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Posts for category: ENT Care

By Richard Nass, M.D.
May 28, 2019
Category: ENT Care
Tags: Sinus Infections  

The primary function of the sinuses is to produce a mucus that helps to protect the nose from inhaling dust and dirt, as well as prevent it from drying out. However, these large spaces on the the front and sides of your skull can become inflamed from allergies, presence of a virus or bacteria, or growths inside of them. When these problems persist, your ear, nose, and throat doctor in Manhattan, NY, Dr. Richard Nass, may diagnose you with chronic sinusitis. Dr. Nass goes into more detail about the role of the sinuses and how he can help with their chronic issues in this post.

What is chronic sinusitis?

Chronic sinusitis is defined as ongoing mucus buildup, drainage, and pain associated with inflammation inside the sinuses that surround your nose and eyes. To be considered chronic, at least two of these symptoms must be present for 12 weeks or more and persist even though you and your Manhattan ENT have attempted various treatments. Other symptoms that may accompany chronic sinusitis include a cough, sore throat, or bad breath.

What causes chronic sinusitis?

Your Manhattan ENT doctor finds that many cases of chronic sinusitis are caused by stubborn pathogens left over from bacterial, viral, or fungal infections. Allergies or asthma may also contribute to persistent sinusitis. Structural problems like a deviated septum or nasal polyps (small, round outgrowths of tissue) may be restricting the space inside the sinuses and not allowing them to drain properly. Dr. Richard Nass will work with you to determine the cause of your chronic sinusitis, allowing for effective treatment.

How is chronic sinusitis treated?

The treatment and management of your sinusitis will largely depend on what's causing it. Antibiotics may help to clear up a bacterial infection, while allergy medication or shots can help to control symptoms if your Manhattan ENT determines that allergies are affecting your sinuses. Steroids may also help to boost the immune system and reduce inflammation. If these treatments are ineffective, a procedure known as a balloon sinuplasty may be performed in our office to enlarge your sinus passageways.

If you're tired of dealing with sinus problems, you have options. Contact Dr. Richard Nass at our ear, nose, and throat practice in Manhattan, NY, for an evaluation today.

By Richard Nass, M.D.
May 10, 2019
Category: ENT Care
Tags: Sinusitis  

How your ENT specialist in Manhattan, NY, can help you feel better!

If you are suffering from sinusitis, you already know how painful it can be. The constant pressure and pain around and behind your eyes sinusitiscan keep you from enjoying your life. Dr. Richard Nass, is a sinus, ear, nose, and throat specialist in Manhattan, NY, who specializes in helping people who are suffering from sinus issues, including sinusitis. He can help you feel well again!

 

More about sinusitis

So, how do you know if you have sinusitis? Occasional stuffy nose and sneezing is normal, but if your symptoms have become more frequent, you could have sinusitis. Common signs and symptoms of sinusitis include:

  • Chronic sneezing or coughing
  • Frequent pressure and pain behind or around your eyes
  • Frequent high fever or headaches
  • Nasal passage irritation and discomfort
  • Frequent stuffy nose and difficulty breathing through your nose
  • Yellow or green discharge coming from your nose

Sinusitis can be caused by fungus, bacteria, or allergies. Luckily, there are some easy remedies that can lead to relief, including:

  • Irrigating your sinuses with saline solution to clear out nasal passages
  • Placing a humidifier in your bedroom to soothe sinuses
  • Taking over-the-counter oral decongestants or mucus-thinning medications
  • Using decongestant nasal sprays to reduce swelling and congestion

For stubborn, severe sinusitis symptoms, it’s best to visit an expert. Dr. Nass offers several effective ways to treat sinusitis, including:

  • Allergy testing and treatment if your sinusitis is allergy related
  • Prescription-strength antihistamines or decongestants to reduce symptoms
  • Antibiotics if your sinusitis is due to an infection
  • Oral or nasal corticosteroids to reduce swelling and inflammation
  • Surgery for sinusitis related to structural issues or abnormalities in your sinuses

For more detailed information about sinusitis, please visit the Sinusitis section on the website at http://www.drrichardnass.com/sinusitis-sinus-disease.html

 

Give us a call!

You don’t have to let sinusitis take over your life. You can get relief by making a simple phone call—just pick up your phone and dial (212) 734-4515 for Dr. Richard Nass's Manhattan office!

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.
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 04, 2018
Category: ENT Care

Do you frequently experience congestion, sinus headaches and pain around your nose, eyes and cheeks? You may have a chronic sinus sinus infectionsinfection. Manhattan and East Hampton, NY, ear, nose and throat specialist Dr. Richard Nass discusses the symptoms of chronic infections and explains how they're treated.

How can I tell if I have a chronic sinus infection?

A chronic sinus infection, also known as chronic sinusitis, occurs if your symptoms last for three months or longer. You may also develop chronic sinusitis after you've had acute sinusitis, a condition that only lasts about two to four weeks. If you have the condition, you may experience several of these symptoms:

  • Frequent headaches
  • Nasal congestion
  • Thick green or yellow discharge
  • Post-nasal drip
  • Pain, pressure and swelling in your sinuses, eyes, forehead, and cheeks. (Pain and pressure may increase when you bend over.)
  • Nausea
  • Cough
  • Ear pain
  • Reduced sense of smell or taste
  • Sore throat
  • Fever
  • Bacterial, viral, or fungal infections
  • Fatigue

Your risk of developing chronic sinusitis may increase if you have:

  • Allergies or asthma
  • Enlarged turbinates in your nose
  • Nasal polyps
  • Deviated septum
  • Gastroesophageal reflux disorder (GERD)
  • Cystic fibrosis
  • Frequent exposure to pollutants or cigarette smoke

How are chronic sinus infections treated?

Although over-the-counter decongestants and sinus medications may be somewhat helpful, they might not provide nearly enough relief if you have chronic sinusitis. When you visit our Manhattan or East Hampton offices, we may recommend one or more prescription medications, such as antibiotics, decongestants or corticosteroids. These medications address the infection, inflammation, and swelling that cause your symptoms.

If medications don't help, or your symptoms are severe, you may benefit from balloon sinuplasty. During this minimally invasive procedure, a deflated balloon is placed into your sinuses via a catheter. Inflating the balloon widens the passages, reducing congestion. The procedure also involves spraying saline solution into the sinuses to remove mucus.

Endoscopic sinus surgery may be needed if you have a deviated septum, nasal polyps or enlarged turbinates. The surgery is performed by inserting a miniature camera and a flexible scope containing tiny surgical instruments into your sinus passages. Because cutting is involved in endoscopic surgery, the recovery period is longer than that for balloon sinuplasty.

If you suffer from chronic sinus infections, a visit to the ear, nose and throat doctor can help. Schedule an appointment with Dr. Nass by calling (212) 734-4515 for the Manhattan, NY, office or (631) 324-4900 for the East Hampton, NY, office.