You are right. Went to several ENT's , just two weeks ago , they see you like 5 minutes and say all is fine (most of them when I say the word "oral fistula" don't wanna hear and sends me back to oral surgeons. Anyways the last one I forces him again to do endoscopic through nose - and he said all was ok . They always say it . But i'm sure the problem is more local .
He said unwillignly if I want he'll refer me to a CT again.. .since I've done at least 4 CT's this past 2 years , (and many more xrays over the years) I've said no. But I might do another CT , I have ANOTHER ENT in June, I'll ask him to really try to help. When they do Valsalva test , (tell me to close nose and blow) there is no air coming out. But again , I'm sure there is something small. It was missed many times. Even after surgery , it was opened again , they told me it was healed , when it wasn't .
When you say : "People can have sinus pain even when no hole openings are there like in a bad cold." , I guess you mean Sinusitis.. I guess I kinda have that, but not exactly , I don't imagine sinusitis hurts that much , (I'm on COUPLE kinds of opiates and it doesn't help) and it's more "pressure pain" . This is different pain and like all the time, It's not a week a year and passes... You reminded me my ENY doctor . I'll try to persist there. Thanks . I used CHATgpt to find article of how a boneless area in mouth can cause pain even with no infection , I might show it to docs.
OOPS. I forgot to mention one thing here. Now that you know how the ENTs responded to the words; 'oral fistula' (to channel you back to an oral surgeon) don't use that term anymore. Instead, use the term: 'Perforation to the maxillary sinus'. Mention of the maxillary sinus positions them to recognize sinuses are indeed in their field.
