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By Richard Nass, M.D.
October 23, 2018
Category: ENT Care

Your nose--you might not notice if it's working properly until it's not. Nasal obstruction, inflammation due to allergies, asthma or environmental irritants, facial pain--they all lead to less than perfect nasal breathing. Your ENT doctor in Manhattan, Dr. Richard Nass, can help move air through your nose easily. As a board-certified otolaryngologist and pioneering expert in endoscopic diagnostic and surgical techniques for the nose, he'll uncover what's wrong and help you feel better.

Nasal Breathing ProblemsYour wonderful nose

It does many things. It helps bring oxygenated air into your lungs and expel it after use. Your nose warms and humidifies that air, filters particles and irritants, helps you smell odors, influences your vocal tone, and yes, completes your facial features. Connected to a system of air-filled spaces called the sinuses, your nose is highly vascularized and innervated and has anatomical features such as:

  • A dividing partition made of bone and cartilage--the septum
  • Moist and hair-covered mucosa
  • Nares, or nostrils
  • Ridgelike bumps, or turbinates

What can go wrong

As is the rest of your body, you nose is subject to injury, malfunction, infection, and malformation, often impacting how well you breathe. Your ENT doctor in Manhattan sees scores of patients each year who experience nasal breathing issues such as:

  • Polyps, small benign growths which impede airflow
  • Chronic sinusitis and congestion
  • A deviated septum, an obstructive change in an otherwise straight divider between the right and left nostril (a very common problem, say ENT doctors at the Cleveland Clinic)
  • Allergic rhinitis, a leading cause of chronic illness in the US, says the Asthma and Allergy Foundation of America
  • Colds and flu and their copious mucous and congestion

Diagnosing and treating problems with your nose

Dr. Nass uses state of the art imaging (CAT scan and digital X-rays) and sophisticated endoscopy to visualize and diagnose what's happening in your nose and sinuses. He also considers physical examination findings and your medical and prescription history. Then, he offers a comprehensive treatment plan to eliminate pain and congestion and improve nasal breathing.

Possible interventions include:

  • Allergy and asthma treatments
  • Nasal irrigation, or lavage
  • Antihistamines, antibiotics, or steroids as needed
  • Surgical removal of polyps
  • Balloon sinuplasty to reduce obstructions
  • Surgical correction of deviated septum or other structural abnormalities
  • Breathing strips to open collapsed nasal valves
  • Avoidance of environmental irritants, particularly cigarette smoke

Your best breathing

Achieve it by working with your ENT doctor in Manhattan, NY, Dr. Richard Nass. For a convenient appointment time, please call his office at (212) 734-4515.

By Richard Nass, M.D.
September 04, 2018
Category: ENT Health

Man with Nasal Breathing ProblemsNasal breathing problems can make it difficult to get a good night of sleep and interfere with your work. Breathing problems may also be accompanied by headaches, cold symptoms, and congestion. If you're struggling to breathe and trying to ignore facial pain, help is available at the office of Dr. Richard Nass, an ear nose and throat doctor seeing patients in Manhattan, NY. Explore the possible reasons for your nasal symptoms and explore treatment options so that you can finally get some relief.

The Cause of Nasal Breathing Problems
Difficulty breathing can be caused by nasal inflammation, a cold, asthma, or an allergic reaction. But one of the most common causes of nasal breathing problems is a recurring sinus infection, also called sinusitis. Sinus infections often happen after a respiratory illness, like a cold or the flu. Patients who are affected by seasonal allergies also are more prone to experiencing the symptoms of sinus infections.

