Services & Procedures

We offer evaluation and treatment for the following:

Nose and Sinus

Sinusitis (also called rhinosinusitis) is the name of the condition in which the lining of your sinuses becomes inflamed. The sinuses are air spaces behind the bones of the upper face, between the eyes and behind the forehead, nose and cheeks.

“It is unusual, and refreshing today to experience a medical doctor that makes time to review a patient’s medical history, discuss options and provide a forum for questions regarding an upcoming procedure…”

Normally, the sinuses drain through small openings into the inside of the nose. Anything that blocks the flow may cause a buildup of mucus in the sinuses. The blockage and inflammation of the sinus membranes can be infectious or non-infectious.

The symptoms caused by sinusitis may be quite uncomfortable. The signs and symptoms may include:

Types of Sinusitis

There are two main categories of sinusitis: acute and chronic.

Sinusitis is usually preceded by a cold, allergy attack or irritation from environmental pollutants. Often, the resulting symptoms, such as nasal pressure, nasal congestion, a "runny nose," and fever, run their course in a few days. However, if symptoms persist, a bacterial infection or acute sinusitis may develop.

Most cases of sinusitis are acute (or sudden onset); however, if the condition occurs frequently or lasts three months or more, you may have chronic sinusitis.

Endoscopic Sinus Surgery

Endoscopic sinus surgery (ESS) is a minimally invasive surgical procedure that opens up sinus air cells and sinus ostia (openings) with an endoscope. The procedure is approximately one hour, and is usually performed under general anesthesia in an outpatient surgical setting. It usually does not cause facial swelling or bruising, and does not generally require nasal packing.

“From initial consultation to surgical recovery, I feel as though you provided top-notch service and the finest in surgical expertise.”

Pain after surgery is usually mild. You can anticipate an early return to work, although you may feel tired and should restrict activity somewhat for a week or two. Full recovery takes several weeks, and severe inflammation may take months to settle down completely. That is why continued medical therapy following surgery is essential. Expect dried blood, mucus and crusting to occur inside the nose. Your doctor may recommend nasal irrigation or salt-water sprays to facilitate normal sinus activity. Postoperative medical therapy may include antibiotics, topical nasal steroid sprays, antihistamines, decongestants, and a tapering course of oral steroids. The degree and type of medical therapy will depend on your particular problem and post surgical response.

Septoplasty

Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When the septum deviates, it narrows the nasal cavity and impedes airflow. Often the inferior turbinates on the sides of the nose enlarge, which is termed compensatory hypertrophy. A deviated septum can contribute to nasal obstruction, sinusitis, nosebleeds, and headaches. Septoplasty is usually combined with turbinate reduction to enlarge the nasal passageways. The procedure usually takes less than one hour under general anesthesia in an outpatient surgical setting.

Because the deviation is a result of a cartilage and/or bone surplus, the procedure usually involves an excision of a portion of any of these tissues. Under general anesthesia, the surgeon works through the nostrils, making an incision in the lining of the septum to reach the cartilage and bone targeted in the operation. After the septum has been straightened, it is usually stabilized with small internal silicone splints. These are removed one week after the procedure in the office with minimal discomfort.

Throat

Sleep

Head and Neck

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