Skip to main content

Conditions

Post Type Description

Odontogenic Sinusitis

What is Odontogenic Sinusitis?

Odontogenic sinusitis is inflammation of the maxillary sinuses caused by a dental infection. Infections in the upper teeth, like periapical lesions, can spread to the sinuses. Symptoms include facial pain, dental pain, and foul smell. Diagnosis involves clinical examination, dental x-rays, and imaging. Treatment focuses on resolving the dental infection and managing sinus inflammation.

Causes of Odontogenic Sinusitis

Currently, the predominant cause of maxillary sinusitis is iatrogenic injury, accounting for about 56% of cases, often following dental surgery. Such injuries can arise from improperly performed sinus lift procedures, implant placements, foreign bodies left during surgery, dental extractions that may push root fragments into the sinus cavity, orthognathic surgery, labio-palatine cleft surgery, Le Fort osteotomies, inadequate closures of oro-antral fistulas, periimplantitis, or failures in endodontic treatments.

Dental Infections

Dental infections, such as periapical infections or periodontal disease, can spread from the upper teeth to the maxillary sinuses, causing odontogenic sinusitis. Symptoms include tooth pain, facial pain, and nasal congestion. Endodontic treatment, like root canal therapy, is often needed to treat the infection. Regular dental check-ups and good oral hygiene are key prevention measures.

Tooth Extractions

Tooth extractions, especially of upper teeth, can lead to odontogenic sinusitis if an oroantral fistula forms, allowing bacteria to enter the sinus cavity. Symptoms include facial pain, foul smell, and nasal discharge. Treatment may involve surgical closure of the fistula and antibiotic therapy. Preventive measures and careful techniques during extractions are essential.

Dental Procedures and Complications

Dental procedures, such as extractions and root canals, can sometimes cause odontogenic sinusitis through iatrogenic injury. Symptoms include facial pain, sinus mucosal thickening, and chronic rhinosinusitis. Accurate diagnosis via dental examination and imaging is crucial. Treatment may involve endodontic therapy, surgical interventions, and antibiotics to resolve the infection.

odontogenic sinusitis

Symptoms of Odontogenic Sinusitis

Common Symptoms

Odontogenic sinusitis symptoms include facial pain, dental pain, foul smell, nasal congestion, and reduced sense of smell. These result from infections in the upper teeth spreading to the maxillary sinuses, causing inflammation and mucosal thickening. Chronic sinusitis or rhinosinusitis may develop without prompt treatment.

When to Seek Medical Attention

Seek medical attention for persistent facial pain, dental pain, or foul smell. Other indicators include chronic sinusitis, nasal obstruction, and reduced sense of smell. Early diagnosis and treatment, including endodontic therapy or surgical interventions, are crucial to prevent complications like oroantral fistula and chronic rhinosinusitis.

Dental Examination

A thorough dental examination is crucial for diagnosing odontogenic sinusitis. This involves checking for dental infections like periapical lesions and assessing the upper teeth. Procedures like root canal treatment or dental extractions may be needed if a dental infection is found.

Imaging Studies

  • X-rays: X-rays are essential for diagnosing odontogenic sinusitis, revealing periapical lesions, dental caries, and mucosal thickening. They provide detailed images of the maxillary teeth and sinuses, guiding appropriate treatments.
  • CT Scans: CT scans offer a comprehensive view of the sinus cavity and maxillary sinuses. They detect mucosal thickening, sinus opacification, and obstructions from dental infections, aiding in precise treatment planning, including surgical interventions like endoscopic sinus surgery.

Medical History Review

Reviewing the patient’s medical history is vital for diagnosing odontogenic sinusitis. This includes assessing past dental procedures, infections, and symptoms. Accurate diagnosis through history review ensures effective management and treatment.

 

What medical treatment options are available?

  1. Antibiotic Therapy: To address infections linked to dental issues like apical periodontitis or periodontal disease.
  2. Endoscopic Sinus Surgery: Minimally invasive procedure to remove blockages and enhance drainage.
  3. Dental Treatments: Including tooth extraction and treatment of periapical lesions to address root causes.
  4. Addressing Anatomical Irregularities: To prevent persistent sinus issues.
  5. Management of Mucosal Thickening: To improve sinus cavity health.

Is surgery necessary for odontogenic sinusitis?

Surgical intervention and dental extraction may be needed if medical management fails to relieve maxillary sinusitis. This is especially true with anatomical blockages like mucosal thickening or maxillary sinus opacification. Surgery clears obstructions from dental sources and tissue such as dental caries, frontal sinuses, or poor oral hygiene affecting the maxillary teeth. Restoring the maxillary sinus floor can significantly improve symptoms and overall quality of life.

 

Expert Care Under Dr. Moustafa Mourad

Dr. Moustafa Mourad, MD, FACS, sets the standard in facial plastic and reconstructive surgery in New York City. Board-certified in Facial Plastic & Reconstructive Surgery and Head & Neck Surgery, he is renowned for rhinoplasty and reconstructive nasal surgery. Dr. Mourad trains future surgeons as Fellowship Co-Director at the American Academy of Facial Plastic & Reconstructive Surgery and Chief of Otolaryngology-Head & Neck Surgery at Medisys Health Systems.

Odontogenic sinusitis, often caused by dental infections like periapical lesions or periodontal disease, requires a multidisciplinary approach. Expert treatment can relieve symptoms such as facial pain, dental pain, and foul smell, significantly improving quality of life.

If you experience symptoms of odontogenic sinusitis, seek specialized medical advice. Explore treatments, including endoscopic sinus surgery and other interventions, for comprehensive sinus health management.

Book an appointment

 


Learn more about Odontogenic Sinusitis

Does insurance cover odontogenic sinusitis surgery?

Insurance coverage for a patient of odontogenic sinusitis surgery varies depending on the provider and the specifics of your plan. Generally, if the surgical dental treatment is deemed medically necessary due to chronic sinusitis or a severe dental infection affecting the maxillary sinuses, it is more likely to be covered. Procedures such as endoscopic sinus surgery and other dental interventions might fall under both medical and dental insurance. It’s essential for patients to consult their insurance company to understand their coverage and potential out-of-pocket costs.

Does treatment involve any risks or side effects?

Treating odontogenic sinusitis can involve risks and side effects, particularly if surgical interventions like endoscopic sinus surgery are required. Risks include infection, sinus mucosal, bleeding, and adverse reactions to anesthesia. Dental treatments, such as tooth extraction or endodontic treatment, might also cause temporary dental pain or facial pain. Additionally, antibiotic therapy for bacterial infections can lead to antimicrobial resistance. Patients should discuss potential risks with their healthcare provider to ensure they are informed before undergoing any medical or dental treatment or antibiotic therapy.

How common is this dental sinusitis?

Odontogenic sinusitis is a relatively common dental pathology, particularly among patients with untreated dental infections or those undergoing dental procedures affecting the maxillary teeth and membrane. Conditions like periapical lesions, dental caries, dental disease, and periodontal disease can lead to this form of sinusitis. The close proximity of the upper teeth to the maxillary sinuses makes the spread of infection more likely, resulting in sinus mucosal thickening and other symptoms to the tissue. Regular dental examinations and good oral hygiene are crucial for preventing this type of sinus infection.

Fungal Sinusitis

Suffering from fungal sinusitis can significantly impact your life with severe facial pain, headaches, and chronic symptoms. At MouradMD, we specialize in treating all types of fungal sinusitis infections, including fungal ball and invasive forms, using comprehensive therapies like antifungal medications and surgical treatments. Contact us for a thorough physical exam and personalized care plan to alleviate your symptoms and improve your health.

