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I'm sorry for your issue. I know that tinnitus can be terriblt frustrating.
If you have an endodontic file in your maxillary sinus, it can likely be removed surgically by an oral surgeon. While this step may be beyond what you wish to do, it may well be worth your while arranging a consult with an oral surgeon to determine the feasibility and likely success of the procedure.
It is, of course, important to be sure that the file is the cause of your tinnitus. You've likely confirmed this already. If not, you might want to rule out other possible causes, such an overly "high" restoration in the area of the blocked eustachian tube and sinus - an occasional cause of tinnitus. Bruxism, grinding and clenching of the teeth is also a common cause of tinnitus. This can be addressed with a night guard fabricated by a dentist. I have a patient whose severe tinnitus problem was largely solved this way.
But I'd imagine you've looked into the matter already and have ruled out those possibilities.
I would recommend getting a consult to determine whether or not surgical removal of the endodontic file is feasible - and if it's something that you'd like to follow through with.
Please let me know if you need additional information to answer your question.
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