Trouble Breathing, Facial Pain and Other Symptoms
Chronic sinusitis affects roughly 11 percent of adult Americans according to the Centers for Disease Control and Prevention. These are some of the symptoms that would indicate a sinus infection is the reason for your nasal breathing problems:

- Pain behind the eyes and nose, or at various places around the head (tension headaches).
- Tenderness in the face when you touch it.
- Nose won't stop running and watery eyes.
- Yellow, infected mucus discharge.
- Fever
- A sore throat and frequent coughing

Treatment Options
Sinus symptoms often subside in about a week in acute cases, but if the symptoms are long-term or recurring, you need to start a targeted treatment plan with your Manhattan, NY ear nose and throat doctor. That may include antibiotic therapy, nasal decongestants, nasal irrigation by your ENT, and allergy testing. Patients who have recurring sinus problems may benefit from sinus surgery. One procedure uses endoscopic technology to remove tissue that may be blocking the sinuses. Another, balloon sinuplasty, allows your ENT to insert and inflate a tiny balloon in the nose so that the sinuses can drain.

Relief for Nasal Problems
If you have nasal problems, pain in your face, and symptoms related to sinusitis, you might need sinus surgery or another treatment. Discuss your options with Dr. Richard Nass, an ear, nose, and throat doctor in Manhattan, NY. Call 212-734-4515 today for an appointment.

By Richard Nass, M.D.
August 23, 2018
Category: ENT Treatments
Tags: Sinus   Balloon Sinuplasty  

The occasional sinus infection can typically be treated with other the counter medication and standard treatments, but if you suffer from Balloon Sinuplasty Doctorchronic sinus infections and inflammation (sinusitis), you may find relief with a simple minimally invasive procedure known as a balloon sinuplasty. Dr. Richard Nass, an otolaryngologist (ear, nose, and throat doctor) in Manhattan, NY, recommends the procedure when other treatments fail to provide relief, or for chronic sinus infections that last more than 12 weeks.

Balloon Sinuplasty in Manhattan, NY

When the sinus cavity and nasal passages are narrowed due to inflammation, it causes difficulty breathing and prevents mucus and fluid from draining properly, leading to buildup and greater risk of infection. If you suffer from sinus issues, you are probably very familiar with the painful headache, pressure, and discomfort caused by blocked sinuses. A balloon sinuplasty uses a small catheter to open and clear the nasal passage without surgery.

The first step is to insert the device into the nasal passage. The balloon is then inflated to open and clear sinus cavity. Saline is then sprayed into the sinus cavity to flush it out and drain the built up fluid and mucus. Once the balloon catheter is removed, the cavity remains open and clear.

When Should You Consider a Balloon Sinuplasty?

If you are suffering from sinus problems, the first step is to schedule an appointment with an ENT doctor if your symptoms persist for more than a few days or do not clear up with over the counter medications, or clear up and then return. You may benefit from balloon sinuplasty if you are experiencing the following symptoms (related to sinus problems):

  • Pain and pressure behind your eyes, temples, forehead, and nose
  • Headaches
  • Yellow or green mucus discharge
  • Decreased sense of smell
  • Nasal congestion

The procedure is available for both children and adults.

Find an ENT Doctor in Manhattan, NY

For more information about balloon sinuplasty and sinusitis management and treatment, contact our office by calling (212) 734-4515 to schedule an appointment with Dr. Nass today.

By Richard Nass, M.D.
May 08, 2018
Category: ENT Care
Tags: Sleep Apnea   Snoring  

According to the American Academy of Sleep Medicine, habitual snoring occurs in about 40% of men and 24% of women. This issue is sleep apnea, snoringcommon but, in some cases, can be the sign of a more complex medical condition. Snoring is one of the most obvious and prevalent symptoms of sleep apnea, a condition which can seriously affect one’s quality of nighttime sleep. Find out more about sleep apnea and what it means for you with your ear, nose, and throat doctor, Dr. Richard Nass with office locations in Manhattan, New York, NY, and East Hampton, NY.

What is sleep apnea? 
Sleep apnea causes patients to temporarily stop breathing while asleep. Obtrusive sleep apnea (OSA) occurs due to an obstruction of the airway which causes it to collapse. OSA is the most common form of sleep apnea. Central sleep apnea (CSA) occurs due to the signals from the brain which tell the lungs to breathe become disrupted and often happens after other issues like stroke or heart failure.

