Fiber-optic nasal digital endoscopy
Fiber optic digital nasal endoscopy is a way to examine the nasal passages that allows real-time assessment of the nasal airway. Digital endoscopy with a monitored display can be used for patient education and surgical planning. A dual monitoring system allows for simultaneous comparison with the patient's CT of their sinuses to ensure an accurate diagnosis.
In patients with previous sinus surgery where sinus disease is suspected, sinus endoscopy is an invaluable tool for complete visualization of the sinuses. This allows for diagnosis and treatment of the postoperative area to maximize surgical benefit.
Sinus irrigation is a simple procedure to reduce bacterial load in the nasal sinuses by flushing with saline solution or an antibiotic mixture. Ideally, it is combined with a procedure to improve sinus ventilation. This procedure is designed to expedite resolution of a sinus infection and decrease the need for prolonged antibiotic treatment.
Endoscopic control of nosebleeds
Many patients suffer from nosebleeds. This can be an extremely stressful and life-altering experience. Endoscopy can be performed to identify the source of bleeding. Once the source of bleeding is identified, it can be controlled by cauterization. This is quick and precise method of addressing this issue and frequently avoids the need for long-term nasal packing. Targeting the source of the problem improves success of treatment diminishes discomfort to the patient.
Treatment of nasal turbinates: SMR
Nasal congestion affects many people. Occasional nasal blockage can be treated by medications however if problem becomes chronic, medications are not as effective. Office examination of which includes endoscopy will suggest the reason for obstruction and treatment recommendations will be discussed. If obstruction is due to swelling of the nasal mucosa, submucosal resection (SMR) is frequently beneficial. This minimally invasive procedure can be done under local anesthesia with minimal on though discomfort to the patient.
Surgery to correct position of the nasal septum
A frequent contributor to nasal obstruction is the midline structure known as the septum. The septum is a structure that provides support and separates the right nasal passage from the left. If the septum is significantly displaced (septal dislocation or deviation), airflow is blocked causing constant nasal. Procedure to correct that type of nasal obstruction is called Septoplasty. Septoplasty is performed under local or general anesthesia. It is one of the most common procedures performed to improve nasal airway. For our patients benefit septoplasty can also be performed in our “APEX” sinus center where it may be combined with other sinus or cosmetic procedures.
Surgery for nasal polyps
A nasal polyp is an overgrowth of nasal mucosa that can lead to blockage of the nasal airway. Initial treatment is medical, however, polyps frequently come back and occasionally surgical removal is needed. Office-based debridement can be performed under local, twilight or general anesthesia. This procedure is safe, effective and is commonly performed in the “APEX” sinus center.
Surgical correction of nasal valve
Nasal valve collapse is frequently seen when the “wings” of the nose collapse during forced inspiration. Non-surgical correction may be achieved by using nasal breathing strips similar to those born by professional activities during sport events. Surgical stabilization of the nasal valve can be performed in the office setting under local anesthesia with minimal discomfort to the patient.
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