This question was answered on Mon 23, Jan 2012 08:33pm by Dr.Kokil Mathur

recuring polyps

    
Asked by oneredtruck2 (Female; 49; 2urgeries on left side for nasal polyps also have deviated septum; Relevant drugs:flonaze, singal, pro air ) on Mon 23, Jan 2012 07:39pm
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Hey I am 49 years old. had 2 polyps sergeries my left check is hurting again. could this be polyps starting up again.
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Answer by Dr.Kokil Mathur  on Mon 23, Jan 2012 08:33pm:

Hi! Well, nasal polyps are known to recur, and so yes, the possibility of recurrence should be ruled out. However pain in your cheek can also be due to maxillary sinusitis. Since you have deviated nasal septum, cheek pain can recur in a setting of sinusitis. Deviated nasal septum can be surgically corrected and can reduce your symptoms to some extent. However, this surgery is not beneficial in all cases. Steam inhalation before bed time, raising the head end of bed, drinking plenty of hot fluids and doing deep breathing exercises too will help. Pain in cheek can also be due to caries of tooth affecting the upper jaw, a local abscess (this can be post surgery if the surgery was recent), or due to involvement of the temporomandibular joint. Hence if polyps and sinusitis is not the cause of your cheek pain, then these causes will need to be ruled out. It is difficult to comment beyond this on net. Do discuss all this with your ENT specialist to decide further management of your case. Take care!

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Comment by Dr Sheetal Kaul on Mon 23, Jan 2012 09:48pm:
Hi there! Welcome to the forum. As Dr. Mathur has already mentioned, even though nasal polyps are known for recurrence especially in people with known allergies; it would be difficult to determine the cause of the pain specifically without a clinical evaluation. Other possibilities that may need to be considered include infections/ inflammations such as sinusitis, tooth abscess; granulomas, thrombosis, cranial neuralgia etc. It would be best to have this evaluated by an ENT specialist at your earliest convenience for an accurate diagnosis and appropriate management. Meanwhile I would advise continuing with your medications and following the measures suggested by Dr. Mathur. Hope this is helpful. Please feel free to post any further queries that you may have and do keep us posted. Take care!

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