 

What is Fungal Sinusitis?

Fungal sinusitis is an infection of the sinuses caused by fungi, leading to inflammation, facial pain, headaches, and chronic sinusitis symptoms. The condition varies in severity, with some forms being mild while others, such as invasive fungal sinusitis, can be life-threatening. Effective treatment typically involves antifungal medications and surgical intervention to remove infected tissue and alleviate symptoms.

Types of Fungal Sinusitis

Saprophytic Fungal Sinusitis

Saprophytic fungal sinusitis is a type of infection that occurs when fungi grow on mucus or debris in the nasal passages without invading the tissue. Treatment involves nasal irrigation or minor surgery to remove the fungal debris, followed by maintaining good nasal hygiene.

Fungal Ball Sinusitis

A fungus ball, or mycetoma, is a dense clump of fungal elements that forms within a sinus cavity. This non-invasive condition causes nasal congestion, facial pain, and headaches. Treatment typically requires surgical removal of the fungus ball, as it does not respond well to antifungal medications.

Allergic Fungal Sinusitis (AFS)

Allergic fungal sinusitis (AFS) is characterized by an exaggerated immune response to fungi in the nasal cavities. This condition often affects individuals with a history of allergic rhinitis and leads to chronic sinus inflammation, nasal polyps, and thick mucus. Treatment includes antifungal therapy, corticosteroids to reduce inflammation, and surgical treatment to clear the sinuses.

Acute Invasive Fungal Sinusitis

Acute invasive fungal sinusitis is a life-threatening condition where fungi invade sinus tissues, often in immunocompromised individuals. Immediate treatment with antifungal therapy and surgical debridement is crucial.

What Are The Symptoms?

  • Persistent facial pain
  • Nasal congestion
  • Headaches
  • Thick nasal discharge
  • Reduced sense of smell
  • Chronic sinusitis symptoms
  • Severe symptoms in invasive fungal sinusitis: tissue necrosis, fever, severe facial swelling
  • Nasal polyps and frequent inflammation in allergic fungal sinusitis

Book an appointment with Dr. Mourad if you experience these symptoms

Diagnosis of Fungal Sinusitis

Accurately diagnosing fungal sinusitis is crucial for effective treatment at MouradMD.

Physical Examination

A detailed physical exam by Dr. Mourad includes examining the nasal passages and sinuses for signs of infection, swelling, and nasal polyps. Medical history is reviewed to understand symptoms like facial pain and headaches.

Imaging Tests

CT scans and MRIs provide detailed images of the nasal cavities and sinuses, identifying fungal balls, tissue inflammation, and invasive infections, guiding surgical treatment plans if necessary.

Laboratory Tests

Nasal and sinus cultures identify specific fungi, while biopsies of infected tissue determine the type and severity of the fungal infection. Blood tests assess the immune response and rule out other diseases, ensuring accurate diagnosis and tailored treatment with antifungal medications.

Treatment Options

Treatment options typically require surgery to physically remove the fungus as well as immunotherapy such as steroids.

The main way to open your sinuses is Functional Endoscopic Sinus Surgery (FESS). In revision surgery, or if the sinuses next to your eyes or brain are involved, then you may also need Image Guidance Functional Endoscopic Sinus Surgery (FESS). This type of sinus surgery is performed using a high-powered camera on the end of an optically lighted tube. The surgeon can magnify the contents of your nose onto a large video monitor in great detail.

Micro-instruments are used to open sinuses and remove infected bone and tissue. This is generally done under general anesthesia so you are completely comfortable and relaxed during the procedure. Image Guidance Surgery is a 3-dimensional visualization system that uses your CAT scan to track instruments inside of your nose and sinuses. The guidance provides an additional tool to locate where you are inside of the nasal cavity and can be used with Functional Endoscopic Sinus Surgery. It is most appropriately used for revision surgeries or with the frontal, lateral ethmoid and sphenoid sinuses which are adjacent to the brain, eyes and major head nerves and vessels.

In essence, treatments include:

  1. Antifungal Medications: Target the fungal infection directly.
  2. Corticosteroids: Reduce inflammation, especially in allergic fungal sinusitis.
  3. Surgical Treatment: Remove fungal balls or debride infected tissue in severe cases.

Prevention of Fungal Sinusitis

  • Maintain good nasal hygiene, such as regular nasal irrigation.
  • Manage underlying conditions like allergic rhinitis and chronic sinusitis with appropriate medications.
  • Avoid environments with high levels of mold and fungi.
  • Regular physical exams and early intervention at the first sign of symptoms.

Schedule a Consultation with Dr. Mourad in NYC

If you are experiencing symptoms of fungal sinusitis, including facial pain, headaches, or chronic sinusitis, schedule a consultation with Dr. Moustafa Mourad at MouradMD. Dr. Mourad specializes in diagnosing and treating various types of fungal sinus infections, ensuring personalized and comprehensive care. Take the first step towards relief by contacting our office today for a thorough physical exam and tailored treatment plan.

Your path to better sinus health starts with a consultation at MouradMD.

 

Nasal Polyps

Nasal polyps are noncancerous growths in the nasal passages and sinuses, often stemming from chronic inflammation related to allergies, asthma, or sinus infections. These polyps can cause symptoms like nasal congestion, loss of smell, and runny nose. Diagnosis typically involves a nasal endoscopy and may include allergy testing and imaging. Treatment options range from nasal steroid sprays and oral corticosteroids to surgical interventions like endoscopic sinus surgery for severe cases.

If you’re experiencing these symptoms, consider scheduling an appointment with Dr. Mourad, where the latest treatments to manage and alleviate your condition are employed.

Discuss your condition and explore nasal polyps surgery options with Dr. Mourad in NYC.

Nasal Polyps: General Facts and Information

What are nasal polyps?

A nasal polyp is a small, typically benign, teardrop-shaped growth on the mucosa of the nasal passages and sinus cavities, typically developing due to long-term inflammation. This inflammation can be triggered by chronic rhinosinusitis, allergies, and infections or may be related to an abnormal immune response to environmental triggers, such as tobacco smoke.

During the development of nasal polyps, the nasal mucosa becomes swollen and fluid-filled, eventually forming polypoid masses. A diagnosis of nasal polyps often involves a nasal endoscopy, where a flexible tube with a camera, known as a nasal endoscope, is used to examine the sinus cavities and nasal passages. Treatment may include medications such as nasal steroid sprays, oral corticosteroids, or more advanced therapies like monoclonal antibodies, particularly if the polyps are associated with other conditions like asthma or allergy.

What are the symptoms of nasal growths?

Nasal polyps can develop following long-term inflammation often due to sinus infections or allergies, and might not always be preceded by acute conditions. These noncancerous growths form within the nasal cavity and are common across various age groups, though they are frequently observed in middle-aged individuals. The most likely sites for polyp formation include the osteomeatal complex—a critical area within the nasal passages where the sinuses drain.

Typically, nasal polyps are found in areas such as the ethmoid, frontal, and maxillary sinuses. Initially, if the polyps are small, you might not notice any symptoms. However, as they grow, they can lead to a blocked nasal passage and a range of symptoms indicating their presence.

Here is a common symptoms checklist:

  • Rhinorrhea (runny nose): Often persistent and not alleviated by standard cold treatments.
  • Reduced sense of smell and taste: Due to obstruction in the nasal passages.
  • Facial pain: Including pressure and discomfort around the sinuses.
  • Sinus headache: Pain or pressure is typically felt in the forehead and facial areas.
  • Discomfort in the upper jaw: Linking sinus issues with dental pain.
  • Snoring: Exacerbated by increased nasal congestion.

