Our expert says:
At the age of two, children still have very underdeveloped sinusses, and the maxillary sinus is generally filled with mucous until the age of two. This makes XRay interpretation very difficult. The best way to really examine the sinusses is with a CT scan, but because of the radiation involved, this is reserved for extreme cases, as one needs to reduce radiation exposure in children to the minimum.
Your ENT has maximised treatment at this stage, so I suggest you seek the advice of your paediatrician, in order to exclude and/or treat an underlying cause. Your ENT should consult with your Paediatrician, to try and find an underlying reason. Being in a creche does expose your child to recurrent infections, the question is whether he is suffering more than one would expect.
The reality is that most children need daycare, and that they do get sick, so it would be good if your doctor could suggest something that improves his immunity.
The Nasonex is very good to improve swelling in the nose, so it seems that your doctor is thinking along the lines of an underlying allergy.
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