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Chronic Sinus Infections

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The majority of patients with complaints of recurrent sinusitis, sinus headaches, nasal congestion and/or chronic nasal drainage are managed with medications, saline nasal lavage, sinus lavage with topical antibiotics and steroids, and environmental controls. A small group of patients require surgery or revision surgery to relieve their symptoms.

If you have had surgery that wasn’t successful or if you have been told nothing could be done for your problems don’t give up. We see patients like this everyday. Sometimes surgery can be easily revised. Sometimes the surgery that was done previously was done correctly but the follow up treatment wasn’t maximized. Sometimes patients are told that their CT scan was normal and that nothing could be done. Our review of the CT scan may reveal subtle abnormalities that may be the source of the problem and can be corrected.

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All sinus surgery is performed with the use of nasal endoscopes. These endoscopes improve the surgeons ability to see and thereby decrease postoperative pain and speed up recovery. Most patients undergo sinus surgery under general anesthesia, but local anesthesia with sedation is available. Generally these procedures are performed in the operating room of our surgery center (http://www.scrockville.com/index.php) . Relatively minor procedures such as nasal endoscopic polypectomy can be performed in the office.

The goal of functional endoscopic sinus surgery is to clear the openings to the sinuses and promote sinus drainage naturally. We minimize the surgical impact on the normal membranes in the sinuses. Conventional nonendoscopic sinus surgery was associated with the removal of the membranes in the sinuses and required a long period of recovery. The newer methods we use result in absolutely no bruising or swelling of the face, and there is minimal pain after surgery. All surgery is performed through the nose with no incisions in the mouth or on the face. Most patients are able to breathe through their noses immediately and return to work in 2-3 days. Nasal packing is rarely necessary.

Functional endoscopic sinus surgery is associated with a success rate of 90%. This rate drops slightly in patients with severe asthma, nasal polyps and/or aspirin allergy. Experience with nasal endoscopy is essential to perform these procedures effectively and safely. Drs. Siegel and Bosworth have performed thousands of these procedures with no major complications. We have trained other ear, nose, and throat physicians to perform these procedures. Dr. Siegel was trained and has worked closely with Dr. David Kennedy, an internationally renowned endoscopic sinus surgeon, who introduced these techniques into the United States in 1985. Dr. Bosworth was trained by Dr. William Bolger, who was Dr. Kennedy’s first sinus surgery fellow and is one of the innovators of the new Balloon Sinuplasty technique.

We have had great enjoyment in performing this type of sinus surgery because it is so minimally invasive, relatively painless, and is so effective. Most patients are very excited to once again breathe clearly, significantly decrease their antibiotic usage, improve their sense of smell, have less sinus pressure and have fewer headaches.

Several years ago, we were one of the first surgeons to perform balloon sinuplasty. This technique has been used with great success in certain patients and also is minimally invasive. This technique is currently performed under general anesthesia or local anesthesia with sedation. In-office balloon sinuplasty procedures are now available as well.

Also See Balloon Sinuplasty – A New Approach To Sinusitis

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 Siegel & Bosworth - Ear, Nose & Throat Center
15204 Omega Dr., Suite 310, Rockville, MD 20850
Fax (240) 361-9001
 
Please read our disclaimer before reviewing this information. Any information provided on this Web site should not be considered medical advice or a substitute for a consultation with Siegel & Bosworth ENT Center. If you have a medical problem, contact us for diagnosis and treatment. |D|