If you are experiencing any of these symptoms and have been persisting for over a week, consider requesting an appointment with Dr. Maroud. He offers consultations in NYC for people with nasal polyps.

Nasal Growth Development and Side Effects

What is the root cause of nasal polyps?

Currently, medical experts have no explanation as to why nasal polyps form after nasal inflammation. They are also unable to determine why some patients’ polyps are the result of a chronic sinus infection, yet others are due to genetics and certain chemical markers in the immune system.

Am I at risk of developing intranasal polyps?

Certain individuals are more susceptible to developing nasal polyps, particularly those experiencing chronic sinus inflammation or frequent sinus infections. While anyone can develop these noncancerous growths within the nasal cavity, factors such as family medical history, allergic reactions, and long-term inflammation significantly heighten risk levels.

Risk factors include:

  • Asthma: Chronic airway tightening and swelling.
  • Pain Reliever Allergies: Inflammation of nasal passages from NSAIDs like ibuprofen and naproxen.
  • Fungal Allergies: Nasal inflammation following exposure to indoor or outdoor fungi.
  • Cystic Fibrosis: Genetic disorder leading to thick mucus build-up in sinus cavities, increasing polyp development by 40%.
  • Churg-Strauss Syndrome: Vascular inflammation from this rare condition.
  • Immune System Characteristics: Higher polyp risk if genetic markers linked to polyp-causing immune responses are present.

When should I seek treatment for nasal polyposis?

Treatment for nasal polyps is dictated by their impact on your sinus health. Small polyps often require no immediate intervention, but symptoms like nasal congestion, a diminished sense of smell, and recurrent sinus infections indicate the need for a thorough evaluation.

Consider seeking medical advice if you experience:

  • Obstructive Sleep Apnea (OSA): Breathing disruptions during sleep.
  • Asthma Flare-ups: Sudden and severe asthma symptoms.
  • Recurrent Sinus Infections: Chronic rhinosinusitis affecting sinus drainage.
  • Vision Problems: Issues like blurry vision or eye pressure from expansive polyp growth.
  • Severe Swelling or Headaches: Particularly around the eyes or sinuses.

For any persistent or severe symptoms, book an appointment with Dr. Mourad to discuss treatment options regarding nasal polyps.

Diagnosing Nasal Growths

How does your ENT doctor diagnose nasal polyps? After assessing your symptoms and using a nasal speculum to examine your nose under direct light, the process involves a few key diagnostic steps to confirm the presence of nasal polyps and any associated nasal congestion or sinus infections.

Nasal Endoscopy

Should a basic examination suggest the possibility of polyps, your ENT specialist may perform a nasal endoscopy. This procedure involves a flexible or rigid tube equipped with a light and camera, allowing detailed inspection of the nasal cavity and sinus cavities. It’s particularly helpful in visualizing not just the polyps but also any inflammation or other anomalies within the nasal passages.

CT and MRI Scans

For a comprehensive view, imaging tests like CT scans and MRI scans are utilized. CT scans are typically sufficient to reveal the size, shape, and precise location of polyps and any sinus cavity inflammation, while MRIs are reserved for more complex cases where there might be concerns about the polyps extending towards critical areas such as the brain or eyes.

Allergy Tests — Skin Prick Method and Blood Test

Given that chronic rhinosinusitis and allergies can lead to polyp development, allergy testing may be conducted. The skin prick test introduces suspected allergens directly onto the skin to observe reactions, helping to identify specific triggers. Alternatively, a blood test can detect antibodies to various allergens, useful in determining your immune response and guiding treatment strategies like the use of nasal steroid sprays or oral corticosteroids for managing inflammation.

If you aren’t sure you have nasal polyps, Dr. Mourad uses these diagnostic tools and tests to help determine if you may need nasal polyps surgery. Book an appointment online or call the number provided.

Sinus Polyps Treatment

What types of treatment plans will my doctor suggest?

    • Nasal Corticosteroids: Nasal corticosteroids, often administered through a nasal spray, are a primary treatment to reduce inflammation and decrease the size of nasal polyps. These steroid nasal sprays help alleviate nasal congestion and improve the nasal passage airflow, making breathing easier.
    • Medications: Alongside corticosteroids, other medications like antihistamines for allergy relief and nonsteroidal anti-inflammatory drugs may be used to address underlying allergy or chronic sinus infections. Oral corticosteroids are sometimes prescribed for severe inflammation.
    • Nasal Polyps Surgery: For persistent or significantly obstructive growths, surgical intervention might be recommended.
  • Endoscopic Sinus Surgery: This minimally invasive procedure uses a flexible tube with a camera (nasal endoscope) to enter the sinus cavities and remove the polyps. It is typically an outpatient procedure, allowing for rapid recovery and minimal postoperative discomfort.
  • Traditional Sinus Surgery: For extensive cases where endoscopic surgery might not suffice, traditional sinus surgery may be necessary. This approach involves more direct access to the nasal cavity and sinus cavities to remove problematic growths.

Is nasal polyps surgery dangerous?

While any surgical treatment carries risks, nasal polyps surgery, particularly endoscopic sinus surgery, is generally considered safe and effective. Risks such as infection, minor bleeding, or a temporary altered sense of smell are possible but are minimized by our experienced surgeons using advanced surgical techniques.

How should I prepare for my medical appointment?

Prepare by documenting any symptoms of nasal polyps you’ve experienced, such as runny nose or nasal congestion, and compile a comprehensive list of any drugs you’re taking. Information on your medical and family history, especially related to allergies or previous nasal or sinus issues, is also valuable. Avoiding irritants like tobacco smoke before your appointment is advisable.

What can I expect during my appointment?

Your appointment will involve a thorough examination of your nasal mucosa u

sing a nasal endoscope for a detailed assessment of the nasal cavity. The health care provider will review your symptoms, medical history, and conduct necessary allergy tests or imaging studies like a CT scan to diagnose the presence and extent of nasal polyps. This diagnostic process ensures that the treatment plan, whether it involves nasal steroid sprays, oral steroids, or possibly surgical intervention, is finely tuned to your specific health needs.

Call or book online to request an appointment with Dr. Mourad in NYC to alleviate your symptoms and enhance your breathing.

Nasal Polyposis Prevention

How can I prevent sinus polyps?

  • Treat existing allergies and asthma: Managing allergies and asthma effectively is critical in preventing the formation of nasal polyps. Regularly using prescribed nasal steroid sprays or oral corticosteroids can help control the chronic inflammation that often leads to polyp growth. It’s important to undergo allergy tests to tailor your allergy management plan, and regularly consult with your healthcare provider to optimize your treatment.
  • Avoid outdoor/indoor nasal pollutants: Limiting exposure to nasal irritants such as tobacco smoke, urban pollution, and indoor allergens (like pet dander and dust mites) is essential. These pollutants can aggravate the nasal mucosa and sinus cavities, increasing the risk of nasal polyps. Utilizing air purifiers can help minimize indoor allergens and maintain a healthy nasal environment.
  • Fight bacterial and viral infections: Preventing sinus infections is key to avoiding the exacerbation of nasal passage inflammation. Good hygiene practices and avoiding contact with those who are ill are essential preventive measures. Early treatment of sinus infections with appropriate drugs can prevent complications that may lead to polyp development.
  • Buy a humidifier: A humidifier can add necessary moisture to the air, which helps soothe and protect the nasal passages from dryness and irritation. This can be particularly beneficial during the colder months when indoor air tends to be drier, reducing potential inflammation in the nasal cavity.
  • Use a saline nasal spray: Regular cleansing of the nasal passages with a saline nasal spray can help keep them free from irritants and allergens, reducing the likelihood of inflammation and subsequent polyp growth. This simple routine can support the health of your nasal mucosa and prevent the common symptoms associated with nasal polyps.

