with an ENT three weeks ago, and was told > > that my frontal sinuses were very swollen and inflamed. I have taken a > > second round of antibiotics and am taking Deconsal now. I will have > > another CT in three weeks. Will you please provide some general info on > > why this seems serious and what may be options for treating the polyps > > in the frontal sinuses? After only one visit, I have the impression > > from my ENT that this is serious. I will of course see him for more > > consultation followint the second CT. Thank you for any information you > > might share with me. > > It is somewhat difficult to answer your question based upon the information you have provided. For example, it would be helpful to know what your symptoms have been, and for how long you have had them. It would also be helpful to know more details regarding the type of treatment you have had and for how long you have been treated. Isolated disease in the frontal sinus is unusual and does require careful evaluation since it would suggest the possibility of an isolated obstruction to the frontal sinus. The frontal sinuses are located in a more remote area of the skull when compared to the drainage pathways of the other sinuses, and disease that may be isolated to the frontal sinus and not present in other sinuses may be more difficult to eradicate with medical therapy. The remote location also makes the frontal sinus less easily accessible to surgical drainage. Isolated disease in the frontal sinuses, especially when due to an isolated anatomic obstruction to their drainage pathway can lead to complications such as extension of infection into the tissues surrounding the eye or brain. Modern surgical innovations have resulted in the ability to access the frontal sinuses for surgical drainage when necessary by endoscopic means through the nose in many cases, whereas in the past, the usual means of accessing the frontal sinuses was via facial or forehead incisions. SK Dankle, MD Milwaukee, Wi