Kyra recently had her second sinus surgery in 13 months.
Since last winter, she has needed frequent courses of
antibiotics for her MRSA (cultured for 2 years now!) to
control her nasal symptoms (PFTS are usually >97%). The CT
scan showed her sinuses were filled up again. During surgery,
they found more polyps that had to be removed.<br>
<br>
Kyra (homozygous delta f508) had her first sinus surgery ( ESSAL
-endoscopic sinus surgery and lavage). Most of her sinuses
were filled with polyps and staph. <br>
<br>
3 months after this surgery, she had bilateral sinus debridement
(fancy for "power wash"). In addition to the other
CF meds, we began twice daily sinus rinses (SINUS RINSE by Neil
Med), 2-3x/day Ocean Saline, and Rhinocort Aqua.<br>
<br>
Kyra had been on nasal steroids since age 3 (7 years!). This
being so, I was shocked to hear of the massive polyp formation!
I thought I'd do a little research.<br>
<br>
CF polyps mainly consist of neutrophils, plasma and lymphocytes.
Allergic polyps have eosinophils, macrophages and mast cells.
Eosinophils respond to corticosteroids, neutrophils don't.
Actually, our ENT still recommended that we use it,
even though Ky's polyps were the CF type...<br>
<br>
Her BAL (bronch and lavage) showed great looking lungs, with very
little mucus. She still cultured MRSA though.<br>
Since last winter, she has needed frequent courses of
antibiotics for her MRSA (cultured for 2 years now!) to
control her nasal symptoms (PFTS are usually >97%). The CT
scan showed her sinuses were filled up again. During surgery,
they found more polyps that had to be removed.<br>
<br>
Kyra (homozygous delta f508) had her first sinus surgery ( ESSAL
-endoscopic sinus surgery and lavage). Most of her sinuses
were filled with polyps and staph. <br>
<br>
3 months after this surgery, she had bilateral sinus debridement
(fancy for "power wash"). In addition to the other
CF meds, we began twice daily sinus rinses (SINUS RINSE by Neil
Med), 2-3x/day Ocean Saline, and Rhinocort Aqua.<br>
<br>
Kyra had been on nasal steroids since age 3 (7 years!). This
being so, I was shocked to hear of the massive polyp formation!
I thought I'd do a little research.<br>
<br>
CF polyps mainly consist of neutrophils, plasma and lymphocytes.
Allergic polyps have eosinophils, macrophages and mast cells.
Eosinophils respond to corticosteroids, neutrophils don't.
Actually, our ENT still recommended that we use it,
even though Ky's polyps were the CF type...<br>
<br>
Her BAL (bronch and lavage) showed great looking lungs, with very
little mucus. She still cultured MRSA though.<br>