EARnosethroat 01dizzy 01allergy2 01
Contact us at 1-888-418-9200

Nose

Why do we have sinuses?

  • rosenberg scope

    Humidifies air
  • Purifies air
  • Warms air
  • Makes head lighter
  • Crumple zone 

 

Screen Shot 2016 05 09 at 3.09.15 PM  Screen Shot 2016 05 09 at 3.09.23 PM

 

How We Breath

Screen Shot 2016 05 09 at 3.11.21 PMWhat effects how we breath? 

  • Nasal Cycle
  • Temperature
  • Exercise
  • Head Position
  • Menstrual Cycle
  • Pregnancy
  • Allergy
  • Infection
  • Medication

How sinuses work?

Screen Shot 2016 05 09 at 3.13.25 PMMucociliary Flow

1-2 liters of mucus a day!

Increases with:

  • Air Pollution
  • Smoke
  • Infection
  • Allergies

Post nasal drip

Works best:

  • Warm
  • Moist
  • Oxygen-rich
  • Alkaline

Works worst:

  • Dry
  • Smoke
  • Foreign Body
  • Swelling
  • Contact

Screen Shot 2016 05 09 at 3.17.14 PMWhat can go wrong?

  • Anatomy
  • Allergy
  • Infection
  • Neoplasm

Anatomy

  • Deviated Septum
  • Concha Bullosa
  • Haller Cells

Acute/Subacute Rhinosinusitis

Screen Shot 2016 05 09 at 3.20.05 PM Screen Shot 2016 05 09 at 3.20.11 PM

Chronic Rhinosinusitis (CRS)

Screen Shot 2016 05 09 at 3.21.25 PM

Fungus Ball

Screen Shot 2016 05 09 at 3.23.09 PM

Screen Shot 2016 05 09 at 3.23.14 PM Screen Shot 2016 05 09 at 3.23.20 PM

Nasal Polyps

Screen Shot 2016 05 09 at 3.25.12 PM Screen Shot 2016 05 09 at 3.25.19 PM

Treatment of sinus problems

Goals

  • Restore drainage of sinuses
  • Restore aeration to the sinuses
  • Re-establish normal airflow dynamics
  • Remove diseased tissue

Treatment options

  • Environmental control
  • Immunotherapy (allergy shots)
  • Medicines
  • Surgery
  • Combination

Sinus medications

  • Saline
  • Antihistamines
  • Decongestants
  • Steroids
  • Leukotriene antagonists
  • Antibiotics

Inferior Turbinate Reduction

Coblation: Opens the narrowest part of the nose

  • Office Procedure
  • Local Anesthesia

Screen Shot 2016 05 09 at 3.30.52 PM Screen Shot 2016 05 09 at 3.30.57 PM

Septoplasty

  • Screen Shot 2016 05 09 at 3.33.02 PMRequires general anesthetic
  • Performed through a small incision inside the nose
  • Remove only what is necessary
  • Outpatient surgery

Functional Endoscopic Sinus Surgery (FESS)

  • Minimally Invasive
  • Outpatient Procedure
  • Establishes natural drainage of sinuses

Sinus Surgery

  • Requires a general anesthetic
  • Outpatient surgery
  • Length of surgery 30 min - 2 hours (average 1hr)
  • Image Guidance

Surgical Technique

  • Open sinuses in a systematic, graduated approach
  • Performed through the nose with endoscopes (NO INCISIONS)
  • Remove only what is required to restore function
  • Reduce turbinates; Septoplasty

Balloon Sinuplasty

  • Ultra-Minimally Invasive
  • Office Procedure
  • Local Anesthesia
  • Establishes natural drainage of sinuses

Screen Shot 2016 05 09 at 3.35.18 PM Screen Shot 2016 05 09 at 3.35.27 PM Screen Shot 2016 05 09 at 3.35.37 PM

New Call-to-action

New Call-to-action

New Call-to-action

New Call-to-action

Silverstein Institute Events

  • 1