 

 

Chronic Rhinitis

What is Chronic Rhinitis?

Chronic Rhinitis is a persistent condition where the nasal passages remain inflamed, causing a runny or stuffy nose: it is considered “chronic” when it has persisted for more than 4 weeks without interruption. This inflammation can be triggered by allergens like pollen, dust, and mold or irritants such as smoke, tobacco smoke, spicy foods and temperature changes. People with a history of allergies, asthma, or chronic sinusitis are more prone to developing this condition.

The Different Types of Rhinitis

Chronic rhinitis can be categorized into allergic and non-allergic types. The symptoms, including nasal congestion, postnasal drip, and sneezing,  can significantly impact a person’s quality of life. Diagnosis often involves reviewing the patient’s medical history and conducting tests to identify underlying causes, with the goal of reducing inflammation and improving nasal function.

  • Allergic Rhinitis: Chronic Allergic Rhinitis is related to allergens in the environment that stimulate the internal lining of the nose, causing inflammation and irritation. Perennial allergic rhinitis, also known as seasonal allergic rhinitis, may be a result of seasonal allergy issues like hay fever. The internal lining of the nose functions as your body’s first line defense against irritants in the environment, almost like a natural thermostat. Any time the nose detects something in the environment that may cause irritation lower in the respiratory system, it will attempt to humidify and cleanse the air. This results in increased secretions and release of inflammatory chemicals that attempt to remove the irritant. However, sometimes the lining is too sensitive to the environment and may result in chronic inflammation and chronic rhinitis.
  • Non-Allergic Rhinitis: Non-allergic rhinitis refers to chronic inflammation related to non-allergic causes. This may be due to reactivity to weather, temperature, medication, age, hormonal changes (pregnancy, aging, menstruation, thyroid conditions), infection (respiratory, sinus), or prior surgery.

Common Chronic Rhinitis Symptoms

Chronic Rhinitis is characterized by chronic drainage from the nose, sometimes associated with nasal congestion and difficulty breathing. Depending on the cause of allergic rhinitis, there may be other associated symptoms. For example, allergic chronic rhinitis may be associated with sneezing, watery eyes, itchiness, and/or rash related to allergen exposure. Rhinitis related to sinus infections may be associated with headaches, fevers, fatigue, or thick nasal secretions.

How do you Treat Chronic Rhinitis?

Treatment of chronic rhinitis requires treating the underlying cause. Usually treatment involves a combination of oral and topical medications including antihistamines, steroids, and nasal saline irrigations.

Allergic Rhinitis Treatment

For patients with allergic rhinitis, treatment often includes nasal irrigation, nasal corticosteroids, and oral antihistamines to reduce inflammation and control symptoms.Additional reduction in environmental exposure may also improve symptoms, such as using air purifiers and avoiding exposure to allergens. Severe cases may require blood tests to identify specific allergens, immunotherapy or allergy testing to tailor treatment plans.

Non-Allergic Rhinitis Treatment

Treatment for non-allergic rhinitis typically involves using nasal and oral decongestants, nasal sprays, and other medications targeting the specific triggers or underlying conditions. For example, nasal decongestants can alleviate congestion, while antihistamines may help manage symptoms related to non-allergic triggers like smoke or strong odors. Nasal irrigation with saline sprays can also be beneficial in maintaining clear nasal passages and reducing inflammation. Non-allergic rhinitis related to infections should target the underlying infection to alleviate symptoms.

Effective treatment of chronic rhinitis requires addressing the underlying cause, often involving a combination of medications, nasal sprays, and lifestyle changes.

What Procedures are Available for Treatment of Chronic Rhinitis?

For severe cases of chronic rhinitis that do not respond to conservative medical therapy, several procedures are available.

Chronic Rhinitis Surgery Options

  • Deviated Septum: Patients with chronic rhinitis due to a deviated septum may benefit from septoplasty, a corrective surgery to realign the nasal airway.
  • Sinus and Polyps: For those with chronic sinusitis or nasal polyps, endoscopic sinus surgery can alleviate obstruction in the sinus cavities and reduce chronic inflammation.
  • Nasal Turbinate Surgery: Reducing the size of the nasal turbinates can also help decrease nasal congestion and improve airflow.
  • Septal Perforation: Repairing a perforated nasal septum can reduce symptoms such as chronic nasal discharge and crusting.

Are the Non Surgical Alternatives for a Chronic Runny Nose?

Yes, there are several non-surgical alternatives for managing chronic rhinitis and alleviating the symptoms of a chronic runny nose. These treatments focus on reducing inflammation, controlling symptoms, and preventing exposure to known triggers.

  1. Nasal Sprays and Nasal Corticosteroids: Nasal sprays, particularly those containing corticosteroids, are highly effective in reducing nasal inflammation and relieving symptoms like nasal congestion and postnasal drip. These sprays work by decreasing the inflammatory response in the nasal passages, providing long-term relief for patients with both allergic and non-allergic rhinitis.
  2. Oral Antihistamines and Decongestants: Oral antihistamines are a cornerstone of treatment for allergic rhinitis, as they block the effects of histamine, a chemical released during an allergic response. Oral decongestants can also help alleviate nasal congestion by shrinking the blood vessels in the nasal passages, improving airflow.
  3. Nasal Irrigation: Nasal irrigation with saline solutions is a simple and effective way to cleanse the nasal passages and remove mucus, allergens, and irritants. Regular use of nasal irrigation can help prevent the buildup of allergens and reduce chronic inflammation.
  4. Environmental Control and Allergen Avoidance: Reducing exposure to allergens and irritants is crucial for managing chronic rhinitis. Using air purifiers, keeping windows closed during high pollen seasons, and regularly cleaning bedding and carpets can help minimize exposure to common allergens like dust mites and pollen. 

These non-surgical treatments can significantly improve the quality of life for patients with chronic rhinitis by effectively managing symptoms and preventing complications. It’s essential for patients to work closely with their healthcare providers to develop a personalized treatment plan that addresses their specific triggers and symptoms.

Talk about Rhinitis Surgery with Dr. Moustafa Mourad in NYC

Acute Sinusitis

What is acute sinusitis? 

Acute sinusitis refers to an acute infection of the sinus and nasal passages. The term acute typically refers to the duration of the infection (usually lasting less than 6 weeks). Infections lasting between 6 and 12 weeks are referred to as “Subacute Sinusitis”, while infections lasting more than 12 weeks are referred to as “Chronic Sinusitis”. Symptoms of sinus infections result from inflammation and swelling of the nasal and sinus cavities.
Acute sinus infections oftentimes start off as a viral infection characterized by 1-3 days of nasal congestion, fatigue, and headaches. The infection usually progresses to more severe symptoms including:

  • Difficulty breathing related to congestion
  • Pain and pressure around the face, eyes, and sinuses
  • Purulent, foul-smelling discharge
  • Discharge with green or yellow discharge that is thick
  • Postnasal drainage
  • Reduced sense of smell
  • Coughing
  • Headaches

What Causes Acute Sinusitis?

