The function of the nose is based on a complicated interplay of nasal physiology and anatomy. Anatomical distortions such as a "septal deviation" or "turbinate hypertrophy" can often play a critical underlying role in nasal issues. The "sinuses," which are cavities within the facial skeleton, can become obstructed and work less efficiently to drain. This process can lead to a phenomenon called chronic sinusitis, which is treated sometimes with medicine, sometimes surgery and at times a combination of the two. Endoscopic sinus surgery has paved the way for minimally invasive techniques to improve sinus function and eradicate disease without the need of any external incisions.

Nasal polyps are relatively common growths in the lining of the nose. They can block nasal passages and sinus drainage and aeration, preventing normal sinus drainage and leading to difficulties breathing, smelling, and sleeping. Polyps may take different forms, from broad and pillow-like to teardrop-shaped, much like grapes. Their exact cause is unknown, but they result from inflammation and are often associated with infection, asthma, allergies, aspirin sensitivity, and immune disorders. Most polyps require a full endoscopic sinus surgery under general anesthesia for best management. Sometimes, there will be isolated or single polyps, or small polyps in a previously operated patient, that regrow or are easily accessible in the office.

Nasal trauma and distortion of the bony and cartilaginous architecture can lead to difficult nasal breathing and occasionally, undesirable cosmetic appearances. These disorders typically are treated surgically. However, if there are anatomical obstructions combined with inflammatory issues within the lining of the nose (rhinitis), the perceived obstruction to airflow may resolve with conservative medical therapy. If that is not helpful, or the response is not complete, surgery may be considered.

Often, rhinitis, allergic or nonallergic also contributes to feelings of congestion, obstruction and pressure. By treating the underlying inflammation, patients often feel much better. This often does not require surgery and may respond well to topical antiinflammatores, antihistamines, saline rinses and other such conservative therapy.

By combining evidence-based medicine practices, time-tested and newly designed surgical techniques, our practice strives to address your nasal/sinus needs.