Sinus Treatment Center
Sinusitis is defined as inflammation/infection of the sinus lining commonly caused by bacterial or viral infections and structural issues such as blockage of the sinus opening. Nasal endoscopy is an in-office procedure performed in which a topical nasal spray is sprayed in the nose to numb the nose and then a lighted endoscopic is placed inside the nasal cavity to fully evaluate the nasal and sinus contents. Only an otolarygologist is trained to do this and the purpose is to evaluate for disorders such as deviated septum, nasal polyps, tumors, adenoids and sinus infections. A CT Scan or MRI may also be performed to further evaluate these disorders.
For patients suffering from sinusitis, medical therapy is the most common used form of treatment. Several types of medications are available and the best combination of therapy is prescribed. Below is a list of the types of medications used for medical treatment of sinusitis:
- Nasal saline irrigations - used to moisten the lining of the sinus
- Mucolytics - used to thin the mucous
- Antihistamines - used if allergy is a contributing factor to the infection
- Nasal and Oral Steroids - used to reduce the swelling of the sinus lining
- Antibiotics - used to treat bacterial infection
For patients that are not helped by medical therapy or in recurrent or chronic cases of sinusitis, surgical therapy may be discussed.
- Septoplasty - performed if the septum is deviated and blocking the sinus passage; may be performed in the office under local anesthesia or in an outpatient surgical center.
- Turbinoplasty - performed to reduce the turbinates in order to decrease nasal obstruction; may be performed in the office under local anesthesia or in an outpatient surgical center.
- Balloon Sinuplasty - a small flexible balloon cather is used to open blocked sinus passages; maybe be performed in the office under local anesthesia or in an outpatient surgical center.
- Functional Endoscopic Sinus Surgery (FESS) - A lighted endoscope and surgical instruments are used to remove small amounts of bone or soft tissue blocking the sinus opening; this is typically performed in an outpatient surgical center.