Acute sinusitis, or the sudden onset of inflammation and infection in the sinus cavities, typically occurs when the outflow tracts—small channels that connect the sinuses to the nasal cavities—become blocked. This obstruction prevents mucus from draining properly, leading to a buildup that creates an environment conducive to infection. Several factors can contribute to this obstruction, including:

1. Allergies

One of the most prevalent causes of acute sinusitis is allergic rhinitis, commonly known as hay fever. Allergens like pollen, dust mites, pet dander, and mold can trigger inflammation and swelling in the nasal passages, leading to blockage of the sinus outflow tracts. This blockage traps mucus inside the sinuses, increasing the risk of bacterial or viral infections.

2. Viral Infections

Viral upper respiratory infections, such as the common cold or flu, are a leading cause of acute sinusitis. The viruses cause the mucous membranes lining the nose and sinuses to swell, obstructing the sinus drainage pathways. While these infections typically resolve on their own, they can sometimes lead to secondary bacterial infections, exacerbating the sinusitis.

3. Nasal Polyps

Nasal polyps are non-cancerous growths that develop in the lining of the nasal passages or sinuses. These soft, painless nodules can vary in size and, when large enough, can block the nasal passages and sinus outflow tracts, leading to recurrent or chronic sinusitis. Polyps are often associated with conditions like chronic rhinosinusitis, asthma, and aspirin sensitivity.

4. Deviated Nasal Septum

A deviated septum, where the thin wall between the nasal passages is displaced to one side, can significantly impact sinus drainage. The deviation can narrow one or both of the nasal airways, causing difficulty in proper airflow and increasing the likelihood of sinusitis by obstructing the outflow tracts and trapping mucus within the sinuses.

5. Autoimmune Conditions

Certain autoimmune diseases, such as Wegener’s granulomatosis (now known as granulomatosis with polyangiitis), can cause inflammation of the blood vessels in the sinuses, leading to severe obstruction and chronic sinusitis. These conditions can also affect other parts of the body, making their management complex and necessitating specialized medical care.

6. Nasal Tumors and Growths

Both benign and malignant tumors can develop in the nasal passages and sinuses. While benign growths like inverted papillomas may not be cancerous, they can still obstruct the sinus outflow tracts. Malignant tumors, though rare, can invade nearby structures, causing severe blockage and chronic inflammation that leads to sinusitis.

7. Congenital Narrowing or Structural Abnormalities

Some individuals are born with anatomical variations that predispose them to sinusitis. Congenital conditions like choanal atresia (a blockage of the nasal passage) or narrow sinus outflow tracts can hinder proper drainage from birth, leading to frequent or chronic sinus infections throughout life.

8. Environmental Factors

Exposure to environmental irritants such as smoke, pollution, or chemical fumes can irritate the nasal and sinus linings, causing inflammation and swelling. This can lead to acute sinusitis, especially in individuals with pre-existing nasal or sinus conditions.

9. Poor Immune Function

Individuals with weakened immune systems, whether due to chronic conditions, medications, or lifestyle factors, are more susceptible to infections, including acute sinusitis. The body’s reduced ability to fight off infections can result in more severe or prolonged sinus symptoms.

How are Acute Sinus Infections Treated?

Mediations are usually used first in treating acute sinus infections. There are two goals of medical therapy: to reduce the amount of bacteria and reduce the amount of inflammation. Antibacterial medications such as antibiotics will help in reducing bacterial load within the nose and sinuses. Anti inflammatory medications such as topical and oral steroids, antihistamines, and nasal irrigations, assist in reducing the inflammation. 

After sinus infections are treated medically, your surgeon will monitor for a response. Oftentimes, in the setting of frequent sinus infections, additional procedures such as sinus surgery will assist in treating the sinus infection or preventing future sinus infections

What is Sinus Surgery?

The spaces inside of your nose have tiny openings and channels that connect to each other and to both sides of the nose. Sinus surgery widens the channels and removes most of the walls of these spaces which prevents your sinuses from obstructing and allows them to drain more freely. Having more open spaces prevents the pressure from building up in your nose and decreases the frequency and severity of your sinus infections. Sinus surgery also allows saline rinses and topical medications to better access the open areas inside of your sinuses

See Before and After Photos of Patients on Instagram

What are the Types of Sinus Surgery?

Sinus surgery is often recommended for patients who suffer from chronic sinusitis or other sinus issues that do not respond to medical treatments. There are several types of sinus surgery, each tailored to address specific conditions and anatomical concerns. The main types include:

1. Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery, commonly referred to as FESS, is the most common type of sinus surgery. It is a minimally invasive procedure used to restore normal drainage pathways in the sinuses. FESS involves the following steps:

  • Procedure Overview:
    • The surgeon inserts a small, high-powered endoscope (a thin, flexible tube with a camera and light) into the nostril to access the sinuses.
    • Micro-instruments are used to remove obstructions such as inflamed tissue, bone spurs, or nasal polyps.
    • The goal is to open the natural drainage pathways of the sinuses, allowing mucus to flow freely and reducing the risk of infection.
  • Benefits:
    • FESS is typically performed under general anesthesia, ensuring patient comfort.
    • It is a precise procedure that minimizes damage to surrounding tissues.
    • Recovery time is generally shorter compared to traditional sinus surgery.
  • Indications:
    • Chronic sinusitis unresponsive to medication.
    • Recurrent sinus infections.
    • Nasal polyps or other obstructions.
    • Sinus issues due to structural problems, such as a deviated septum.

2. Balloon Sinuplasty

Balloon sinuplasty is a less invasive alternative to traditional sinus surgery, often used for patients with less severe sinus issues. It is similar to angioplasty used in heart procedures and involves the following:

  • Procedure Overview:
    • A guide wire is inserted into the affected sinus using a catheter.
    • A small balloon is then advanced over the guide wire and positioned in the blocked sinus opening.
    • The balloon is gently inflated with water, which widens the sinus opening, improving drainage.
    • The balloon is then deflated and removed, leaving the sinus pathways open.
  • Benefits:
    • It is usually performed under local anesthesia, reducing the risks associated with general anesthesia.
    • Recovery time is typically shorter, with most patients returning to normal activities within a couple of days.
    • It is a safe option for patients who may not be candidates for more invasive surgery.
  • Indications:
    • Patients with chronic sinusitis affecting the maxillary, frontal, or sphenoid sinuses.
    • Not suitable for patients with nasal polyps, extensive ethmoid sinus disease, or severe sinus infections.

3. Image-Guided Functional Endoscopic Sinus Surgery (IGS-FESS)

Image-Guided FESS is an advanced form of FESS that utilizes real-time imaging to navigate the complex sinus anatomy. It is particularly useful in complicated cases or revision surgeries.

  • Procedure Overview:
    • Before surgery, a detailed CT scan of the sinuses is taken.
    • During the procedure, the surgeon uses a 3D navigation system that combines the CT scan images with live endoscopic images.
    • This allows the surgeon to precisely track the location of surgical instruments within the sinuses, reducing the risk of complications.
  • Benefits:
    • Enhanced precision and safety, especially in areas close to critical structures like the brain, eyes, and major blood vessels.
    • Ideal for patients with distorted sinus anatomy, such as those who have had previous sinus surgeries or who have congenital abnormalities.
  • Indications:
    • Revision sinus surgeries.
    • Complex cases involving the frontal, sphenoid, or ethmoid sinuses.
    • Conditions affecting sinuses adjacent to vital structures (e.g., the brain and eyes).

Choosing The Right Type of Sinus Surgery

The choice of sinus surgery depends on several factors, including the severity of the condition, the patient’s medical history, and the presence of any anatomical abnormalities. Consulting with an experienced ENT specialist is essential to determine the most appropriate surgical approach based on individual needs and conditions.

