Manhattan Office
1430 2nd Ave
New York, NY 10021
(212) 734-4515
(212) 734-1960 fax
East Hampton Office
200 Pantigo Place
East Hampton, NY 11937
(631) 324-4900
(631) 329-8291 fax


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By Richard Nass, M.D.
June 09, 2017
Category: ENT Care
Tags: Sinusitis  

Are you still tired and congested weeks after you had a sinus infection? You may have chronic sinusitis, a condition that can develop chronic sinusitisafter a bout of acute sinusitis. Manhattan and East Hampton, NY, sinus specialist, Dr. Richard Nass, discusses chronic sinusitis symptoms and shares information on treatment options.

What's the difference between acute and chronic sinusitis?

Acute sinusitis symptoms develop rapidly and generally lasts a week or two, but no more than a month. You'll receive a chronic sinusitis diagnosis if your symptoms have lasted three months or longer.

What causes chronic sinusitis?

Chronic sinusitis often develops after you've had a cold or acute sinusitis. Other factors that can raise your risk of chronic sinusitis include:

  • Allergies or asthma
  • Exposure to cigarette smoke or pollutants in the Manhattan or East Hampton areas
  • Nasal polyps
  • Deviated septum
  • Certain diseases, such as cystic fibrosis or gastroesophageal reflux disease (GERD)
  • HIV/AIDs or other immune system disorders
  • Fungal, bacterial or viral infections

What are the symptoms of chronic sinusitis?

Thick yellow or green discharge from your nose is common if you have sinusitis. Postnasal drip can trigger coughing at night and may also make you feel a little nauseated when you first wake up. Pain in your forehead, cheeks, nose and the area around your eyes is also common. Some people experience toothache-like pain in their upper teeth when they have chronic sinusitis. You may also feel tired, have bad breath, develop a sore throat or notice a reduced sense of smell or taste.

How is chronic sinusitis treated in Manhattan and East Hampton, NY?

Prescription decongestants decrease mucus in your sinuses, while nasal corticosteroid sprays are helpful in reducing inflammation and congestion. If the spray doesn't help, you may benefit from oral corticosteroids. Bacterial and fungal infections are treated with antibiotics or anti-fungal medications. Treating underlying conditions, such as GERD, allergies and immune system disorders, can also be helpful.

If more conservative treatment methods don't relieve your symptoms, sinus surgery may be recommended. The surgery is used to remove inflamed tissue, polyps, blockages and scar tissue and correct deviated septums.

Are you tired of living with chronic sinusitis? Call sinus specialist Dr. Richard Nass at (212) 734-4515 to schedule an appointment in the Manhattan, NY, office or (631) 324-4900 to make an appointment in the East Hampton, NY, office.

By Richard Nass, M.D.
May 04, 2017
Category: ENT Care
Tags: Sinus Infections  

For people who have chronic, or recurrent, sinus infections, relief may seem impossible. If medication and other therapies haven't worked for you, your Manhattan ENT, Dr. Richard Nass, may suggest a balloon sinuplasty. This minimally-invasive treatment is an excellent alternative to surgical treatment of blocked sinuses. You can learn more about this revolutionary procedure here.

What is a balloon sinuplasty?

Approved by the FDA in 2005, a balloon sinuplasty from your Manhattan otolaryngologist is performed under local anesthesia, which means only the area being treated will be numbed; there is no need to be asleep during this procedure. A catheter is inserted through the nose into the affected nostril, at which point a balloon-like dilator is guided along the catheter until it reaches the sinus passage. The balloon is then inflated, clearing the sinus area. Most patients experience very little post-operative pain and can return to normal activities much sooner than if they had opted for traditional sinus surgery.

Is balloon sinuplasty effective?

In a word: yes. The treatment has been extensively studied and the results published several times in the American Journal of Rhinology & Allergy. Across the board, balloon sinuplasty has been found to be safe, consistent and just as effective as traditional sinus surgery without the downtime or risk of complications. Upon follow-up a year later, the patients who were in the study were found to have a similar decline in sinus-related symptoms and the need for sinus medications to those who had gone through sinus surgery.

Whether you're dealing with allergies, asthma, or a deviated septum, Your Manhattan ENT physician, Dr. Richard Nass, has the training and experience you need to find relief from your sinus problems. To learn more about balloon sinuplasty, contact the office closest to you - either Manhattan or East Hampton, New York - to schedule a consultation.

By Richard Nass, M.D.
February 21, 2017
Category: ENT Health
Tags: Nasal Issues  

Find out how recurring sinus infections or nasal obstructions can be improved with a trip to our ENT office.nasal issues

While a simple sinus problem such as a cold may not be enough to warrant a trip to see our Manhattan and East Hampton, NY, ENT Dr. Richard Nass, there are many situations that could arise that we can and should treat. Discover some surprisingly common ENT problems and what we can do to provide you with the relief you are looking for.

Nasal Obstructions

An obstruction is anything that prevents air from going through the nasal passages. Those with nasal obstructions often deal with some pretty unpleasant issues and difficulties eating, speaking or even breathing. Whether from nasal inflammation or allergens, there are many reasons why you may have an obstruction. By letting our Manhattan and East Hampton ENT doctor evaluate your condition we can determine the source of your obstruction and provide you with a treatment plan that works.

Common treatment options include prescribing antihistamines, steroid sprays and decongestants. These are often the first kinds of medications recommended, particularly for those with allergies.

If these medications don’t seem to help you better manage your symptoms then we will talk to you about additional treatment options that can correct this condition.

