I have had several sinus infections which leads to bronchitis, coughing and wheezing over the past two years. I have just started seeing an allergist (he had been with National Jewish) who ordered a CT scan of the sinuses next time I was symptomatic. I had the CT scan yesterday and picked up the report today. My throat is killing me and I noticed today that my left tonsil has a fairly large swollen area near its base. The CT report said that I have pansinusitis with occlusion of the infundibular channels and sphenoethmodial recesses. How is this different than a simple sinus infection? Is it serious? I was just started on antibiotics today.
Pansinusitis means infection/inflammation of all sinuses. The fact that all sinuses are involved puts this into the category of severe sinusitis. The reference to occlusion indicates obstruction to sinus drainage and, in the absence of adequate drainage, mucus is retained in the sinuses, infection is more likely to occur and much less likely to respond to antibiotic therapy. This may require surgical intervention by an ENT specialist.
I assume that “my throat is killing me” means that you have a very sore throat. That and the swollen area near the left tonsillar base is worrisome. It suggests infection may have extended beyond the tonsil borders into what is called the peri-tonsillar area, causing a peritonsillar abscess. If that is the case, this is a very serious infection that could easily spread to adjacent structures.
This is a situation that requires rapid, effective intervention. I strongly suggest that you and your doctor arrange for consultation with an ENT specialist, without delay, today if possible.
That the sinus infection has spread to your throat makes this much more serious than, for example CT evidence of one sinus.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.