Nose & Sinus Treatment - Coastal Ear Nose & Throat

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Nose Sinus Causes and Treatment
Coastal ENT is a premier center of excellence in
the region of diagnosis and treatment of
diseases related to the nose, sinuses, and skull
base. We have two fellowship trained physicians,
Dr. Josef Shargorodsky and Dr. Qasim Husain, as
well as an experienced staff equipped to handle
the most difficult cases with both medical and
surgical management. Nasal Endoscopy / Culture A
small camera through the nose allows us to
identify the problem formulate the right
treatment plan. Minimally Invasive Sinusitis
Treatment Endoscopic sinus procedures, In-office
balloon sinuplasty Chronic Rhinitis
Treatment In-office turbinate reduction and
cryoablation Nasal Airway Relief Repair of nasal
valve collapse with rhinoplasty or in-office
stent placement
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Balloon Sinus Surgery (Sinuplasty)A balloon
sinuplasty is a minimally invasive endoscopic
procedure used to treat chronic sinusitis.
Sinusitis is an inflammation of the lining within
the paranasal sinuses. Once inflamed, the sinus
cavities become a fertile ground for viruses,
bacteria, and occasionally fungi to grow,
resulting in infection. If it becomes chronic
there may be a structural problem in the nose or
sinuses. In those cases, a balloon sinuplasty
may be recommended.

1. Coastal ENT physician gently places a sinus guide
   catheter and a flexible sinus guidewire through
   the nostrils to access the target sinus. Next, a
   sinus balloon catheter advances over the sinus
   guidewire.
2. The sinus balloon catheter is positioned across
   the blocked ostium and gently inflated.
3. The Balloon Sinuplasty system is removed, leaving
   an open sinus passageway and restoring normal
   drainage and function.

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Adenoid HypertrophyThe tonsils are two masses of
tissue found on either side of the back of the
throat. The adenoids are located high in the
throat behind the nose and roof of the mouth.
Together they form part of the ring of glandular
tissue at the back of the throat. The tonsils
and adenoids assist the body in defense against
infection by sampling entering bacteria and
viruses and becoming infected themselves. They
then help form antibodies to resist and fight
future infections. However, the tonsils and
adenoids often become susceptible to recurrent
bacterial infections and can even trigger airway
obstruction.
While the tonsils can be seen by physical
examination, the adenoids cannot. However,
diseased adenoids have certain telltale signs,
including yellow or white spots near the tonsils
or tongue, swollen lymph nodes, or irritated red
spots in the mouth, that enable their diagnosis.
The adenoids themselves may be seen through the
use of a special mirror in the mouth, or through
a tube called an endoscope, which is inserted
through the nose. Other tests to diagnose
problems with the adenoids may include sleep
studies or X-rays of the area.
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Allergic and Chronic Rhinitis
Allergic rhinitis (hay fever) is an especially
common chronic nasal problem in adolescents and
young adults. Allergies to inhalants like
pollen, dust, and animal dander begin to cause
sinus and nasal symptoms in early childhood.
Infants and young children are especially
susceptible to allergic sensitivity to foods and
indoor allergens. When Should My Child See a
Doctor? If your childs cold-like symptoms
(sneezing and runny nose) persist for more than
two weeks, it is appropriate to contact a
physician. Emergency treatment is rarely
necessary except for upper airway obstruction
causing severe sleep apnea or an anaphylactic
reaction caused by exposure to a food allergen.
Treatment of anaphylactic shock should be
immediate and requires continued observation and
care.
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Pituitary Tumors
Pituitary tumors are abnormal growths in the
pituitary gland, a small gland at the base of
the brain. The pituitary gland is extremely
important because it both releases its own
hormones and controls hormones released by other
endocrine glands, such as the thyroid and
adrenal glands, and is thus responsible for
regulating multiple systems in the body. For
this reason, pituitary tumors can have serious
medical consequences. Treatment of Pituitary
Tumors Since most pituitary tumors are not
malignant, there is usually no danger of
metastasis. Nonetheless, as a pituitary tumor
grows, the pressure on significant blood vessels
and nerves can cause serious, and sometimes
dangerous, complications. Treatment of a
pituitary tumor most often involves surgical
excision, especially if the tumor is pressing on
the optic nerve. Most pituitary tumors can be
removed through the nose and sinuses, but some
require transcranial surgery. For patients who
are not candidates for surgery, radiation therapy
may be used to shrink the tumor. Radiation
therapy may also be used in conjunction with
surgery to make sure the entire tumor has been
removed. For certain types of pituitary tumors,
medications are also administered.
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Nasal Fracture
In cases of facial trauma, nasal fractures are a
common type of bone injury. This is largely due
to the prominence and central location of the
nose on the face and the weakness of the nasal
cartilage. A nasal fracture is commonly the
result of an injury from a car accident, a fall,
a physical altercation, or a sports related
injury. Untreated nasal fractures can negatively
affect both the appearance and the function of
the nose. Functional problems include chronic
nasal obstruction or blockage, and a
predisposition for sinusitis, infection, and nose
bleeds. Diagnosis of Nasal Fractures A nasal
fracture is commonly diagnosed by a doctor by
reviewing the patients symptoms and performing
a physical examination of the nose. Additional
diagnostic tests may include CT Scan X-Ray
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Nasal Obstruction

• Nasal obstruction is a symptom rather than a
  stand-alone diagnosis, and there is a wide range
  of medical and structural problems that can
  affect your ability to breathe properly.
  Structural problems caused by deformities of the
  cartilage or bony structures of the nasal
  framework are common causes of nasal obstruction.
  These include a deviated nasal septum, nasal
  polyps, large adenoids, as well as swollen
  turbinate tissue, and nasal valve collapse.
  Other causes may be non-anatomical and due to
  conditions that cause the nasal lining to swell,
  including chronic sinusitis or severe nasal
  allergies. Each of these nasal obstructions can
  often be corrected using a variety of surgical
  techniques.
• How is inferior turbinate hypertrophy diagnosed?
• Nasal speculum and light examination in the
  office
• Nasal endoscopy a small camera with a bright
  light and monitor is used to look inside the
  nose
• A CT scan can demonstrate enlarged turbinate as
  well, but these scans are mainly looking for
  evidence of sinusitis.

