My Blog

By Richard Nass, M.D.
December 26, 2019
Category: Sleep Disorder
Tags: Sleep Apnea  

Your ENT specialist, Dr. Richard Nass, treats sleep apnea and its associated snoring in his Manhattan office. This prevalent and often harmful sleep disorder affects literally millions of adults. If you're snoring and sleep apnea symptoms, let Dr. Nass check it out so that you can sleep well and enjoy better health.

What is sleep apnea?

The National Sleep Foundation explains sleep apnea as a medical issue in which breathing ceases repeatedly and briefly as you sleep at night or even as you take a nap. Obstructive Sleep Apnea, or OSA, is the most common type. It happens as the tissues at the back of the mouth and throat relax and close off the airway.

Another type is Central Sleep Apnea, or CSA, characterized by miscommunication between the brain and the respiratory system. Mixed sleep apnea melds features of both.

Sleep apnea affects people of both genders, crosses socioeconomic lines as well as age differences. However, men over 40 seem more prone to develop the condition, as do individuals who are overweight, have larger neck sizes and have close relatives with the disorder, reports the American Academy of Sleep Medicine.

What are the signs you may have sleep apnea?

Signs you have this sleep disorder are:

  • Loud snoring that disturbs your spouse and other members of the household
  • Insomnia
  • Breathing cessation as you sleep
  • Memory loss
  • Poor concentration
  • Fatigue
  • Drowsiness
  • Decreased libido

People with sleep apnea often have systemic health issues such as hypertension, diabetes, dementia, heart issues and more.

How is sleep apnea treated?

In his Manhattan office, Dr. Nass individually consults with his patients who complain of snoring and sleep apnea symptoms. He does a comprehensive ear, nose, throat, and sinus examination and frequently orders an at-home sleep study. Fully-monitored, this easy test tells Dr. Nass what happens when you sleep. Lower oxygenation, fewer respirations, changes in heart rhythm, how frequently you snore and more indicate sleep apnea.

If you have sleep apnea, Dr. Nass will work with you to control your symptoms. Therapies may include:

  • Weight loss
  • Sleeping on your side instead of your back
  • Oral appliance therapy (a bite guard worn at night to reposition the lower jaw)
  • CPAP, or Continuous Positive Airway Pressure to open the airway
  • Surgery

When needed, surgery corrects problems associated with large tonsils, obstructions such as a deviated septum or nasal polyps, or other abnormalities of the nose, throat and sinuses.

Contact our Manhattan office today

Dr. Richard Ness and his staff want you to have solid sleep patterns and excellent systemic health. If you snore, please call us for a consultation: (212) 734-4515.

By Richard Nass, M.D
November 12, 2019
Category: ENT Treatments
Tags: Balloon Sinuplasty  

You wish you felt better. Again and again, you have headaches, pressure across your forehead, nasal congestion and more. Dr. Richard BalloonSinuplastyNass, Manhattan otolaryngologist, often performs balloon sinuplasty, a minimally invasive surgical procedure that relieves the symptoms of chronic sinusitis. Learn more here about this quick and effective treatment and how you really can feel better.

FAQs about balloon sinuplasty

What are the sinuses?

You have four areas in your skull which are empty and air-filled. Lined with mucous membranes to keep circulating air moist, sinuses lighten your skull in weight and make your voice uniquely yours. Unfortunately, sinuses become infected when viruses, bacteria, allergens, environmental irritants, mold and fungi invade and stick around.

What is sinusitis?

An infection of the sinuses, sinusitis affects 37 million Americans every year, says the American Academy of Allergy, Asthma and Immunology. Acute sinusitis lasts about ten days, whereas chronic sinusitis may drag on and on for months. Both feature types of sinusitis feature symptoms such as:

  • Thick, yellow to green mucus
  • Headache across the forehead
  • Congestion
  • Toothache pain
  • Fever
  • Postnasal drip
  • Fatigue
  • A full feeling in the face and head

Your ENT doctor uses physical examination, review of your symptoms, nasal endoscopy (inspection with a thin, lighted tube and camera) and digital imaging to determine the cause of chronic sinusitis. Often, injury or congenital defect, along with allergies or asthma, are the culprits.

What treatments relieve sinusitis?

Some infections clear by themselves. Others require antibiotics and decongestant nasal sprays. A simpler intervention, irrigation with a Neti pot, washes the sinuses with saline, relieving congestion and irritation.

What is balloon sinuplasty?

Some patients experience chronic sinusitis. These infections don't respond to antibiotic therapy, decongestants or other treatments. So, your Manhatten ENT doctor often recommends a procedure called balloon sinuplasty. Usually performed with benefit of general anesthesia, balloon sinuplasty involves insertion of a lighted catheter up the nostril and into the area of sinus blockage. Dr. Nass inflates a small balloon attached to the catheter, compressing the tissue causing the blockage. Then, he withdraws the balloon.

Will it hurt and make me sick?

Balloon sinuplasty does not hurt, but it may cause some residual bruising or tenderness. There is no cutting or suturing with this one-hour procedure. Patients find excellent relief for their symptoms and typically experience no real downtime.

Find out more

Dr. Richard Nass helps people who experience problems with their sinuses. Sinusitis can be managed so you feel, and breathe, better. Please phone his Manhattan office for a consultation: (212) 734-4515. You may book an appointment online, too.

