Sinusitis occurs when the linings of your nose, sinuses and throat become inflamed, possibly from a pre-existing cold or allergies. When you have frequent sinusitis, or the infection lasts three months or more, it could be chronic sinusitis. For patients suffering from chronic sinusitis, symptoms may include pressure, pain, congestion, and fatigue. Standard of care begins with medical therapy such as antibiotics and steroids. After medical therapy has been attempted a patient may be a candidate for a Balloon Sinuplasty, which can be performed in our office.
Balloon Sinuplasty is a procedure used for the treatment of blocked sinuses. Patients diagnosed with sinusitis but not responsing to medications may be candidates for this procedure. A small flexible balloon catheter is used to open up blocked sinus passageways and facilitate drainage of the mucus that builds up in patients that suffer from chronic sinusitis symptoms.
This procedure is performed in our office. It can be conducted without general anesthesia allowing you to consume food and or drink prior to the procedure.
watch an animated in office ballon sinuplasty procedure here
Turbinate Radiofrequency Ablation (RFA)
Patients who have enlarged nasal turbinate may benefit from RFA. This is a simple technique that uses low temperature radiofrequency energy. The area of obstruction is heated. This treated area is then absorbed naturally by the body over a period of 3-8 weeks reducing the tissue volume and improving breathing through the nose.
Cerumen (Ear Wax) Removal
Under ideal circumstances, the ear canals should never have to be cleaned. However, that isn't always the case. The ears should be cleaned when enough earwax accumulates to cause symptoms or to prevent a needed assessment of the ear by your doctor. This condition is called cerumen impaction, and may cause symptoms such as earache, fullness of the ear, plugged ear, partial hearing loss, tinnitus, itching, discharge or coughing.
When at home cleaning recommendations do not work, the providers at Cass Street E.N.T. can help. Irrigation or syringing using warmed water and saline is a common solution. Manual removal of earwax is also effective. This can be done using suction, special miniature instruments, and a microscope to magnify the ear canal. Manual removal is preferred if your ear canal is narrow, the ear drum has a perforation or tube, other methods have failed, or you have diabetes or a weakened immune system.
Lugol cautery is a treatment used for sinus pain and drainage. Lugol cautery is a procedure using multiple nasal sprays to superficially cauterize (burn) nasal passages. This procedure is very helpful in controlling a chronic runny nose, bothersome post nasal drainage, and preventing sinus headaches. Many patients note an inprovement in these symptoms within days. Symptoms may reappear before the next treatment. Treatments have a cumulative effect often decreasing the need for other nasal medications. The treatment is repeated monthly for a total of three (3) applications. It may be repeated as needed after that time, typically 3-4 times per year.
Restech pH Probe System
When diagnosed with Acid Reflux, your doctor may suggest a simple diagnostic test with the Restech pH System, which measures acid levels in your airway. A small, soft tube is placed through your nose until the tip is positioned in the back of the throat. Patients tend to forget the probe is even in place, as it does not interfere with talking, eating, or drinking. During the test period, less than 24 hours, patients are encouraged to go about their day as usual (eat normal meals, go to work, and even exercise) while the Restech pH System tracks the frequency and severity of reflux episodes. A detailed report will help your doctor determine the best treatment plan, personalized for you.