Each type of sinus surgery offers unique benefits and considerations. While some procedures like FESS and balloon sinuplasty are less invasive with quicker recovery times, more complex conditions may require advanced techniques like image-guided surgery. Understanding the options available can help patients make informed decisions about their sinus health.

Schedule A Consultation With Dr. Mourad

Acute Sinusitis Acute Sinusitis Acute Sinusitis Acute Sinusitis

Chronic Sinusitis

What is Chronic Sinusitis?

Chronic sinusitis, also known as chronic rhinosinusitis, is a prolonged inflammation of the sinus and nasal passages. This condition typically lasts more than 12 weeks, resulting from persistent inflammation that causes the sinus cavities to swell and obstruct the normal drainage of mucus. Sinusitis can be classified into three types based on duration:

  • Acute Sinusitis: Lasts less than 6 weeks and is characterized by sudden onset symptoms like nasal congestion, facial pain, and a runny nose.
  • Subacute Sinusitis: Lasts between 6 and 12 weeks, with symptoms that are less severe than chronic sinusitis.
  • Chronic Sinusitis: Lasts more than 12 weeks and involves prolonged inflammation, recurrent sinusitis, and recurring infections.

Common Symptoms of Chronic Sinusitis

Patients with chronic sinusitis often experience a range of symptoms that can significantly impact their quality of life:

  • Nasal Congestion: Persistent stuffy nose and difficulty breathing.
  • Facial Pain and Pressure: Especially around the eyes, forehead, and cheeks.
  • Reduced Sense of Smell: A common sign of nasal blockage and inflammation.
  • Postnasal Drip: Mucus drainage down the back of the throat.
  • Runny Nose: Continuous nasal discharge, often thick and discolored.
  • Ear Pain: Resulting from pressure changes or inflammation spreading to the ears.
  • Headaches: Frequent headaches due to sinus pressure.
  • Dental Pain: Pain in the upper teeth due to maxillary sinus pressure.

What Causes Chronic Sinusitis?

Chronic sinusitis is typically caused by conditions that narrow or block the drainage channels between the sinuses and the nasal cavity, leading to mucus buildup and bacterial infections.

Primary causes and risk factors include:

  • Allergies: Especially to pollen, animal dander, and dust mites, which can trigger inflammation in the nasal passages, leading to swelling and obstruction of the sinus drainage pathways.
  • Asthma: Patients with asthma are more prone to developing chronic sinusitis due to the persistent inflammation associated with asthma.
  • Nasal Polyps: Noncancerous growths in the nasal passages that can block sinus drainage, contributing to chronic inflammation.
  • Structural Abnormalities: Such as a deviated nasal septum or narrow sinus outflow tracts, which can impede mucus drainage, creating an environment conducive to bacterial growth and infection.

In addition to allergies, other factors that can contribute to chronic sinusitis include:

  • Fungal Infections: Less common but can occur in patients with weakened immune systems or chronic respiratory conditions, leading to fungal sinusitis.
  • Bacterial Infections: Often secondary to viral infections, these can cause inflammation and lead to chronic bacterial sinusitis.
  • Viral Infections: Frequently the initial trigger for sinus inflammation, which can then become chronic if not properly managed.
  • Underlying Health Conditions: Autoimmune diseases and other chronic respiratory conditions that cause chronic inflammation in the nasal and sinus passages.

How are Chronic Sinus Infections Treated?

The treatment of chronic sinusitis aims to reduce inflammation, eliminate the infection, and restore normal sinus drainage. Medical treatment is usually the first line of defense and involves a combination of medications to address both the bacterial infection and the inflammation.

Medical Treatment Approaches for Sinus Infections

  • Antibiotics: Commonly prescribed to reduce the bacterial load within the sinuses and clear bacterial infections. This is crucial in cases of bacterial sinusitis.
  • Nasal Corticosteroids: Available as nasal sprays, these help reduce swelling in the nasal passages, improving mucus drainage and alleviating symptoms like nasal congestion and postnasal drip.
  • Oral Corticosteroids: Used for more severe symptoms or when nasal polyps are present to manage chronic inflammation.
  • Antihistamines: Effective in managing allergy-related symptoms by blocking the body’s allergic reaction, reducing nasal inflammation, and preventing further complications.
  • Nasal Irrigation with Saline Solutions: Helps clear mucus and allergens from the nasal passages, reducing inflammation and promoting mucociliary clearance.
  • Management of Allergies: Including allergy testing to identify specific triggers and allergy shots (immunotherapy) to build resistance to those allergens.

Effective management of chronic sinusitis involves addressing underlying conditions and lifestyle factors. This includes dealing with nasal blockage caused by structural abnormalities, such as a deviated septum, which is crucial for effective sinusitis management. Allergy management is also essential, involving allergy testing and shots to reduce inflammation by minimizing exposure to allergens. Additionally, treatment plans should consider the possibility of fungal sinusitis or bacterial infections, which may require specific medications to effectively address these underlying causes.

What is Sinus Surgery?

When medical treatment fails to provide relief, sinus surgery may be necessary to address chronic sinusitis. The main goal of sinus surgery is to improve sinus drainage by widening the natural channels within the sinuses and removing any obstructions, such as polyps or scar tissue.

There are several types of sinus surgery that can be performed depending on the severity and location of the sinusitis:

  • Functional Endoscopic Sinus Surgery (FESS): FESS is a minimally invasive procedure performed using a high-powered camera on the end of a lighted tube called an endoscope. During FESS, the surgeon can magnify the sinus cavities onto a video monitor, allowing precise removal of infected or inflamed tissue. This surgery is typically performed under general anesthesia, ensuring that the patient remains comfortable and relaxed. FESS is highly effective in opening blocked sinus passages, improving drainage, and reducing the frequency and severity of sinus infections.
  • Balloon Sinuplasty: Balloon Sinuplasty is another minimally invasive procedure used to treat chronic sinusitis. During this procedure, a small balloon is inserted into the sinus openings and then inflated with water. The inflation of the balloon widens the sinus passages, allowing for better drainage of mucus and reducing sinus pressure. Balloon Sinuplasty is particularly effective for patients with less severe forms of sinusitis and is often performed under local anesthesia. However, this procedure is not suitable for patients with nasal polyps or more complex sinus conditions like ethmoid sinusitis.
  • Image-Guided Surgery: In some cases, especially in revision surgeries or when the sinuses adjacent to the brain and eyes are involved, image-guided surgery may be used. This technique utilizes a 3D visualization system based on the patient’s CT scans to guide the surgeon during the procedure. Image guidance provides enhanced accuracy, particularly in delicate areas like the frontal sinuses, ethmoid sinuses, and sphenoid sinuses, where the risk of complications is higher.

Meet Dr. Moustafa Mourad in NYC about Chronic Sinusitis

Chronic sinusitis is a complex condition requiring careful diagnosis and a comprehensive treatment approach. While medical treatment is effective for many patients, surgery may be necessary when symptoms persist despite conservative measures. Functional Endoscopic Sinus Surgery and Balloon Sinuplasty offer minimally invasive options to improve sinus drainage and reduce chronic inflammation, significantly enhancing the quality of life for those suffering from chronic rhinosinusitis.

Working closely with a healthcare provider to develop a personalized treatment plan is essential for managing chronic sinusitis and preventing recurrent infections. With proper management, patients can achieve significant relief from symptoms and prevent future complications.

Sinus Infection

What Is A Sinus Infection (Sinusitis)?

