Maxillary sinus specialist

Hi,  Thank you for your time.  I have just been diagnosed with TN in a 15 minute appointment with Neurologist.  I believe my symptoms are being caused by irritation on my maxillary nerve and trigemenial nerve due to a possible vacuum created in my maxillary sinus because my sinus hole is closed.   I am taking Carbamezepine which has helped some pain but I still have severe pain in right jaw and right nose and teeth and swelling in those areas also. I took 325mg of asprin every 5 hrs. and it takes care of all that pain.  I have been to ENT who leans toward closed hole theory and has scheduled balloon sinuplasty but the neurologist said I need to cancel.   If any professionals out there that can shine light on situation I would greatly appreciate.  Thanks  Eileen

[Paderla Anitha, DNB]

Hello and hope you are doing well.

The one sided facial pain could be due to sinusitis, if it is accompanied by nasal stuffiness and sometimes a post nasal drip. As there is swelling of the right nose, teeth and jaw the pain could be due to a local cause like sinusitis. Further imaging studies like a CT scan may help to narrow down the cause for the pain. Treatment lies in treating the underlying cause.

Hope this helped and do keep us posted.