Nose & Sinus
What is Septoplasty?
Septoplasty is an operation that corrects any defects or deformities of the nasal septum, which is the wall between the two nostrils. The goal of the surgery is to straighten out the nasal septum or to relieve obstructions and other problems related to the deviation of the septum An incision is made internally on one side of the nasal septum. Afterwards, the mucous membrane is elevated away from the cartilage and bone, obstructive parts are removed, and plastic surgery is performed as necessary. Then the mucous membrane is returned to its original position. The tissues covering the septum are maintained in the midline by either sutures or packing.
Turbinate Reduction Surgery
Enlarged inferior turbinates are often the cause of chronic nasal congestion. Even after the underlying problem is addressed, such as chronic infection or allergy, the enlargement may remain. There are varying ways to reduce the size of the turbinate, from radio frequency ablation done in the office under local anesthesia (no downtime for the patient), to submucous resection or even partial turbinectomy done in the operating room as an outpatient. Each has advantages and disadvantages over the other choices. The best approach for each patient would be discussed at the time of the office visit.
How Does the Endoscopic Sinus Surgery Procedure Work?
Endoscopic sinus surgery is used to increase the amount of air flowing through the sinuses and allow mucus to drain properly out of the nose. The procedure can relieve nasal blockages, improve breathing, improve the sense of smell and taste and relieve facial pain. The endoscope, which utilizes fiber optic technology, allows doctors to see inside the sinuses without cutting the face, and makes it possible to see parts of the sinuses that were formerly difficult to reach.
"Dr. Stidham is so patient and very clear with answering questions. She makes sure I understand everything. Best Doc I ever dealt with! Christine her nurse is always smiling and so helpful, also best nurse. They really care! - Tammy Benjamin-Brown"
Functional Endoscopic Sinus Surgery (FESS)
Functional endoscopic sinus surgery (FESS) is the most common type of surgery for chronic sinusitis performed today. FESS is performed using a small endoscope (a flexible tube with a camera at the end) inserted through the nostril. This minimally invasive procedure has significantly improved the results of sinus surgery. Advantages of FESS include a shorter recovery time, reduced risk of infection, decreased postoperative pain, and less scarring.
Sleep Apnea Surgery
For mild cases of obstructive sleep apnea, treatment often consists of using methods to avoid sleeping on one's back. For people with significant nasal congestion, a decongestant therapy may be prescribed. Patients with obstructive and central apnea should avoid central nervous system depressants such as alcoholic beverages, sedatives and narcotics. Weight loss and diet control are encouraged for overweight patients.
Many serious cases of obstructive sleep apnea can be relieved by a treatment called nasal continuous positive airway pressure (nasal CPAP). Nasal CPAP uses a mask-like device and pump that work together to keep the airway open with air pressure during each inspiration. For those patients who cannot tolerate the nasal CPAP, surgical options include UvuloPalatoPharyngoplasty (UPP surgery- the shortening of the excess palate and elimination of any tonsillar tissue from the throat). If this does not "cure" the problem, then procedures to move the tongue forward such as genioglossus advancement or maxillomandibular osteotomy can be done. Some doctors also believe that radio frequency ablation of the tongue base can help. So far laser surgery of the palate has not been shown to help significant sleep apnea.
Nasal Prosthesis Procedure
Sometimes a patient is not a candidate for reconstructive surgery. In the event of a burn injury or cancer resection, an alternative to surgery is prosthetic treatment. Our staff anaplastologist, Erin Donaldson, will custom fit, sculpt, paint, and deliver a prosthesis based off of photographs of the patient prior to illness or injury. Our prostheses are fabricated from medical grade silicone, and are worn daily much like a pair of eyeglasses. The prosthesis is worn by using skin adhesives or attached through osseointegrated implants. Our surgical team will discuss these options with you before beginning prosthetic treatment.
SCHEDULE A CONSULTATION
Not only is it important to see a doctor to decide which kind of treatment you need, if any, but it is recommended for your nose & sinus conditions. Contact our office today at (914) 693-7636 to schedule an appointment with one of our experienced doctors.