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Nose & Sinuses

Nasal conditions can have a noticeable effect on quality of life, energy level, ability to breathe, ability to sleep, and ability to function in general. In addition, your nose processes the air that you breathe before it enters your lungs. In adults, 18,000 to 20,000 liters of air pass through the nose each day. Because the connection between the nose and lungs is so important, paying attention to problems in the nose can reduce problems in the lungs such as bronchitis or asthma. Sinus problems can develop from lingering colds or other types of infections. Our staff will help to diagnose and treat these types of conditions.

Some Common Conditions:
Description

Sinusitis is an infection or inflammation of the sinuses. ually. For many, the inflammation starts when viruses or bacteria infect your sinuses (often during a cold), and begin to multiply. Part of the body’s reaction to the infection causes the sinus lining to swell, blocking the channels that drain the sinuses. This causes mucus and pus to fill up the nose and sinus cavities. For others, the symptoms and inflammation may be the result of the nose and sinuses reacting to other things in the environment, but not be an infection.

Symptoms
  • Stuffy, congested, or blocked nose
  • Pain or pressure in the face or head
  • Long-lasting cold symptoms
  • Symptoms that last more than 10 days
  • Thickened nasal drainage
Treatments

Most cases of acute sinusitis are caused by a virus, not bacteria, and should not be treated with antibiotics. Acute viral sinusitis may be treated using pain relievers such as acetaminophen or ibuprofen, steroid nasal sprays, or salt water irrigation in the nose. These treatments are also good options for acute bacterial sinusitis. Some patients with acute bacterial sinusitis may get better faster with an antibiotic. Balloon sinuplasty is an endoscopic procedure performed under general anesthesia for chronic sinusitis.

Description

The bone and cartilage that divides the inside of the nose in half is called the nasal septum. The bone and cartilage are covered by a special skin called a mucous membrane that has many blood vessels in it.Ideally, the left and right nasal passageways are equal in size. However, it is estimated that as many as 80 percent of people have a nasal septum that is off-center. This is called a deviated septum, which may or may not cause certain symptoms.

Symptoms
  • Difficulty breathing
  • Nosebleeds
  • Sinus infections
  • Noisy breathing during sleep
  • Mouth-breathing during sleep
Treatments

Septoplasty is the preferred surgical treatment to correct a deviated septum. This procedure is typically not performed on young children, unless the problem is severe, because facial growth and development are still occurring. Septoplasty is a surgical procedure that is usually performed through the nostrils, so there is no bruising or outward sign of surgery; however, each case is different and special techniques may be required depending on the individual patient.

Description

Asthma is a very common condition of the lungs in which the passages within the lungs can become narrow and cause noisy breathing and shortness of breath. This condition can be brought on or worsened by activity, exercise, cold weather, or allergies. In fact, having allergies many times can go hand-in-hand with having asthma. It can also be chronic and run in families.

Symptoms
  • Wheezing sound when breathing
  • Shortness of breath
  • Cough
  • Tightness in the chest
  • Pain in the chest
Treatments

Treatment for asthma is designed to decrease inflammation and swelling in the lung passages. Often, patients start with inhalers, which are handheld devices that puff medication into your lungs through your mouth. When inhalers do not fully control symptoms, oral pills can be helpful to decrease inflammation, fight infection, and open the passages to the lungs. One of the most important parts of treating asthma is avoiding things that make asthma worsen. Paying close attention to what triggers your breathing issues can help identify what makes your asthma worse.

Description

Glands in your nose and throat continually produce mucus, normally one to two quarts per day. Mucus moistens and cleans the nasal lining, moistens air, traps and clears what is inhaled, and helps fight infection. When there is a feeling of the mucus gathering in the throat or dripping from the back of your nose, it is called post-nasal drip.

Symptoms
  • Feeling of mucus drainage in throat
  • Frequent swallowing
  • Throat clearing
  • Raspy or gurgling speech
  • Sore irritated throat
  • Feeling a lump in the throat
Treatments

Bacterial infections are usually treated with antibiotics, nasal spray, decongestants, and nasal saline irrigations. For chronic sinusitis, surgery to open the blocked sinuses may be required. Antihistamines, decongestants, cromolyn and steroid nasal sprays, or oral steroids may offer relief. Measures that allow mucus secretions to pass more easily may be recommended. Drinking more water, eliminating caffeine, and if possible avoiding diuretics will help. Mucous-thinning agents make secretions thinner. Saline nasal irrigations alleviate thickened secretions.

