Is Surgery Necessary for Chronic Sinus Disease
- Thursday, July 16, 2009, 23:00
- Asthma
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- My daughter has chronic sinus disease. Is surgery necessary? Teresa: My 5-year-old daughter has been diagnosed with chronic sinus disease (infection) and has tried several antibiotics with no relief. Her current ENT wants to do surgery and put ear tubes back in her ear. This will be the fourth surgery on her ears and first on the sinuses. I am concerned about her age. The doctor has stated that my daughter is a ”bad case” and needs to be done ASAP. She had a C scan and X-rays and they were not very encouraging. She also has asthma and monitors with a peak flow meter. Please, if you have any advice for a mom who would rather not do the surgery, could you give any up-to-date information that might help avoid surgery. Or any advice for the recovery of the surgery. They say 10 to 14 days and then go in to the sinuses again at 3 months and 6 months. Yikes.
- Dr. Kraemer: This is a very tough situation. You are not alone. Several families around the country are struggling with the same circumstances. Nobody wants their child to have surgery repeatedly. Usually by age five, it is time to start asking, “Why?” You should ask your pediatrician to have a thorough investigation of potential underlying problems. With a few laboratory tests you can screen for immune difficulties and cystic fibrosis. It is also common for children with this story to have an underlying allergic condition. In your area, common allergens could include dust mites, molds and pets. You can find out if she is allergic through a consultation at a local pediatric allergist. Then careful control of the allergic exposures and allergic inflammation can possibly prevent recurrences of this situation
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