Do I have sleep apnea? 
The most obvious sign of sleep apnea is snoring, but there are some other tell-tale signs of this condition. Some common issues caused by sleep apnea include:

  • awakening abruptly, often accompanied by gasping for or shortness of breath
  • insomnia
  • chest pain at night
  • morning headaches
  • excessive daytime sleepiness
  • apneas, or short pauses in breathing while asleep

How is sleep apnea diagnosed? 
There is no one objective test to determine if you have sleep apnea. Those who suspect they suffer from sleep apnea undergo a sleep test, which takes place in a laboratory setting and allows technicians to observe the body’s functions while sleeping. The test can accurately observe the body’s reactions to sleep and determine if you suffer from this condition.

Treating Sleep Apnea in Manhattan and East Hampton
Treating sleep apnea depends on the patient, the severity of their condition, and their lifestyle. A continuous positive airway pressure (CPAP) machine is commonly used to treat sleep apnea. This machine blows a gentle stream of air into the airway to keep it open. However, other individuals may benefit from a dental appliance to treat OSA. Some mild cases may benefit from simple lifestyle changes like changing sleeping position or losing weight. In more severe cases, surgery may be needed.

For more information on sleep apnea or its treatments, please contact Dr. Nass with office locations in Manhattan, New York, NY, and East Hampton, NY. Call (212) 734-4515 to schedule your appointment in Manhattan or (631) 324-4900 to schedule your appointment in East Hampton.

By Richard Nass, M.D.
May 07, 2018
Category: ENT Health
Tags: Sinus Infections  

Approximately 29 million adult Americans have been diagnosed with sinusitis (an inflammation of the sinuses) according to the CDC. In sinus infectionmany cases, that inflammation is caused by an infection. There are relatively minor cases which may cause some cold symptoms, and other cases that can make it almost impossible to breathe, talk, or even see clearly. When you have recurring sinus infections, meaning they clear up and then come back frequently throughout the year, you should see Dr. Richard Nass at his East Hampton or Manhattan, NY office to find out the cause.

What Are Sinus Infections?
The sinuses are a series of cavities that are located next to your nose, between your eyes, and above your brow. They are connected by a network of passageways. When bacteria and germs irritate these passageways and cavities, it causes a sinus infection. The symptoms are headaches, pressure around the eyes, congestion, and overproduction of mucus.

What Causes Sinus Infections
When sinus problems happen time and time again throughout the year, they're called recurrent or recurring sinus infections. It's important to narrow down the possible causes with the help of your East Hampton or Manhattan, NY doctor. Here are a few possible reasons why you're having a recurring sinus problem:

- Exposure to another person who has a cold virus.
- Nasal congestion that isn't cleared promptly.
- Allergies (common in certain seasons).
- Exposure to too much dry air.
- An immunodeficiency disorder or related condition.
- Stress and lack of sleep.
- Smoking or secondhand smoke.

Treating and Stopping Recurring Infections
Your doctor will treat sinus infections by clearing the nasal passages and administering antibiotic therapies. Once you're consulted about the possible causes, you and your doctor can discuss ways of avoiding future infections. Actions to consider include using a neti pot to clear congestion regularly, taking allergy medication, buying a humidifier for your home, and joining a smoking cessation program.  Oal steroids or antibiotics may also be prescribed depending on the cause of your infection. For severe infections, surgery may be needed. Fortunately, minimally invasive procedures such as balloon sinuplasty are available to treat your recurring infections.

Get Help at the Doctor's Office
Some cases of sinusitis go away on their own and don't keep coming back. But when you experience recurring sinus infections, you should see a doctor for help. Call (212) 734-4515 or (631) 324-4900 today to make an appointment with Dr. Richard Nass at his East Hampton or Manhattan, NY office.





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