Sinus surgery

Sinus surgery for chronic sinusitis is usually done minimally-invasively using an endoscope. During the surgery, the diseased sinus tissue is removed to clear blockages and allow for improved drainage through the normal sinus pathways. The endoscope (camera) and surgical instruments are inserted through the nostrils, with no need for incisions. Advanced image-guiding techniques allow the surgeon maximum control to avoid damaging normal tissue.

With modern sinus surgery, there are very few complications and little downtime.

Balloon sinuplasty

Balloon sinuplasty is an alternative to sinus surgery. Rather than removing sinus tissue, a balloon is used to expand the sinus cavity.

During this minimally-invasive procedure, an endoscope and thin catheter containing the balloon are introduced through the nostril. The balloon is gently inflated, expanding the sinus cavity, reducing blockages and allowing for improved drainage. An irrigation catheter cleanses the area with saline solution as the balloon is inflated. Once the affected sinus cavity is expanded and cleared, the balloon is deflated and removed. The sinus remains open.

Balloon sinuplasty is an excellent alternative to surgery because there is no cutting involved and, consequently, a greatly reduced risk of blood loss or infection. Post-operative pain is minimal and the full results are visible after two to three weeks.

Balloon sinuplasty has been shown to be very successful in many patients, although not everyone is a candidate. The results from balloon sinuplasty can last for up to two years.

Tonsillectomy (pediatric)

A tonsillectomy is the removal of the tonsils, two small lymphatic organs located at the top of the throat. Pediatric ENT doctors may perform a tonsillectomy on children with recurrent tonsillitis, recurrent strep or obstructive sleep apnea. During a tonsillectomy, the adenoids, two smaller glands located at the roof of the mouth, may be removed as well.

Tubes for ears (pediatric)

Ear infections are common in children because their eustachian tubes (the tubes connecting the middle ear to the throat) are shorter and more horizontal than those of adults. However, repeated ear infections in children can lead to a fluid build-up inside the ears that does not clear up easily and can cause hearing problems and/or speech delays. In these cases, a pediatric ENT doctor may recommend that tubes be placed in the ears.

During a myringotomy, the doctor makes a tiny incision in the eardrum and cleans out any thick buildup of fluid. Then a tympanostomy tube is inserted in the hole in the eardrum to help keep the middle ear aerated and to equalize pressure inside the ear. The tube will fall out on its own, after six months or more.