I have been getting a lot of migraine headaches which seem to be triggered by my left sinus. Some mornings I wake up with my left sinus hurting - it just aches. By the end of the day the pain can trigger a migraine. I have always gotten a lot of sinus infections so I finally decided to go see an ENT. He told me I have a deviated septum (hmm...learn something every day...I didn't know that!!) and wanted me to try a 3 week course of Veramyst, then go in for a sinus CT. He said, "I want to see how your sinuses look when we've been trying really hard to keep them clear."
So....I got to be the patient on the table for a change. Here is what I have learned about my own scanning after being on the other side of the table. I need to talk to my patients more - they need to know more about what to expect. I need to communicate with them more frequently through the microphone. When I am done scanning and they can relax I need to tell them that. I need to be more of a reassuring presence in the room. Finally - I need to smile more!!
Here are my results:
Findings: Minimal mucosal thickening seen adjacent to the ostium of the left
maxillary sinus. Otherwise, the sinuses are clear. The osteomeatal units and sphenoethmoidal recesses are clear. The nasal septum is deviated to the left. A bony
spur is associated with the deviated septum.
IMPRESSION:
Deviated septum. Minimal mucosal thickening in the left maxillary sinus.
My goodness! I have a bony spur! And mucosal thickening! On a positive note, not one migraine since starting the Veramyst and my allergies have also improved. Here are 2 images that really show my unattractive septum. Hmmm.....wonder if insurance will cover a nose job?
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