Sinus Infection

Inside your nose, there is a series of connected spaces that drain mucus into the nasal cavity. When these spaces swell they can become blocked and infected. Causes of a sinus infection include; the common cold, allergic rhinitis, or a  deviated septum. Symptoms may include, facial pain and pressure, headaches, green or yellow nasal discharge, severe nasal congestion, and fatigue. Sinusitis will usually go away within a few days with rest, hydration and Vitamin C. However, when your symptoms last more than one week or suddenly worsen, chances are you have a bacterial sinus infection and it is time to see your doctor for antibiotics.

Is A Deviated Septum or Nasal Congestion The Same As Sinusitis?

No. But having a deviated nasal septum or nasal congestion can both cause your nose to become more congested and make you more likely to get sinus infections. Every nasal septum is a little crooked but when they are severely deviated enough to block your breathing or plug your sinuses then they are termed a “deviated nasal septum”. You can have nasal congestion from allergies, generalized swelling of your nasal tissue or a common cold.

If I Have A Headache, Do I Have A Sinus Infection?

Most headaches are unrelated to the sinuses. Although, sinus infections can cause headaches. Sinusitis headaches are usually accompanied by facial congestion, fatigue, and discolored nasal discharge. There are situations where the only sign of a sinus infection can be a headache. In these situations, a sinus CAT scan (detailed X-rays of the sinuses) may be needed to look for obstruction or inflammation of the sinuses.

How Do I Treat My Sinus Infection?

For the first few days you can hydrate, get plenty of rest, avoid caffeine and alcohol, rinse your nose with saline (Neti pot), and take Vitamin C. If your symptoms continue for greater than one week or suddenly your headaches worsen or your nasal discharge becomes thicker and more discolored, you most likely have a bacterial sinus infection requiring antibiotics. Your doctor can prescribe an antibiotic that targets the most likely causes of your sinusitis. Your physician may also prescribe a topical or oral steroid to help speed the decrease of inflammation inside your sinuses. An otolaryngologist has the highest amount of training inside the nose and has endoscopes to actually look inside your nose at the sinuses.

Sinus Infection

When Do I Need Surgery?

Acute sinusitis is when you have a sinus infection that lasts less than one month. Chronic sinusitis is when you are having a constant sinus infection that doesn’t go away with antibiotics and steroids. Either of these can significantly decrease your quality of life. Having multiple episodes of acute sinusitis per year or having chronic sinusitis that has failed medical treatment are both good reasons to consider sinus surgery. Decreased quality of life would include missing school or work, suffering frequently or through long periods with sinusitis symptoms, depression or constant fatigue.

Preparation For Sinus Surgery

You will meet with Dr. Mourad where he usually spends an hour going over everything related to your surgery. He will evaluate and make sure that he can specifically tailor a custom care plan to your exact needs. During the consultation, Dr. Mourad will determine the exact nature of your complaints and the exact causes. He may prescribe medications that will assist in your complaints. Once a tailored plan is made, Dr. Mourad and his staff will take you through all the necessary information needed to make sure that your surgery happens without issue. We take care of the details so that you can have the most enjoyable experience.

Dr. Mourad views treating his patients to be nothing short of a privilege and an honor and enjoys taking the time to get to know his patients and fully understand their issues. Dr. Mourad’s office provides a boutique experience that takes you out of the mindset of being at the doctor’s office. It is a warm, comfortable environment, providing a bespoke experience.

Schedule A Consultation With Dr. Mourad

What Is Sinus Surgery?

The spaces inside of your nose have tiny openings and channels that connect to each other and to both sides of the nose. Sinus surgery widens the channels and removes most of the walls of these spaces which prevents your sinuses from obstructing and allows them to drain more freely. Having more open spaces prevents the pressure from building up in your nose and decreases the frequency and severity of your sinus infections. Sinus surgery also allows saline rinses and topical medications to better access the open areas inside of your sinuses.

Nasal Valve Collapse

What is Nasal Valve Collapse?

Nasal valves, crucial areas within the nose, can sometimes become narrow, leading to breathing difficulties. There are two main types of nasal valves: the “internal” and “external” nasal valves. 

  • The external nasal valve corresponds to the nostril and is composed of the ala, the round fleshy area on the sides of the nose, supported by cartilages located in the nose tip. 
  • The internal valve resides inside the nose, between the nasal septum and the lowest section of the upper lateral cartilage, which are cartilages located on the sides of the nose.

Understanding Nasal Valve Issues

Numerous factors can cause nasal congestion and blockage, including a deviated septum, enlargement of nasal tissues (known as inferior turbinate hypertrophy), nasal polyps, allergies, and inadequate support on either side of the nose during inhalation. Ideally, the nasal valves should resist airflow when breathing in. However, weakened cartilages can cause one or both nasal valves to collapse inward, resulting in blockages and nasal congestion.

It’s not uncommon for blockages to be a combination of these factors. Accurate diagnosis and effective treatment options for nasal valve collapse require a comprehensive evaluation by a specialist.

Consult a Specialist

 

Recognizing the Symptoms of a Collapse

CAUSES OF EXTERNAL NASAL VALVE COLLAPSE

External nasal valve collapse is evident when one or both nostrils partially or completely close when inhaling. On the other hand, internal valve collapse may be less noticeable externally but causes significant narrowing in the upper middle portion of the nose during inhalation. To aid in diagnosis, lifting the skin around the nose or using common aids like “Breathe-Rite” strips can alleviate blockages caused by the internal nasal valve. Additionally, you might observe an upside-down triangle under the nasal bones on the outside of your nose, indicating an “inverted-V deformity,” which is more common after nasal trauma or aggressive nasal surgery.

CAUSES OF INTERNAL NASAL VALVE COLLAPSE

Weakness or an upward orientation of the cartilages in the nasal tip can lead to narrowing of the external valves during inhalation, causing an internal nasal valve collapse. If you’ve undergone previous rhinoplasty, the lower lateral cartilages may have been partially removed, weakening the external valves. Conditions such as widening of the skin and cartilage between the nostrils or a deviated septum into one nostril can also contribute to external valve narrowing.

TREATMENT OPTIONS FOR A COLLAPSED NASAL VALVE

Several treatments can alleviate nasal valve collapse symptoms. Medications, such as nasal steroids like Flonase and antihistamines like Claritin and Zyrtec, may reduce swelling inside the nose and improve breathing. Nasal saline rinses can cleanse the nose and enhance the feeling of openness. Decongestants, like pseudoephedrine, can reduce nasal swelling. For immediate relief, Breathe-Rite strips can open the valves by exerting outward pressure on the nose.

NASAL VALVE REPAIR BY A SPECIALIST

If over-the-counter and prescription medications prove ineffective, nasal valve surgery may be necessary to improve breathing. If you’re experiencing symptoms of Nasal Valve Collapse in NYC and seeking expert care, contact us today to regain the quality of life you deserve.

REPAIR OF NASAL VALVE COLLAPSE IN NEW YORK – CONSULT A SPECIALIST

Nasal Valve Collapse Surgery Before and After

In Need of a Nasal Valve Collapse Surgery?

Learn More About A Collapsed Nasal Cavity

How serious is a valve collapse?

How serious is a valve collapse?

Nasal valve collapse can range in severity from mild to more serious cases. Patients with nasal valve collapse may experience chronic nasal obstruction, which can significantly impact their nasal breathing. The condition can be caused by various factors, including weakened cartilage in the nasal structure or enlarged turbinates. It’s crucial to seek treatment for nasal valve collapse, as it can affect the overall quality of life for individuals with this condition.

What happens if a collapsed nose is left untreated?

What happens if a collapsed nose is left untreated?

