deviated septum,and sinusitis after car accident |ENT/maxil
deviated septum,and sinusitis after car accident |ENT/maxil
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jessica

Original Poster:

6,321 posts

281 months

Wednesday 24th July 2013
quotequote all
Short summary of events. My son and I were driving down a road at approx. 30MPH, when we saw a man unloading 2x4 timber from the back of his landrover. next thing we hear a large bang. totally shocked. As I realised what had happened we stopped at the side of the road. Man appeared and apologised. Wing mirror of car flipped in. damaged rubber seal on window. All is good. Till I look at my sons face. he is bleeding and that dazed he doesn't notice that he has been hit in the face by the wood. we exchange details and I take dazed son to A and E. He has x rays etc and is stitched and we go home. we get into the car to go home and realise that the wood not only hit the mirror the plastic and sons face but also puncture the headlining of the car and dinted the roof.
son has later a black eye and nose bleeds. Swollen face etc
we go to A and E two more time for his injury. we have had cat scans and seen ent surgeons. and gp and ENT dspecialist at local hospital
eventually two years on solicitors claim rejected 6k payment as advised. Son is still having terrible sinus infections he cannot smell or taste properly. he has had a years worth of CBT for his mental trauma. ( I haven't claimed for mine)! jesus if that wood had been any lower in throat or higher in eye he could be dead) frown
have seen ENT surgeon who says he has a deviated septum but it cannot have been caused by the car accident.
we are now in the process of going back to see medical company for reassessment.
one big issue is that son has never had sinus trouble before accident, or symptoms of deviated septum in his nose. for all the medics out there is it possible that being hit with a piece of wood at 30 MPH at the top of the cheek bone could cause the face to shunt sideways. causing the deviation and the sinus trouble. How can we take this forward. ie a face scan . we already have had ENT exam and CT scan of the head.
would it be useful to see a maxillofacial surgeon?
any advice accepted.
Son is still suffering especially when its hot.
he cannot smell or tast anymore and constantly has a foul smelling discharge from his nose. He also has major facial scarring and mental trauma to contend with.
I cannot find much info on the impact of high velocity facial impacts with regards to the bone structure of the face so any help from anyone would be gratefully excepted.

Slink

2,947 posts

201 months

Wednesday 24th July 2013
quotequote all
Umm, yes, I would say that is a possibility


if you can afford, get a private CT + MRI of the head, as that will cover bone and fleshy parts (MRI is fleshy parts, CT is bone) the private doctor will then advice if anything is wrong, as there is something seriously wrong with the system of the NHS, as I have been to A&E before with quite a big problem, and they just sent me home without doing anything when going to the GP she sent me for surgery there and then, and my brother had his leg broken by no fault of his own, took about a year and a half of pestering to actually get some sort of compensation for him. so just get a second, third or even a 4th opinion even if you have to pay for some, as they have no qualms about saying what you need rather than fobbing you off (like my local hospital will) and they will be a good evidance to people to the comp people + the local hospital to say you need comp/ an operation to sort it out.


now hope this doesnt scare you, but im trying to be quite blunt here.


did he have a pretty swollen face as well on the side that got hit? as it might have broken quite a bit of face/nasal cavity.

the discharge, have you ever had it tested to see what it is? as i would think getting hit in the face with a substantial bit of wood at 30mph that was not expected, now I might be completely off the mark here, but have heard of people getting brain fluid coming down there nose after certain 'things' hit them/operations so it might not completely be off the mark.

look up Anosmia, thats what it is called when you cannot smell anything.

it might have smashed the olfactory bulb in the nose as well as shifting the face over

and after typing that, i thought, does his face now look lopsided? if not, then it might not have smashed quite as much as you thought. but still might have shifted something inside and the swelling might have pressed on something that then shut of the blood supply and as such, killed the olfactory bulb so he cannot smell.


hope that helped a bit,

Slink

2,947 posts

201 months

Wednesday 24th July 2013
quotequote all
just pulled this off the net about brain fluid

"CSF rhinorrhea is caused by a small tear or hole in the membrane surrounding the brain. It can result from a severe head injury, complications from surgery or high pressure in the skull (intracranial pressure).

Because the brain produces roughly 17 ounces (500 milliliters) of cerebrospinal fluid each day, a runny nose caused by CSF rhinorrhea can be a seemingly endless problem."

jessica

Original Poster:

6,321 posts

281 months

Thursday 25th July 2013
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I had read about CSF rhinoria. The discharge gets worse and worse until it becomes really infected. The last ENT man that we saw said this infection could have been caused by a tooth abscess, my son doesn't have an abscess now but he does still have the continuous infected sinus that eventually drains very smell stuff. He seems to be constantly living on antibiotics. This never happened before. I am going to request that we see a maxiofacillary surgeon this time and also try to find out as much as I can.
Thanks for your help.

numtumfutunch

5,172 posts

167 months

Thursday 25th July 2013
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sorry to hear about your son

also wondering what medical qualifications Slink has??

best wishes

steveT350C

6,728 posts

190 months

Friday 26th July 2013
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CSF leak would not be foul smelling.

I recommend balloon sinuplasty to open up sinus pathways to let them drain properly, and not get bunged up and hence infected - foul smell. ENT surgeon would do the deviated septum beforehand to help access. All available on the NHS.

pm me if you would like to discuss which surgeon, based on your location, I would recommend.

I have spent 10 years selling ENT equipment to surgeons and have watched most of them operate many times.

jessica

Original Poster:

6,321 posts

281 months

Friday 26th July 2013
quotequote all
steveT350C said:
CSF leak would not be foul smelling.

I recommend balloon sinuplasty to open up sinus pathways to let them drain properly, and not get bunged up and hence infected - foul smell. ENT surgeon would do the deviated septum beforehand to help access. All available on the NHS.

pm me if you would like to discuss which surgeon, based on your location, I would recommend.

I have spent 10 years selling ENT equipment to surgeons and have watched most of them operate many times.
thanks. my son has autism so surgery is going to have to be the last resort. He would have to be sedated to stay in hospital. either way email me your preferred choice of surgeon.

Slink

2,947 posts

201 months

Friday 26th July 2013
quotequote all
numtumfutunch said:
also wondering what medical qualifications Slink has??
why would that matter, as it stands, none, but i am v interested in medicine and might go to uni to do it, but i only know so much atm, was just saying what i know so might be a bit wrong, but it sounds a bit right to me, just not the 'fluid' as it turns out