Hi, welcome to the forum, your symptoms are suggestive of recurrent rhinosinusitis. Such cases should be carefully evaluated and systematic intervention to prevent further recurrences.Firstly you should know the causes of recurrences in your case and you had already on standard mode of treatment i.e. available in present day. The common causes are-
-Discontinuation or reduction of medications
-Acute viral upper respiratory tract infections
-Heavy exposure to allergens (change in place may help)
-Exposure to noxious inhalants (change in place may help)
-Worsening of inflammation secondary to bacterial infection or fungal colonization.
It is important to rule out mentioned causes and steps should be taken to avoid further exposure.
You should also be evaluated for presence of concomitant asthma for which medical therapy improves the outcome. I suggest you to consult ENT specialist for reanalysis of your case. Take care and regards.
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