The Newest Innovations
in the Treatment of Sinus Disease
Can Be Found at
Mann Ear, Nose & Throat
Sinusitis (pronounced “sine-you-site-iss”) is inflammation of the air filled spaces of the skull, known as sinuses.
The source of this inflammation can be variable, and may include allergy, anatomic problems or several other rarer underlying conditions.
Sinusitis affects approximately 37 million people each year in the United States alone.
SYMPTOMS OF SINUSITIS INCLUDE:
• Nasal Congestion
• Facial Discomfort
• Drainage down the throat
• Ear fullness or pressure
• Hearing loss
• Dental pain
• Halitosis (bad breath)
• Decreased sense of smell
• Mild Dizziness
Initial treatment of chronic sinusitis usually involves nasal sprays, decongestants, steroids, antihistamines and antibiotics. When symptoms occur more than 4 times per year, or persist for more than 12 weeks, a referral to an ENT specialist is in order.
During a visit to Mann ENT, a full medical history will be obtained, and the symptoms prompting the visit will be discussed. After a full head and neck exam is performed, imaging studies such as a CT scan of the sinuses and an allergy test are often considered.
Sinusitis that does not respond to medical management will often improve with sensitization immunotherapy (allergy shots or allergy drops) or possibly endoscopic sinus surgery, including minimally invasive techniques such as Balloon Sinuplasty, which can now be performed comfortably in our office.
As a recent development, injectable biologic therapies such as Dupixent, Nucala and Xolair have become available, offering hope for the non-surgical cure of chronic sinusitis with nasal polyps, which can often be a debilitating disease.
WHAT IS BALLOON SINUS DILATION?
During a sinus dilation procedure, a small balloon is passed into the entrance of one or more sinus cavities by way of the natural openings of the nose.
The entrance to the cavity is then enlarged, with the help of the balloon system. No instrumentation or packing is left inside the nose after the procedure.
After enlargement of the opening, the sinus itself can better drain the natural fluids and gasses produced in the sinuses, leading to improved function and relief of symptoms.
For your comfort, this procedure may be performed while you are fully asleep in our office. If you choose this option, you will additionally be under the care of a fully licensed Anesthesiologist during the entirety of your procedure at Mann ENT. In this manner, you can avoid any discomfort (or even memory) of your procedure, while also avoiding the increased cost and inconvenience of a visit to a large hospital or surgery center.
WHAT ARE BIOLOGIC THERAPIES FOR CHRONIC SINUSITIS WITH NASAL POLYPS?
As the newest innovation in the treatment of chronic sinusitis, a whole new class of injectable medications called “Biologics” have been recently approved for the treatment of chronic sinusitis with nasal polyps.
Dosed at once every 2, 4 or 6 weeks depending on the specific medication, with self injection available, these immunoglobulin based therapies have revolutionized the treatment of some of the most severe forms of sinusitis.
The doctors at Mann ENT are currently prescribing Dupixent, Nucala and Xolair, with other choices surely to follow given the unprecedented results being observed right now. Chronic sinusitis with nasal polyps often required multiple operations in the past. Now with the help of these newer therapies, complete cure of this debilitating condition has been reproducibly attained while the medications are actively taken.
With these various methods, patients suffering from chronic sinus disease have a real opportunity to improve their quality of life when regular medical therapy has failed.