Overview of Rhinology | ENT Specialist

What is rhinology?

Rhinology is a subdivision of otorhinolaryngology (ear, nose, and throat) that focuses exclusively on disorders of the nose, sinuses, and skull base (the area between the sinuses and the brain).

What are the diagnosis done by rhinology?

We use the latest technological advances in the diagnosis of sinusitis. All initial evaluations through our sinus program are dedicated to providing an accurate diagnosis and making the patient aware of sinus treatment options. After reviewing the patient’s medical history and physically examining the nose, the doctor will often examine the sinuses using the fiber optic range. This procedure, called nasal endoscopy or rhinoscopy, is done in the exam room. To further aid in the diagnosis, a CT scan may be taken.

Treatment of nasal and sinus disorders requires medical and / or surgical intervention. Medical options include topical nasal sprays, antibiotics, and frequent allergy evaluations. The approach to these disorders specializes in multidisciplinary, allergy/immunology, pulmonology, and other subtypes, including maxillofacial surgery.

Sinus surgery options are described in detail, our team is dedicated to bringing technological advancements. Minimally invasive, computer-assisted surgical procedures are available for patients with refractory or complicated diseases of the nose and sinuses. Additionally, as a leading sinus care practice in the region, we have become a referral destination for patients who have previously failed sinus surgery.

Common Sinus Procedures:

  • Computer Image-Guided Breast Surgery
  • Endoscopic sinus surgery
  • Review of endoscopic sinus surgery
  • Septoplasty
  • Turbinate surgery

Treatment of rhinological conditions

Our program treats all types of nasal, and sinus disorders, including:

  • Allergic rhinitis
  • Acute aspirin respiratory disease (AERD)
  • Cerebrospinal fluid (CSF) leaks
  • Sinusitis
  • Skull base tumors
  • Facial injury
  • Nasal polyps
  • Pituitary tumors
  • Nasal septum
  • Inverted papillomas
  • Head and neck osteoma
  • Juvenile Nasongiofibroma (JNA)
  • Sinus mucosa
  • Paranasal sinus tumors
  • Nasal obstructions: Obstruction of the nasal passage in general, since the mucous membranes of the nose become inflamed due to the inflamed blood vessels.

Nasal valve collapse: A breathing disorder that causes severe nasal congestion, snoring, and breathing through the mouth.

Tear duct obstruction: Tears usually do not flow, leaving you with a watery and irritated eye. This condition is caused by a partial or total blockage of the tear drainage system.

Treatments and procedures of rhinology

In rhinology, our specialists are recognized locally and nationally in the treatment of complex and chronic nasal and sinus disorders. Many patients seeking treatment do not have access to the combination of treatments that we offer that can effectively treat their chronic sinus condition. For example, In more complex cases, both medical treatments combined with surgery may be the best approach to successfully managing and treating chronic sinus conditions.

Leaders in the treatment of surgical rhinology

Rhino specialists have guided major surgical techniques to restore nasal function to previously unsuccessful treatments. They perform high volumes of these minimally invasive procedures using the latest surgical instruments, including image-guided navigation to provide accurate and safe care.

Advanced sinus surgery procedures for chronic rhinosinusitis:

Functional Endoscopic Sinus Surgery (FESS)

The least invasive surgical technique used to open the nostrils and improve drainage. FESS is usually done to correct sinus problems that don’t respond well to other treatments.

Sinus revision surgery

We specialize in complex breast revision surgeries for critically treated cases. Many of our patients seek sinus revision surgery when their previous surgery at another medical facility is unsuccessful. Due to the proximity of the sinuses to complex structures, including the eyes and the brain, these areas of the sinuses often become inactive and diseased. Because we have specialized experience and a leading surgical team, we can safely work on these challenging sinus areas.

Rhinology surgery conditions

Nasal and sinus conditions we treat include acute and chronic sinusitis, nasal polyps, nasal obstructions, and nasal congestion (epistaxis). Starting with your initial visit, we will help you make a complete and accurate diagnosis of your symptoms, medical history, and concerns and develop an accurate treatment plan tailored to your lifestyle.

Rhinology and sinus surgery services

We focus on improving the medical management of difficult-to-treat sinusitis cases when we use surgery as a last resort. One of the novel treatments we offer is the use of soluble steroid (propel) implants in patients with acute chronic sinusitis and polyps disease. Currently, this treatment is available to hospitalized patients as an adjunct to sinus surgery. In contrast to traditional therapies such as steroid irrigation, the benefits are direct delivery of steroid therapy to the sinus cavity, while reducing the level of systemic steroid absorption.

For cases that require surgery, we use less invasive techniques to effectively treat sinus disease while reducing recovery time. In patients with severe frontal sinusitis where multiple preoperative surgeries have failed, for example, we use a minimally invasive method called the DRAF III frontal sinus procedure, which uses endoscopic techniques to increase the opening of the frontal sinuses and their communication with the nasal cavity. This allows the frontal sinus to provide effective topical irrigation treatment and easy office access. It is a successful option for patients who have failed open frontal sinus surgery.

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