Nose & Sinus Center
“Specializing in Sinus and Breathing Solutions”
Now offering a wide range of In-Office Procedures
Image Guidance Sinus Surgery
Providing in-office IV sedation and anesthesia for a more comfortable experience
If you suffer from any form of chronic sinus pain, Clear Lake Medical Center ENT wants to help you find the right long-term solution so dealing with pain doesn’t dominate your everyday life. We’re proud to offer balloon sinuplasty from ACCLARENT, Inc., a proven solution for eligible patients that doesn’t involve invasive surgery or medications.
Endoscopic Sinus Surgery
Functional endoscopic sinus surgery is a minimally invasive technique that utilizes telescopes to visualize and restore the natural ventilation and function of the sinuses. Surgical candidates include those who have failed medical treatment and continue to experience recurrent acute or chronic sinus infections or nasal polyps.
The procedure can be performed under general or local anesthesia. Surgery is usually highly effective in clearing infection and polyps. Occasionally, due to severe allergies, poor immune function or recurrent polyps, disease may recur after surgery.
Nasal polyps are benign (non-cancerous) growths that occur in the nose and sinus cavities. They are often the result of exposure to specific allergens or infection in people genetically prone to developing polyps. They may result in nasal obstruction, mucoid drainage, a decrease in sense of smell, pressure, sinus headaches, and sometimes bony changes when extensive and present for a long period of time.
Nasal polyps respond to steroids and when small, may be managed and controlled with steroids. When the symptoms of polyps no longer respond to medical therapy, nasal polypectomy which involves the surgical excision of polyps may be pursued. Nasal polypectomy may also be performed in the setting after sinus surgery should polyps recur.
Image Guidance Sinus Surgery
Image guidance refers to the use of a patient’s CT images to map and guide the position of surgical instruments during sinus surgery. This technology significantly improves the safety of sinus surgery, decreasing the risk of damaging the brain, eye, nerves, and blood vessels.
This technology is now available in the office-based setting at Clear Lake Medical Center ENT. We are excited to be able to provide our patients a safe, often financially advantageous option to treating their sinus disease and nasal polyps with the option of in-office anesthesia.
Turbinates are structures located along the walls of the nasal cavity that function to humidify and clear the air we breathe before entering the lungs. The inferior turbinates are the largest of the three (inferior, middle, superior) turbinates and sit near the floor of the nose. The lining is made of vascular tissue that may swell from exposure to allergens or viral pathogens. Significant swelling can block the airflow and lead to nasal congestion.
Turbinate hypertrophy refers to turbinates that are more often swollen and obstructive than not. The tissue may be reduced with techniques using radiofrequency, cautery, debridement to reduce the size of the turbinates and thus improve nasal breathing. This procedure is often performed in combination with a septoplasty, but may also be completed alone.
In-office reduction is typically performed using local anesthesia a radiofrequency, though sedation and general anesthesia are also options.
Septoplasty for deviated nasal septum
The nasal septum is the wall in the nose that separates the left side of the nose from the right. The nasal septum is deviated when it is bent more to one side than the other, which can lead to difficulty breathing through the nose on the obstructed side. Deviation of the nasal septum can be congenital, or is the common result of a broken nose.
If the nasal congestion cannot be managed medically, or if the deviation is too significant, the nasal septum needs to be moved back to the middle with a surgical procedure. This surgery is done entirely through the nose, does not require any external incisions, and will not affect the external shape or appearance of the nose. If appropriate, this surgery can often be performed in conjunction with endoscopic sinus surgery.
Nasal Valve Repair
The nasal valve involves the narrowest point in the nose, typically corresponding to the crease above the nostrils of the external nose. If this area weakens over time or is congenitally weaker, it may demonstrate collapse when inspiring through the nose. The collapse causes an obstruction and a sensation of poor breathing despite findings of a straight septum and normal turbinates on exam.
Correction or strengthening of the valves often involves a series of techniques using cartilage to create additional support or to open up the airway for better breathing. These techniques may slightly alter the appearance of the nose, but when complete by an experienced facial plastic surgeon, are often an acceptable change.
Rhinoplasty, or a nose job, involves the surgical reshaping of nasal cartilage and bone. Reasons to have a rhinoplasty range from cosmetic – to improve or change the appearance of the nose for personal gain or preference, to medical – for difficulty breathing and severe deformity following nasal trauma, or congenital development of the nose that affects nasal breathing. When breathing is compromised, the septum or divider of the nose is often crooked.
A nasal fracture, more commonly referred to as a broken nose, is a fracture of the bones of the nose. Nasal fractures are one of the most common facial injuries, because the nose protrudes from the face and the bones in the nose are fragile.
Nasal fractures are caused by physical trauma to the face, usually from sports injuries, fights, falls, or car accidents. Symptoms include bruising, swelling, tenderness, pain, deformity, and/or bleeding of the nose and nasal region of the face. Breathing may be impaired, and excessive nosebleeds can occur.
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Our ENT and audiology specialists work to diagnose the cause and severity of your condition and provide the treatment you need to get back to good health.