Description

A broken nose, or nasal fracture, can significantly alter your appearance and can also make it much harder to breathe through your nose. Getting struck on the nose is extremely painful and is likely to cause nosebleed, swelling, and difficulty breathing. Nasal fractures can affect both bone and cartilage. A collection of blood (called a septal hematoma) can sometimes form on the nasal septum, a wall made of bone and cartilage inside the nose that separates the sides of the nose.

Symptoms
  • Pain
  • Displaced bone or cartilage
  • Changes in the shape of the nose
  • Nose bleed
  • Difficulty breathing through the nose
  • Collection of blood
  • Swelling
  • Bruising of nose and eyelids
Treatments

If your nose is broken so badly that it needs to be repositioned, you have several options. Your nose can be repaired in the office in some situations, but some situations require general anesthesia. The bones will be repositioned and held in place with a cast.In the first two weeks after the injury, your doctor may offer you this kind of repair, or a similar approach using general anesthesia in the operating room.

Description

Snoring is bothersome to others, but it can also be a sign of a more serious condition known as obstructive sleep apnea (OSA) .OSA is characterized by multiple pauses in breathing greater than 10 seconds at a time due to upper airway narrowing or collapse. This lowers the amount of oxygen in the blood, and causes the heart to work harder. Because the snorer does not get a good rest, they may be sleepy during the day, which decreases their performance. Untreated OSA can contribute to high blood pressure, stroke, heart disease, workplace or motor vehicle accidents, and more.

Symptoms
  • Loud snoring
  • Pauses in breathing during sleep
  • Waking up gasping or choking
  • Waking up with dry / sore throat
  • Daytime sleepiness or fatigue
  • Frequent nighttime urination
  • Morning headache
  • Mood changes, difficulty concentrating
  • High blood pressure / heart issues
Treatments

An examination can reveal the underlying cause of the snoring. A sleep study in a laboratory or at home may be necessary to determine if snoring is due to OSA. OSA is most often treated with a device that opens the airway with a small amount of positive pressure. This pressure is delivered by an appliance through either the nose and/or mouth that is worn during sleep. This treatment is called continuous positive airway pressure, or CPAP, and it is currently the initial treatment of choice for patients with OSA.

Description

Nosebleeds (called epistaxis) are caused when tiny blood vessels in the nose break. Nosebleeds are very common and affect many people at some point in their lives. They can happen at any age, but are most common in children around the ages of two to 10, and adults around the ages of 50 to 80.

Symptoms
  • Anterior / Front - one or both nostrils
  • Posterior / Back - may enter throat
Treatments

Anterior - When dry air is believed to be the cause of the nosebleed, it may result in crusting, cracking, and bleeding. This can be prevented by placing a light coating of saline gel, petroleum jelly, or an antibiotic ointment on the end of a Q-tip and gently applying it inside the nose, especially on the middle portion of the nose (the septum). Posterior - Generally, treatment includes cautery and/or packing the nose. The nose may be packed with a special gauze, sponge, or an inflatable balloon to put pressure on the blood vessel; most of these need to be removed in two to three days.

Description

Rhinitis is a condition that typically involves nasal obstruction or congestion, runny nose or post-nasal drip, itchy nose, and/or sneezing.There are various causes for these symptoms, although they are broadly divided into two types: allergic rhinitis (nasal symptoms related to allergy) and non-allergic rhinitis (nasal symptoms that are not related to allergy).

Symptoms
  • Nasal blockage or congestion
  • Sneezing
  • Runny nose or postnasal drainage
  • Itchy Nose
Treatments

Treating rhinitis depends on the specific cause or diagnosis. If there is a specific trigger that can be avoided, this may be a successful treatment. Often, medications are used to control symptoms. Some of the medications that may be used include: Intranasal saline spray / rinse, Antihistamines, Corticosteroids, Ipratropium bromide intranasal spray.For allergic rhinitis, allergen immunotherapy may be an option.

Description

Hyposmia is a decreased sense of smell, or a decreased ability to detect odors through your nose. Anosmia is the inability to smell anything. These conditions are not very common. Loss of smell is a health condition that should be evaluated and treated by an ENT (ear, nose, and throat) specialist, or otolaryngologist.

Symptoms
  • Decreased or absent sense of smell
  • Decreased sense of taste
  • Nasal blockage or congestion
  • Nasal inflammation
Treatments

After looking for the cause, your ENT specialist may decide to treat a nasal inflammation or obstruction. This may involve topical and/or oral medications to reduce inflammation, antibiotics, or surgery inside the nose. Treatment for permanent loss of smell includes environmental safety recommendations and proper chemical detectors in the home. It also may include nasal rinses, smell retraining therapy, and certain supplements that may be helpful.

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