Nose and Sinus

 

Sinus and nasal problems can significantly impact your quality of life. The doctors at Central Texas Ear, Nose & Throat Specialists have extensive experience in treating the full array of nasal and sinus complaints. Our treatment expertise includes a wide selection of medical treatment and minimally invasive procedures, as well as traditional surgical options.  Sinus problems do not have to impact your life any longer.

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   Sinusitis:

is a condition that refers to an inflammation of the lining within the paranasal sinuses. Sinusitis can be classified by location:

  •  Maxillary: In the cheek area
  •  Frontal: Above and behind the eyes
  •  Ethmoid: Between or behind the eyes
  •  Sphenoid: Behind the eyes

Sinusitis can also be classified by duration: acute lasts for four weeks or less, subacute lasts four to twelve weeks, chronic lasts more than twelve weeks, and recurrent, which consists of several acute attacks within a year.

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Most acute cases of sinusitis are caused by an inflammation of the sinuses that eventually lead to a bacterial infection. With chronic sinusitis, the membranes of both the paranasal sinuses and the nose are thickened because they are constantly inflamed, possibly due to allergies, nasal polyps, or asthma.

Sinusitis can be treated through courses of antibiotics, decongestants, saline sprays, or in cases of severe chronic sinusitis, oral steroids. When pharmaceuticals fail, surgery may be an alternative. The goal of the surgery is to improve sinus drainage and reduce blockage. Thus, a surgeon will enlarge the opening of the sinuses, remove any polyps, and correct any defects that contribute to the nasal obstruction. While many people have fewer symptoms as a result of the surgery, many others experience a recurrence of their symptoms post-surgery.

Sinus Pain Treatment Options

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   Nasal Obstruction/Deviated Septum:

Nasal obstruction is a symptom rather than a stand-alone diagnosis, and there is a wide range of medical and structural problems that could cause such a symptom. Medical conditions include bacteria, infection, or illness. Structural conditions could indicate a nasal septal deformity, nasal polyps, or a problem with the turbinate bones.

A deviated septum is a common condition that involves a displacement of the septum, the wall that separates the nostrils, to one side of the nose. About 80 percent of people have a deviated septum, which often develops as a result of an injury to the nose. This condition makes one nasal passage smaller than the other, which can affect breathing if the displacement is great enough.

Patients with a severe deviated septum may experience nasal congestion, nosebleeds and frequent or recurring sinus infections as a result of their uneven nasal passages. Those with only minor displacement may not even be aware that they have a deviated septum and experience no symptoms.

Treatment: for most patients, this condition can be managed through decongestants and antihistamines that aim to reduce nasal congestion. For more severe cases, surgery may be required to correct the displacement. Surgery involves a procedure called a septoplasty to reposition the septum in the center of the nose. This procedure is often performed in conjunction with rhinoplasty, or nose reshaping surgery.

   Rhinoplasty:

is performed to reshape, reduce or augment a person’s nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have had their growth spurt).

Treatment: Usually an outpatient procedure performed under either local or general anesthesia, and lasts one to two hours unless more extensive work needs to be done. Surgeons use one of two techniques: the incision is either made within the nostrils, thus hiding scars after surgery, or across the columella (the vertical strip of tissue separating the nostrils) in an “open” procedure, where scars are small and hidden on the underside of the base. In both procedures the skin is lifted, the bone and cartilage sculpted, and the skin replaced and stitched closed.