Nose and/or sinus problems are some of the most frequent reasons people visit an ear, nose and throat specialist. At Lakeshore Ear, Nose and Throat Center our physicians offer the full spectrum of medical and surgical treatments for acute and chronic sinonasal problems.
Chronic Nasal Congestion
When nasal obstruction occurs without other symptoms (such as sneezing, facial pressure, postnasal drip etc.) then a physical obstruction might be the cause.
Common structural causes of nasal congestion:
Inflammation of the nasal membranes produces rhinitis. Rhinitis can be allergic, non-allergic and inflammatory in nature.
Allergic Rhinitis occurs due to various things including pollens, dust and dust mites molds, and even foods.
Non-allergic Rhinitis results from substances that irritate the nasal membranes in a non-allergic fashion.
Things such as cigarette smoke, perfumes and colognes, weather changes, changes in humidity, industrial pollutants and even stimulation from foods can cause nasal congestion.
Inflammatory rhinitis occurs when viruses, such as those that cause the common cold, infect the nasal membranes.
Acute Rhinosinusitis is an inflammatory condition involving the sinuses as well as the lining of the nasal passages. It is distinguished from a common upper respiratory infection by either its duration (lasting more than 10 days) or specific symptoms. >> Read more about acute rhinosinusitis.
Chronic Sinusitis describes inflammation of the nasal passages and sinuses lasting longer than 12 weeks. Cardinal symptoms are yellow nasal drainage, nasal obstruction, facial pressure, and a decreased sense of smell. >> Read more about chronic sinusitis.
Classic nasal polyps are benign intranasal tumors commonly associated with allergy, chronic rhinitis and abnormal nasal vasomotor response. Their precise etiology remains unknown. Some believe they are a response to a specific allergy. Others contend they are a byproduct of a chronic infection. In any event, most patients are asymptomatic for years prior to seeking medical attention. Polyps however have a propensity for slow but inexorable growth, and most patients eventually become symptomatic.
About Sinus Surgery
At Lakeshore Ear Nose and Throat we follow the paradigm offunctional endoscopic sinus surgery. To paraphrase, the goal of modern sinus surgery is to pinpoint the diseased sinus cells and open them in a minimally-invasive fashion, while preserving the surrounding, non-diseased anatomy. Surgery is performed through the nostrils using fiberoptic telescopes and instruments only a few millimeters in diameter. No skin incisions are required in the overwhelming majority of patients.
Surgery is always performed in a hospital or certified ambulatory surgery center. Patients are typically given a choice of sedation (“twilight”) or general anesthesia, and most are back home within a few hours of surgery.
We also routinely employ computer-assisted imaging during surgery. The instatrak system provides real-time 3-dimensional representation of the sinus anatomy during surgery. This aids in surgical planning and execution while decreasing the chance of complications.