Problems of the nose or sinuses often can be addressed with medication or other nonsurgical treatment. If these options prove insufficient or the condition is of such severity as to require greater intervention, an ear, nose, and throat (ENT) specialist may recommend surgery.
Some of the conditions that may require nasal or sinus surgery include:
- Chronic sinusitis
- Deviated septum
- Nasal polyps
- Chronic nosebleeds
- Enlarged turbinates
- Nose or facial trauma
At ENT Physicians and Surgeons, we offer a range of surgical solutions for nose or sinus issues.
Endoscopic Sinus Surgery
If you’re suffering from chronic sinusitis, endoscopic sinus surgery may be the most effective solution. The procedure, typically performed on an outpatient basis, involves inserting an endoscope — a tube with an attached camera and light — into the nose to see the sinuses. Small surgical instruments are then used to remove polyps or other obstructions blocking the sinus and nasal passageways.
Functional Endoscopic Sinus Surgery (FESS)
The FESS procedure is a form of endoscopic surgery, with an emphasis on preserving sinonasal functioning. Using an endoscope and precision instruments, the surgeon works directly in the nose, removing any abnormal or obstructive tissue found in the sinus cavity. The procedure is often performed on an outpatient basis, there is usually little discomfort after surgery, and recovery time is generally minimal.
Image-guided surgery is typically indicated in cases of severe sinusitis or when prior sinus procedures have changed the sinus cavities. Using computed tomography (CT) scans and infrared locational mapping, the surgeon is able to create a detailed, virtually three-dimensional look at the sinuses. This allows for greater precision even when dealing with more intricate sinus passages.
The Caldwell-Luc operation, an older procedure largely replaced by FESS, has been used to treat various conditions including chronic sinusitis. It’s performed by entering the maxillary sinus through the mouth. By creating a passageway between the nose and maxillary sinus, the surgeon is able to improve drainage and relieve pressure. Though effective, the procedure is more invasive than some other options, can involve considerable discomfort afterward, and requires greater recovery time.
Also known as a “nose job,” rhinoplasty is a procedure to reshape the nose, improve breathing, or both. Typically the surgeon will be able to perform the procedure inside the nose or through a small incision between the nostrils. During this time, you will be under general anesthesia or local anesthesia with sedation, depending on the complexity of the surgery.
This typically outpatient procedure performed in the nostrils is the primary method for straightening a misaligned or deviated nasal septum. Through this surgery, the problem can be repaired without changing the appearance of the nose.
Nasal Turbinate Reduction
When small, tissue-covered bone structures in the nose called “turbinates” become inflamed by allergy or infection, they can create a nasal blockage that makes breathing difficult. If treatments such as steroid nasal spray or antibiotics don’t sufficiently help, surgery to remove, relocate, or reduce the turbinates can provide welcome relief. The minimally invasive surgery can be done endoscopically under local anesthesia.
If you’re experiencing nasal or sinus problems, it’s important to seek a professional medical evaluation. Our highly trained experts can conduct a comprehensive diagnostic exam and work with you to determine the right solution for your specific needs. Don’t wait. Contact us to schedule your consultation today.