By Richard Nass, M.D
August 27, 2019
Category: ENT Treatments

How your sinus, ear, nose, and throat specialist in Manhattan, NY, can help with sinus problems

Sinus complications are uncomfortable, annoying, and very stubborn, as they often fail to respond to over-the-counter sinus medications. sinusitisFortunately, here at Dr. Richard Nass's Manhattan office, your ENT specialist can help you find relief from sinus problems—read on to learn how.


More about sinus issues and how we can help

Sinus complications often occur due to allergies. Producing symptoms such as a stuffy nose, dizziness, breathing problems, and recurrent headaches, allergic reactions are commonly caused by exposure to grass and flower pollens, pet dander, mold, and dust mites. To alleviate these issues, the first step is to perform an allergy test so as to determine what exactly you are allergic to.

Once you and your doctor have determined the source of your allergies, it’s best to try and avoid those substances. Other allergy treatments include shots and sublingual immunotherapy. Treating the underlying allergy can help prevent future sinus complications.

Other sinus complication can result from inflammations due to virus, fungus, or bacterial infection. In these cases, your sinuses can feel full of pressure and chronic, throbbing pain. Other signs and symptoms include:

  • A greenish-yellow fluid coming from your nose
  • Persistent coughing and congestion
  • Persistent earaches, headaches, or sore throat

If you are experiencing these issues, you can try a few simple home remedies to get relief from sinus problems. Consider:

  • Placing a humidifier in your bedroom to soothe your sinuses
  • Irrigating your sinuses with saline solution to keep nasal passages clear
  • Taking over-the-counter pain and anti-inflammatory medications

For stubborn sinus complications, it’s best to visit an expert ENT specialist. Your doctor may recommend:

  • Prescription-strength antihistamines, decongestants, or antibiotics
  • Prescription-strength corticosteroids and anti-inflammatory medications
  • Sinus surgery including balloon sinuplasty to open up blocked nasal passages


Need relief? Give us a call

If you are experiencing problems with your sinuses, it’s time to call Dr. Richard Nass, your ENT specialist in Manhattan, NY. Dial (212) 734-4515 now to schedule a consultation.

By Richard Nass, M.D
August 20, 2019
Category: ENT Care
Tags: Untagged

But our commitment to proper ENT health remains the same!

We are proud to announce that the office of Dr. Richard Nass, your trusted Sinus Specialist, has moved to a bright, new ENT Checkupspace, set in a more convenient location. Although now situated in 161 Madison Avenue Suite 11 W, Dr. Nass’s office still remains committed to bringing those in Manhattan the best ENT care possible.

As always, we are here to provide a wide range of services to boost the health of your sinuses, ear, nose, and throat. Some of these include:

  • Remedies for nasal breathing problems
  • Diagnoses and treatments for sleep apnea
  • Treatment for sinusitis
  • Balloon sinuplasty
  • Facial Pain
  • Ear infection treatment

Whether you’re already a faithful patient or seeing an ENT physician for the first time, give us a call at 212-734-4515 to schedule a consultation at our new Manhattan office, located on 161 Madison Avenue Suite 11 W, New York, NY 10016.

By Richard Nass, M.D
July 03, 2019
Category: ENT Treatments
Tags: Facial Pain  

Your facial pain has intensified. It started with a cold, but now, three months later, you really want relief. Dr. Richard Nass is the Manhattan, sinusitisNY, ENT doctor who diagnoses and treats facial pain related to sinusitis. Count on his expertise to uncover why you're in pain and how to help.

What are sinuses?

The sinuses are a system of air-filled spaces inside your skull. They are lined with mucous-producing membranes to keep the air your breath moist and as free from bacteria and particulate matter (such as dust and pollen) as possible. Your sinuses also influence the sound quality of your voice.

The sinuses are located in three different places in your skull:

  1. Forehead--the frontal sinuses
  2. Behind the cheeks--the maxillary sinuses
  3. Behind the nose--ethmoid and sphenoid sinuses

Any or all of these cavities can be problematic, infecting with bacteria or viruses, growing benign polyps, swelling due to environmental irritants (such as cigarette smoke), and allergens (such as plant pollen, dust and animal dander).

Facial pain due to sinusitis

Your board-certified ENT doctor in Manhattan, NY, sees many cases of facial pain related to sinusitis. An infection of the sinuses, sinusitis may be acute (lasting up to four weeks) or chronic (lasting 12 weeks or even longer). It exhibits typical symptoms of:

  • Headache pain, especially across the forehead and under the eyes
  • Runny nose
  • Thick, green mucus
  • Bad breath
  • Toothache pain unrelated to dental abscess or decay

Dr. Nass diagnoses facial pain related to sinusitis with hands-on palpation of the face and with a lighted endoscope. Endoscopy is an in-office procedure which introduces a thin, lighted tube up the nostrils. With it, Dr. Nass looks for:

  • Nasal fractures
  • Polyps
  • Obstructions and other structural problems, such as a deviated septum
  • Inflammation from allergies


Treating your facial pain

Dr. Nass uses his diagnostic findings to comprise a treatment plan to reduce or eliminate your sinus facial pain and other symptoms. Common interventions include:

  • Removal of nasal polyps
  • Use of nasal sprays (steroidal to reduce inflammation)
  • Increasing humidity in the sleeping areas at night
  • Irrigation with a Neti pot (running sterile water through the nose)
  • Over the counter anti-histamines
  • Allergy testing and treatment


Get the help you need

Unfortunately, about 12.5 percent of American adults suffer with painful sinusitis, either acute or chronic. And, the symptoms often recur. So, please contact Dr. Richard Nass for a consultation. He'll help you manage your facial pain due to sinusitis so you can feel your very best. Phone the office staff at (212) 734-4515.

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