My Blog

By Richard Nass, M.D.
September 10, 2020
Category: Office update
Tags: Reopening  

The pandemic saw many medical practices and clinics shutting their doors across the US; however, we are pleased to announce that Dr. Richard Nass, award-winning and renowned Manhattan NY ENT and sinus specialist, will be providing full sinus, ear, nose, and throat services again to patients starting on September 1st, 2020.

In light of Covid-19, Dr. Nass and his practice are fully committed to safety and are taking extra precautions to protect their patients while also ensuring that they continue to get the quality ear, nose, and throat care they need during this time. Dr. Nass and his staff always wear the appropriate personal protective equipment (PPE), as well as limit the number of patients that are seen every day.

It’s a top priority for Dr. Nass and his team to provide comprehensive and dependable care to those dealing with both urgent and non-urgent matters, as well as providing surgical needs and elective procedures during this time. The staff at Dr. Nass’s office has received proper training and education on policies and practices to minimize exposure to COVID-19.

It is important to understand symptoms of COVID-19 and to avoid coming into the office if you are experiencing symptoms such as a persistent cough, sore throat, chest congestion, fever, and body aches. Dr. Nass offers telemedicine visits to patients who are concerned about their symptoms but still wish to remain at home while receiving proper medical care.

Dr. Richard Nass has been a Castle Connelly Top Doctor for 15 years in a row. He’s also won Leading Physician of the World. He specializes in treating a wide range of conditions and infections that affect the sinuses, ear, nose, and throat. From allergies and chronic sinusitis to sleep apnea and gastroesophageal reflux disease (GERD), Dr. Nass can now treat any problems you are facing at his Manhattan practice starting at the beginning of September.

To learn more about Dr. Richard Nass and the services he offers at his Manhattan NY practice, contact his office at (212) 734-4515 to ask about our treatment options or to schedule a consultation.

By Richard Nass, M.D.
July 08, 2020
Category: ENT Treatments
Tags: Sinus Infection  

In most patients, sinus infections are managed and cured in under a week, using typical home remedies. For some, however, they might need more potent treatments to get their sinus infection under control. If you’re one of the latter, you can come in for a consultation with your Manhattan, NY ENT, Dr. Richard Nass, to obtain proper treatment for your condition. With this in mind, doctors typically recommend a combination of the following treatments to combat sinus infections.

Nasal Decongestant Sprays

These can help if used for just three or four days max. Nasal decongestant sprays work by shrinking inflamed nasal passages to facilitate proper drainage flow from your sinuses. Take note that overusing these sprays could cause a rebound phenomenon, which is a condition that causes your nasal passages to swell and shut.

Antihistamine and Nasal Decongestant Combination Medications

OTC combination medications like these must be used with proper caution, as some have drying agents that could thicken the mucus. These work by clearing the nasal passages and addressing allergic reactions resulting from or contributing to sinus infections. This is the most common method recommended by Manhattan, NY ENT.

Nasal Corticosteroid Sprays

Prescription nasal corticosteroid sprays help reverse and prevent swelling and inflammation of the sinus openings and nasal passages. They’re likewise used to shrink and prevent the recurrence of nasal growths or polyps.


Primarily used for allergy relief, these stop inflammation from allergic reactions to help combat allergy symptoms that could result in swollen sinus and nasal passages.


If your Manhattan, NY ENT determines that your sinus infection is due to a bacterial infection, you will need to take antibiotics. Depending on which antibiotic type you’ll be taking, you may need to take it for three to twenty-eight days. Also, since the sinuses are deeply seated and receive limited blood flow, longer antibiotic treatment might be required for individuals with more severe or persistent cases.


If you don’t get relief from drug therapies, your ENT doctor may recommend sinus surgery. In most cases, surgery is used for correcting anatomical defects found in the bone that separates the nasal passages. However, it can likewise be used for opening up closed nasal passages and removing polyps. Surgery can be conducted under general or local anesthesia and is usually an out-patient procedure.

For Sinus Infection Relief, Talk to Us

Arrange a consultation with your ENT doctor, Dr. Richard Nass, here in our Manhattan, NY, practice by dialing (212) 734-4515.

By Richard Nass, M.D.
April 13, 2020
Category: ENT Care
Tags: Sleep Apnea  

Sleep apnea is a sleep disorder that could be potentially serious, even life-threatening. People who suffer from this condition experience breathing issues, specifically, their breathing starts and stops repeatedly. If you’re a loud snorer and feel strangely exhausted even after getting sufficient sleep at night, you may be suffering from sleep apnea.

With this in mind, if you suspect that you have snoring problems and sleep apnea, visit Dr. Richard Nass, here in our Manhattan, NY office. He will assess your condition and provide proper treatment to treat your symptoms and prevent serious sleep apnea-related complications.

How is Sleep Apnea and Snoring Treated?

For milder sleep apnea cases, your doctor might suggest lifestyle modifications like quitting smoking and maintaining a healthy weight. If you suffer from nasal allergies, addressing your allergy symptoms will be key to managing your snoring and sleep apnea. However, your ENT doctor in Manhattan, NY, may recommend the following treatments if you have moderate to severe sleep apnea:

CPAP or Continuous Positive Airway Pressure

People with moderate to severe cases of sleep apnea may benefit from wearing a special machine that supplies air pressure via a mask when you sleep. This is called a CPAP or continuous positive airway pressure device. With this device, the air pressure will be relatively greater than the surrounding air, which is enough for keeping your upper airway passages properly open to prevent snoring and apnea. Tell your doctor if your symptoms persist despite CPAP therapy. Likewise, your CPAP device may need some adjustments if you lose or gain significant weight while using it.

