Specialty Area

Nose

We treat a variety of issues relating to the nose including: sinusitis, bloody nose, loss of smell, sleep disorders and more!

Nose Bleeds/ Epistaxis

Epistaxis is a common condition. The bleeding comes from the tissue that lines the inside of the nasal cavity. Nosebleeds are more common in dry climates, during the winter months, and in the morning hours. Children ages 2 to 10 and adults ages 50-80 are at the highest risk for having a nose bleed. Treatment for epistaxis commonly includes moisturizing the nose, cautery and/or nasal packing. If you experience recurrent nose bleeds your doctor may recommend a detailed examination of the nose using a small telescope, called nasal endoscopy.


Loss of Smell/ Anosmia

For most people, our sense of smell begins to deteriorate after the age of 60. Unfortunately, the loss can be severe in the elderly population. However, there are also treatable causes for loss of smell and taste. By asking questions and performing a detailed examination of the nose using a small telescope, called nasal endoscopy, your doctor can help to determine the cause and if treatment options are available.


Stuffy Nose/ Nasal Congestion

Nasal congestion is a sensation of decreased airflow through the nose and may be mild to severe. When the breathing is completely blocked the term nasal obstruction is used. Nasal congestion is often the result of inflammation of the membranes of the nasal passages, commonly due to irritants, allergens or infection. Structural changes in the nose may also contribute, including a deviated septum and enlarged turbinates. If your symptoms due not respond to medication, your doctor may recommend a detailed examination of the nose using a small telescope, called nasal endoscopy, to help guide further treatment.


Sinusitis

Sinusitis is an inflammation of the membranes lining the sinuses. When the sinus openings become blocked as a result of the inflammation, the sinus cavities may become filled with fluid. This provides an environment where an infection is more likely to occur.  Acute sinusitis usually starts with cold like symptoms such as a runny, stuffy nose and facial pain. It may start suddenly and last 2-4 weeks. In subacute sinusitis symptoms last for 4 to 12 weeks and in chronic sinusitis they last 12 weeks or longer.  Recurrent sinusitis is diagnosed when a patient experiences at least 4 separate infections in a year, with symptoms resolving completely after each episode. It is important to determine which type of sinusitis a patient suffers from, in order to provide the best treatment options. For this reason, your doctor will ask a number of question about your symptoms and perform a detailed examination of the nasal cavity.  This may require the use of small telescope, a procedure call nasal endoscopy. Treatment typically begins with medication. Should your symptoms persist despite appropriate treatment, you may be a candidate for balloon sinuplasty or endoscopic sinus surgery.


Sleep Disorders

Snoring is caused by the vibrating movement of the uvula and the soft palate that is located in the roof of the mouth.  The uvula is the small mass of tissue that hangs down from the middle of the soft palate.  When a person sleeps, the uvula and the soft palate relax and vibrating movements occur, causing the snoring sound. Sleep Apnea is a serious sleep disorder that occurs when a persons breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times.  This means the brain may not be getting enough oxygen.  There are two types of sleep apnea; Obstructive Sleep Apnea and Central Sleep Apnea.  Obstructive Sleep Apneais the more common of the two and is caused by a blockage of the airway, usually when the soft tissue in the back of the throat collapses during sleep.  With Central Sleep Apnea,  the airway is not blocked, but the brain fails to signal the muscles to breath due to instability in the respiratory control center.