Chronic and Recurring Sinus Infections

Chronic sinus infections can be a nuisance when you have to deal with congestion, facial pain and pressure, difficulty breathing or headaches for months on end. If you’ve tried over-the-counter remedies and aren’t able to properly control your symptoms then it’s time to discuss other treatment options such as balloon sinuplasty.

This procedure is much less invasive than traditional surgery, boasts a quick recovery time and fewer side effects, and can be performed right here in our office. It can be an amazingly effective way to eliminate your chronic or recurring sinus infections.

Facial Pain

There are many reasons you could be suffering from facial pain, and it’s our goal to figure out the root cause so that we can find the right treatments to help you. In many cases, you could be dealing with facial pain if you are a chronic sinusitis sufferer or if you have nasal polyps. While medications can be used to manage your symptoms, in some cases certain procedures may be necessary to treat your sinusitis or to remove nasal polyps to treat your pain.

If you are suffering from any nasal symptoms and over-the-counter remedies just aren’t cutting it then it’s time you called our Manhattan and East Hampton, NY, ENT office today and booked a visit with Dr. Nass. Call (212) 734-4515 for the Manhattan office or (631) 324-4900 for the East Hampton office to schedule your appointment.

By Richard Nass, M.D.
December 15, 2016
Category: ENT Health
Tags: Sleep Apnea  

Sleep apnea doesn't have to affect the quality of your life. Dr. Richard Nass, your East Hampton and Manhattan, NY ear, nose and throat sleep apneadoctor, explains how he can help you find relief for your symptoms.

What is sleep apnea?

Sleep apnea happens due to an airflow disruption. It can occur if your throat muscles relax and close when you sleep or if your tongue falls back into your airway during the night. The problem can also be caused by structural abnormalities in your nose, mouth or throat that impede normal airflow.

Why is sleep apnea a problem?

Sleep apnea causes you to stop breathing multiple times during the night for periods of 10 seconds or longer. Not surprisingly, many people who have the condition feel tired during the day and have trouble concentrating. Fatigue isn't the only issue when you have sleep apnea. Breathing pauses can raise your risk of heart attack, stroke, diabetes and high blood pressure. Snoring, which often occurs when you have sleep apnea, not only disrupts your sleep but also makes it difficult for the people who live with you to sleep.

How is sleep apnea treated in East Hampton and Manhattan?

If a sleep study reveals that you have sleep apnea, Dr. Nass may recommend one of these treatments or lifestyle modifications:

  • Weight Loss: If you're overweight, losing a few pounds can help. Fat tends to form around your airway when you're overweight, which can contribute to sleep apnea.
  • Avoiding Cigarettes and Alcohol: Alcohol causes the muscles in your airway to relax, while smoking causes them to swell.
  • Dental Appliances: Special dental appliances, worn at night, move your jaw forward and prevent your tongue from falling back into your airway.
  • CPAP Machine: Continuous positive airway pressure (CPAP) machines have helped many people overcome sleep apnea. When you sleep, you'll wear a special mask that forces a steady stream of air into your airway, preventing it from collapsing.
  • Surgery: If your problem is caused by a structural abnormality, surgery may be recommended to ease your sleep apnea symptoms.

Help is available for sleep apnea. If you're frequently tired, snore, wake up with a headache, or catch yourself snorting during the night, make an appointment with Dr. Nass your East Hampton and Manhattan, NY ear, nose and throat doctor. Call him to schedule your consultation.

By Richard Nass, M.D.
October 25, 2016
Category: ENT Health
Tags: Sinus Disease  

Are you concerned that you may have sinus disease? Approximately 31 million people have the disease in the U.S., according to the sinus diseaseAmerican College of Allergy, Asthma and Immunology. Dr. Richard Nass, your East Hampton and Manhattan, NY ENT, shares a few common signs of the disease.
How can I tell if I have sinus disease?
Sinus disease, also called sinusitis, can occur suddenly or may be a chronic problem. If you have sinus disease, you may notice:

  • Cold symptoms that never seem to go away
  • Nasal congestion
  • Tenderness in your forehead, under your eyes and on the bridge of your nose
  • Postnasal drip
  • Coughing
  • Fever
  • Ear pain
  • Headaches in the front of your head
  • Green or yellow nasal discharge
  • Tooth pain that mimics the pain from cavities
  • Bad breath
  • Decreased sense of smell
  • Fatigue
  • Nausea

Who gets sinus disease?

Anyone can develop sinus disease, but it's more likely to occur if your sinuses are narrower than normal, you have polyps in your nasal passages or you have a deviated septum. Allergies can increase your risk of developing sinus disease. If you have allergies, your nasal and sinus passages may be chronically inflamed and swollen. Other risk factors include a recent respiratory infection, asthma and immune system disorders.
How can an East Hampton and Manhattan, NY ENT help me?
If home treatment doesn't improve your symptoms, your ENT can offer a variety of treatments that will ease your pain and relieve other unpleasant symptoms. If you have bacterial sinusitis, your doctor will prescribe antibiotics. Due to concerns regarding the overuse of antibiotics, these medications are usually only prescribed if you've had symptoms for a week or longer.
Your doctor may also prescribe decongestants, antihistamines or nasal corticosteroids to reduce congestion, decrease mucus production and target swelling in your nasal passages. If your sinus disease is caused by polyps, a deviated septum or another defect, your ENT may recommend surgery to correct the problem.
Help is available for sinus disease, whether you have the acute or chronic form of the disease. Call Dr. Richard Nass, your East Hampton and Manhattan, NY, ENT at (212) 734-4515 for the Manhattan office or (631) 324-4900 for the East Hampton office to schedule your appointment.

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