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Nasal Polyps
Nasal polyps are benign growths that develop
within the lining of the nasal passages or
sinuses. If large enough, these growths may block
the passages and cause breathing difficulties,
sinus infections or other complications. Nasal
polyps can affect anyone, but they occur more
frequently in adults. Medications may shrink or
eliminate nasal polyps, but surgery is sometimes
needed to remove them. Diagnosis of Nasal
Polyps Nasal polyps are commonly diagnosed by a
doctor or otolaryngologist who will review the
patients symptoms and perform a physical
examination of the nose. A lighted instrument is
commonly used to look inside the nose through a
procedure called a nasal endoscopy. Additional
diagnostic tests may include Allergy tests CT
Scan MRI Cystic Fibrosis test for children
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Nosebleeds (epistaxis)
What is an anterior and posterior nosebleed? How
do I stop a nosebleed? Tips to prevent a
nosebleed and more
The nose is an area of the body that contains
many tiny blood vessels or arterioles that can
break easily. In the United States, one of every
seven people will develop a nosebleed some time
in their lifetime. Nosebleeds can occur at any
age but are most common in children aged 2-10
years and adults aged 50-80 years. Nosebleeds
are divided into two types, depending on whether
the bleeding is coming from the front or back of
the nose.
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Post Nasal Drip
Insight Into Treating a Runny Nose What is
Post-Nasal Drip? How is Swallowing Affected? How
is Post-Nasal Drip Treated? Glands in your nose
and throat continually produce mucus (one to two
quarts a day). Mucus moistens and cleans the
nasal membranes, humidifies air, traps and
clears inhaled foreign matter, and fights
infection. Although it is normally swallowed
unconsciously, the feeling of it accumulating in
the throat or dripping from the back of your
nose is called post-nasal drip. This sensation
can be caused by excessively thick secretions or
by throat muscle and swallowing disorders.
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Insight into sinus problems in adults and
children

• How are sinusitis symptoms different than a cold
  or allergy? When does acute sinusitis become
  chronic?
• What treatments are available?
• Have you ever had a cold or allergy attack that
  wouldnt go away? If so, theres a good chance
  you actually had sinusitis. Experts estimate
  that 37 million people are afflicted with
  sinusitis each year, making it one of the most
  common health conditions in America. That number
  may be significantly higher, since the symptoms
  of bacterial sinusitis often mimic those of
  colds or allergies, and many sufferers never see
  a doctor for proper diagnosis and treatment.

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Minimally Invasive Office ProceduresA balloon
sinuplasty is a minimally invasive endoscopic
procedure used to treat chronic sinusitis.
Sinusitis is an inflammation of the lining
within the paranasal sinuses. Once inflamed, the
sinus cavities become a fertile ground for
viruses, bacteria, and occasionally fungi to
grow, resulting in infection. If it becomes
chronic there may be a structural problem in the
nose or sinuses. In those cases, a balloon
sinuplasty may be recommended
4. After the procedure, there is only slight
discomfort and a cooling sensation which
resolves quickly. Most patients (80) have an
improvement in between 2-6 weeks from treatment.
1.Patients with out-of-balance nasal nerves
suffer from chronic runny nose and post-nasal
drip. If symptoms are refractory to allergy
medications and ipratropium bromide spray, then
cryotherapy can be a great option.
2. ClariFix 3. The treatment is performed in
interrupts the nerve the office with only topical
and local
signals that tell the nose to drip, run, and
swell which leads to decreased stuffy and runny
nose symptoms.
anesthesia. The ClariFix device and nasal camera
is placed in the back of the nose where the out
of balance nerves are located. The cold therapy
is applied using a cooling probe and only takes
a few minutes.
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Tearing And Eye Surgery
Graves disease is an autoimmune disorder that
causes the thyroid gland to produce an excessive
amount of thyroid hormone within the body. This
overproduction creates more hormones than the
body needs and causes many important bodily
functions to speed up. The thyroid is a
butterfly-shaped gland located in the front of
the neck and controls metabolism, heart and
nervous system functions as well as other
metabolic functions. An overproduction of the
thyroid hormone can lead to hypertension, weight
loss, irregular heartbeat and eye problems. In
addition to other symptoms, Graves disease may
also cause a condition known as Graves
ophthalmopathy in which the immune system
attacks the muscles and other tissue around the
eyes. This causes an inflammation and a build-up
of tissue around the eye, which in turn, may
cause the eyeballs to bulge out. Additional eye-
related symptoms caused by Graves ophthalmopathy
may include
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Contact Us
Coastal ENT Neptune Address 3700 Route
33 Neptune, NJ 07753 [phone] (main) (732)
280-7815
Coastal ENT Manahawkin Address 1301 Route
72 Unit 340 Manahawkin, NJ 08050 (609)
978-0590 [phone]
Coastal ENT - Holmdel Address 100 Commons Way
210 Holmdel, NJ 07733 [phone] (732)-280-78
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