Thanks so much for your kind comments, and for sharing.
In my own practice, I try to let the clinical symptoms and my exam guide my management of my patients. I am always reluctant to go to the CT scan (although I do it often enough), only because that step seems to lead down the road toward surgery, and I feel that my patient’s symptoms and clinical picture should be the more important guide for the surgery decision.
I will say that, among pediatric boogor docs (ENT’s), chronic and recurrent sinusitis in toddlers and young children is often treated as though it has a component of reflux (gastro-esophageal reflux) as a cause. The majority of these children will improve on a reflux regimen, in addition to remedies that reduce rhinitis and sinusitis. The same is true for chronic otitis (ear infections). Please take a look at this blog site, search “unified airway” and “reflux,” and take a look at those articles. Please let me know if those help, and please visit again and let us know how it is going!