Other Airway Pressure Machines

In the event that a CPAP just isn’t working for you, you may need to use a different kind of device called an Auto-CPAP that can automatically regulate the air pressure when you’re sleeping. You may also opt for a BPAP machine that delivers bilevel positive airway pressure. This can supply more pressure while you’re inhaling and less when you’re exhaling.

Oral Appliances

Aside from CPAP and BPAP machines, you can likewise try an oral appliance developed to ensure that your throat stays open when sleeping. Some appliances can open the throat by moving the jaw forward to ease mild sleep apnea and snoring. You may have to try various appliances to see which one will work best for you.


Doctors typically recommend surgery when other treatments failed to relieve sleep apnea symptoms. In general, doctors recommend patients to try conservative treatments for three months before recommending surgery.

Get Rid of Your Snoring and Sleep Apnea Symptoms Now.

Arrange an appointment with Dr. Richard Nass here at our Manhattan practice by dialing (212) 734-4515.

By Richard Nass, M.D.
April 13, 2020
Category: ENT Care
Tags: Sinus Disease  

Sinusitis occurs when there’s a swelling or inflammation of the tissue that lines the sinuses. When your sinuses are healthy, they’re filled with air. However, when they become clogged due to fluid buildup, germs could thrive and lead to a sinus infection. The most common conditions that could cause blockage in the sinuses include allergic rhinitis, the common cold, a deviated septum, and nasal polyps.

If you’re having any issues with your sinuses, you can consult with our ENT doctor, Dr. Richard Nass, here in our Manhattan, NY, practice.

Types of Sinus Infections

Basically, there are four types of sinusitis, these are:

  1. Acute Sinusitis: This typically begins with cold-like symptoms like facial pain and a clogged or runny nose. It may begin suddenly and last for two-to-four weeks.
  2. Subacute Sinusitis: This usually lasts for four to 12 weeks.
  3. Chronic Sinusitis: Symptoms last for more than 12 weeks.
  4. Recurrent Sinusitis: Episodes of sinusitis occur several times yearly.

Symptoms of Acute Sinusitis

You might have a stuffy nose, facial pressure or pain, congestion or cough, and loss of smell. You might also have a fever, fatigue, dental pain, and bad breath. In most cases, it’s usually acute sinusitis if you experience more than two of these symptoms and/or have thick, yellow or green nasal discharge.

Symptoms of Chronic Sinusitis

You might have a fever, pus in your nose, discolored postnasal drainage, nasal congestion, and feel fullness or pressure in your face for more than 12 weeks. Likewise, you may have tooth pain, bad breath, and persistent headaches, and you may feel constantly tired. However, plenty of conditions can cause these symptoms, so it’s important that you visit your ENT doctor in Manhattan, NY, to find an accurate diagnosis.

Treatments for Sinusitis

For simple sinus infections, treatments typically include saline nasal washes and a decongestant. But you shouldn’t take OTC decongestants for more than three days since it could make your nose more congested. If you were prescribed antibiotics, you should take them as directed. Moist, warm air also helps with chronic sinusitis. For this, you can inhale steam from a bowl with hot water or utilize a vaporizer.

You’ll likewise have to avoid triggers related to your sinusitis and take antihistamines if you have persistent allergies. You may also be prescribed antifungal medication if a fungus is the cause of your symptoms. Additionally, your doctor might recommend immunoglobulin therapy if immune deficiencies are causing your sinusitis.

Suffering from Sinus Disease? Get Relief Now

Dial (212) 734-4515 to book an appointment with our ENT doctor, Dr. Richard Nass, here at our Manhattan, NY, practice.

By Richard Nass, M.D.
April 13, 2020
Category: ENT Treatments
Tags: Facial Pain  

Facial pain is essentially any pain that you can feel in your face, which includes your eyes and your mouth. While it’s typically a result of a headache or injury, it may likewise result from a health issue. In many cases, facial pain is a result of sinus issues and nasal infections.

If you feel facial pain that appears suddenly, consult your doctor as soon as possible. This is especially true if you have a history of sinus problems or nasal infections. At the practice of ENT doctor Dr. Richard Nass here in Manhattan, NY, he can evaluate your condition and help you determine what’s causing your facial pain.

Common Facial Pain Causes

People usually describe facial pain as an achy, stabbing, and cramp-like pain that radiates throughout the entire face. Pain in your face could occur due to various reasons from sinus problems and nasal obstructions.

Types of Facial Pain

The specific kind of pain you’re experiencing would depend on what’s causing it. For instance, pain due to sinusitis typically feels like an aching pain or pressure underneath your eyes and across your cheekbones. If you experience this kind of pain, visit your ENT doctor in Manhattan, NY, as soon as you can to get relief for your pain and prevent further complications.

Diagnosing Facial Pain

During your consultation with your doctor, be prepared to describe your pain, specifically:

  • Which portion of your face hurts
  • How often you’re experiencing pain
  • How does your pain feel like
  • Where your pain is starting from
  • How long your pain lasts
  • Other symptoms you’re experiencing

Need Relief from Your Facial Pain?

Call (212) 734-4515 to schedule your consultation with our ENT doctor Dr. Richard Nass here at our Manhattan, NY, practice.

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