Balloon Sinuplasty is the latest in sinus treatment technology. Since most sinus disease is caused by obstruction of the tiny sinus drainage openings, this procedure was developed to enlarge these openings without surgery and thereby improving sinus drainage. It involves inserting a tiny catheter with a balloon on the end into the sinus opening and then inflating the balloon to dilate the opening. It is done using local and topical anesthesia and in some cases can be done in the office. For more information about this procedure, click here.
Over the years, many different techniques have been developed to remove enlarged or chronically infected tonsils and adenoids. One of the latest techniques is called coblation. Coblation uses heat to remove tonsil tissue without causing significant damage to surrounding tissue. This allows the surgery to be done quicker and with very little bleeding. Patients tend to have less postoperative pain and heal faster. No matter which technique is employed, tonsil and adenoid surgery can usually be done as an outpatient.
FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)
With the improvement of endoscopes, light sources, TV technology and computerized guidance systems that occurred through the 80’s into our current century, came the development of endoscopic sinus surgery. This minimally invasive surgery is performed under general anesthesia as an outpatient. Whereas in the past, sinus surgery required making either an external incision on the face or one in the mouth, endoscopic sinus surgery is completely done through the nose with minimal disruption of any other facial tissue. Using the latest in television technology and computerized guidance systems, the sinus surgeon can look directly into the sinus areas and perform delicate surgery without disturbing any of the surrounding structures.
This surgery is reserved for those patients who fail medical management of their sinus disease or who have been found to have nasal polyps or tumors of the nasal cavities and sinuses. Because it is minimally invasive, patients heal faster and recover quickly.
INFERIOR TURBINATE REDUCTION
Obstruction to nasal breathing can be caused by a number of conditions. One of these conditions is due to hypertrophy (enlargement) of the inferior turbinates within the nasal cavity. The turbinates are boney structures inside the nose that are covered with a mucus membrane. They are responsible for moisturizing the air we breathe by increasing the surface area within the nasal cavities.
Occasionally, the turbinates enlarge and remain enlarged. When this happens, it becomes difficult to breathe properly through the nose. Diagnosis is made by examination and a history of non-responsive treatment with nasal sprays.
Reduction of the inferior turbinates is a common procedure and in many cases can be done in the office using cautery or radio frequency surgery. In more difficult cases, turbinate reduction is done as a surgical procedure either under local anesthesia with sedation or general anesthesia and is frequently done in conjunction with surgery to correct a deviated septum.
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
The specialty of facial plastic surgery includes surgical and non-surgical solutions for improving the appearance of the face. Aesthetic or cosmetic facial plastic surgery includes procedures and treatments to counter the effects of aging or to change something that you do not like about your face. Reconstructive facial plastic surgery includes procedures to improve nasal breathing, to change or remove birth defects, and to correct defects caused by trauma, skin cancer or more serious conditions.
A large percentage of all facial plastic and reconstructive surgery is performed by board-certified Otolaryngologists, such as those at Advanced ENT, whose rigorous training in the complicated head and neck area includes extensive experience with facial plastic surgery techniques. Many otolaryngologists are also certified by the American Board of Facial Plastic and Reconstructive Surgery which is the only board that sets standards, examines and certifies surgeons exclusively in this specialty. Fellowship training and board certification are benchmarks of excellence, indicating that a surgeon has received extensive training in the specialty and has passed an exhaustive battery of written and oral exams. The physicians at Advanced ENT can answer your questions related to facial plastic surgery and guide you in your decisions about surgical or non-surgical options.
Rhinoplasty is an operative procedure that is used to reconstruct the external nose. Deformities of the external nose may be congenital or acquired usually by nasal trauma. In either case, the procedure aims to make the appearance of the nose conform better to the face as a whole creating a more aesthetic appearance.
The procedure is usually performed in an outpatient setting under general anesthesia. In most cases incisions are made within the nose so that no external scars are visible. In some cases, especially those that require simultaneous reconstruction of the nasal septum, a small, nearly invisible, incision is made at the base of the nasal columella. Post operatively, there is always a certain amount of swelling (edema) of the nose especially in the area of the tip that may take several weeks to subside. The nose may not reach its final appearance for six months or more.
To determine if you are a candidate for this procedure, we recommend making an appointment with one or our surgeons trained in facial plastic surgery.
ASHMIT GUPTA, MD, MPH
Dr. Gupta graduated from the University of Pennsylvania and received his B.A. in Economics and Biology. He then was awarded his medical degree and a Master’s in Public Health (M.P.H.) in a joint program at the George Washington University in Washington, D.C. The M.P.H. was an advanced study in administrative medicine and health care management. He served his internship and residency at GWU as well in Otolaryngology-head and neck surgery.