Leaving nasal valve collapse untreated can lead to persistent symptoms of nasal obstruction, restricted airflow through the nasal passages, and increased pressure within the nasal cavities. Patients with nasal obstruction may find it challenging to breathe comfortably, affecting their daily activities and overall well-being. Without intervention, the condition may worsen over time, making treatment for nasal valve collapse a critical consideration.

How long does it take for a collapse to heal?

How long does it take for a collapse to heal?

The healing time for a collapsed internal nasal valve can vary depending on the severity of the condition and the chosen treatment approach. While some individuals may experience relief from symptoms relatively quickly, others may require more extensive interventions such as nasal valve repair or cartilage grafting. A patient’s outlook for nasal valve collapse treatment should be discussed with a healthcare professional, taking into account the specific case and treatment plan.

Can you live with a collapsed nasal valve?

Can you live with a collapsed nasal valve?

Patients with nasal valve collapse can continue to live their lives, but the condition can significantly impact their quality of life. Chronic nasal obstruction and breathing difficulties can be challenging to manage on a daily basis. Seeking treatment for nasal valve collapse can help improve nasal airflow and alleviate these symptoms, ultimately enhancing the overall well-being and comfort of individuals with the condition.

How common is nasal valve collapse?

How common is nasal valve collapse?

Nasal valve collapse is not uncommon, and it can affect people of various backgrounds and ages. It may be more prevalent in individuals who have had previous nasal surgery or those with certain nasal structural issues. The condition’s indication often becomes apparent through symptoms such as chronic nasal obstruction, making it essential for patients with nasal valve collapse to explore treatment options, including surgery for nasal valve repair or other appropriate interventions.

Are there different types of collapsed valves, and do they require different treatments?

Are there different types of collapsed valves, and do they require different treatments?

Yes, there are different types of nasal valve collapse, including external and internal collapse. External valve collapse affects the nostrils’ outer portions, often due to weakened cartilage or previous nasal surgery. Internal valve collapse occurs within the nasal structure and can be caused by factors like a deviated septum or enlarged tissues. Treatment of nasal valve collapse varies based on the type and severity of the collapse, with options ranging from non-surgical approaches like nasal valve dilators to surgical interventions like cartilage grafts or plastic surgery.

What role does nasal valve function play in overall nasal airflow and breathing?

What role does nasal valve function play in overall nasal airflow and breathing?

Nasal valve function is pivotal in regulating the flow of air through the nasal airway during inspiration. The nasal valves act as gatekeepers, ensuring efficient and controlled airflow. When functioning correctly, they facilitate comfortable breathing. However, if there’s nasal valve collapse or dysfunction, it can impede the flow of air, leading to symptoms such as chronic nasal obstruction and difficulty breathing.

Is nasal valve collapse linked to previous nasal surgeries or trauma?

Is nasal valve collapse linked to previous nasal surgeries or trauma?

Yes, nasal valve collapse can be linked to previous nasal surgeries or trauma. Procedures like rhinoplasty may involve altering the nasal structure, potentially affecting the nasal valves: nasal valve collapse after rhinoplasty is always a potential complication. Trauma, such as nasal fractures, can also lead to nasal valve issues. Scar tissue formation, changes in cartilage, or weakened nasal structures due to surgery or trauma can contribute to nasal valve collapse.

Can nasal collapse be diagnosed through nasal endoscopy or other tests?

Can nasal collapse be diagnosed through nasal endoscopy or other tests?

Yes, nasal valve collapse can be diagnosed through various tests, including nasal endoscopy. During a nasal endoscopy, a thin tube with a camera is inserted into the nasal passages to visualize the nasal structure. This allows healthcare professionals to assess the nasal valves and determine if collapse is present. Other tests, such as rhinomanometry or prospective studies, may also be used to evaluate nasal valve function and diagnose nasal valve collapse. These diagnostic tools help inform the treatment of nasal valve collapse and the selection of appropriate interventions.

Nasal Turbinate Hypertrophy

 

What Is Nasal Turbinate Hypertrophy?

Nasal turbinate hypertrophy occurs when the turbinates, small structures within the nasal passages that help filter and humidify the air we breathe, become enlarged or swollen. This condition primarily affects the inferior turbinates, which are located at the bottom of the nasal cavity. Normally, these turbinates regulate airflow and maintain healthy nasal function by controlling humidity and filtering out particles. However, when the soft tissue covering these turbinates becomes irritated due to allergies, infections, environmental factors, or other irritants, it can swell, leading to nasal blockage.

In cases of chronic irritation or inflammation, the turbinates can become permanently enlarged, significantly obstructing airflow. This condition can cause symptoms like persistent nasal congestion, difficulty breathing through the nose, snoring, and a reduced sense of smell. Turbinate hypertrophy can occur on one or both sides of the nose, and the severity of symptoms varies depending on the degree of enlargement.

If untreated, nasal turbinate hypertrophy can impact quality of life, as the ongoing nasal blockage may lead to disrupted sleep, sinus infections, and chronic mouth breathing.

What Are Inferior Turbinates?

Inferior nasal turbinates are located inside your nose on either side of your nasal septum. They are bone covered with erectile soft tissue that helps create turbulence inside the nose to warm, purify and humidify the air that we breathe. The soft tissue covering expands and contracts which can give you the sensation of congestion and clear breathing, respectively.

What Else Can Block My Breathing?

There are many conditions that can obstruct airflow in the nose. A deviated septum or enlarged inferior turbinates are two of the more common causes. You may also have nasal valve collapse which is an extreme narrowing of the already narrow areas inside the nose. Nasal polyps can block airflow as well.

Causes Of Nasal Turbinate Hypertrophy

Viral and bacterial infections including sinusitis can cause severe nasal congestion. Allergies cause the nose to swell also blocking breathing. Rare causes include tumors or autoimmune disorders. Your otolaryngologist can look inside your nose and let you know what is causing your congestion.

Common Signs And Symptoms

Some of the symptoms of nasal turbinate hypertrophy include:

  • Altered sense of smell
  • Forehead pressure and facial pain
  • Chronic nasal congestion
  • Runny nose
  • Snoring

Nasal Turbinate Hypertrophy Risk Factors

Common risk factors of nasal turbinate hypertrophy include:

  • Living in an urban dense population
  • Constant seasonal change
  • Constant temperature changes

How Can I Medically Treat Nasal Turbinate Hypertrophy?

Avoiding anything you are allergic to or taking antihistamines like Claritin may help reduce nasal congestion caused by allergies. Saline rinses can wash out dust and mucous from the nose that may make your breathing better. Discontinuing medications that cause nasal congestion can help you breathe better as well. Decongestant pills or sprays  can open the nose but may cause increased blood pressure or rebound congestion. Nasal steroids can also decrease swelling inside of the nose. Montelukast sprays can improve nasal congestion, as well.

How Can We Help?

Dr. Moustafa Mourad is a highly skilled specialist in nasal surgery, with extensive expertise in performing procedures like inferior turbinate reduction. This type of surgery is often recommended for patients suffering from chronic nasal obstruction caused by conditions such as turbinate hypertrophy, where the soft tissues inside the nasal passages become enlarged, blocking airflow. Dr. Mourad’s expertise in nasal surgery covers a wide range of procedures aimed at improving nasal function, resolving breathing issues, and enhancing the overall quality of life for his patients.

At Dr. Mourad’s Upper East Side practice, you will receive a personalized evaluation to identify the specific factors contributing to your nasal obstruction. The consultation begins with a comprehensive medical history review, focusing on any symptoms or conditions affecting your nasal passages, such as chronic congestion, allergies, or sinus infections. Dr. Mourad will listen closely to your concerns to gain a full understanding of how your nasal issues are affecting your daily life and well-being.

Schedule Your Consultation