Common Procedures We Perform
Large, swollen inferior turbinates may lead to blockage of nasal breathing. Allergies, exposure to environmental irritants, or a persistent inflammation within the sinuses can lead to turbinate swelling. Deformity of the nasal septum can also result in enlarged turbinates. Treatment of the underlying allergy or irritant may reduce turbinate swelling. In cases that do not resolve, or for treatment of deviated septum, turbinate surgery may be required. There are different forms of turbinate surgery: excision, which involves removal of turbinate membrane and bone and is done in an operating room; and radiofrequency reduction, which involves heating the turbinate’s swollen membrane, which ultimately results in shrinkage of the turbinate swelling, and can be done in the office as well as in an operating room.
Vivaer Nasal Valve Remodeling
Nasal valve collapse can make it hard for you to breathe with your nose. The Vivaer procedure remodels the nasal valves using radiofrequency energy, which can be performed in the office using local anesthesia. New in 2023, Medicare now covers this procedure.
The Clarifix procedure uses liquid nitrogen to freeze the posterior nasal nerve, which can reduce a perpetually runny nose due to allergies or nonallergic rhinitis. This is done in the office using a local anesthetic.
The Rhinaer procedure uses radiofrequency energy to create a heat injury on the posterior nasal nerve, which can reduce a perpetually runny nose due to allergies or nonallergic rhinitis. This is done in the office using a local anesthetic.
Myringotomy (insertion of ear tubes)
A myringotomy is a surgical procedure in which a tiny incision is created in the eardrum to relieve pressure caused by excessive build-up of fluid or to drain pus from the middle ear. A tube can be inserted into the eardrum in order to keep the middle ear aerated for a prolonged period of time to prevent re-accumulation of fluid.
Removal of moles and skin cancers in the head and neck
Unsightly or suspicious-looking lumps and skin lesions in the head and neck are removed, often in the office, using local anesthesia.
Tonsillectomy is surgery to remove the tonsils. These glands are at the back of your throat. This surgery is done in an operating room under general anesthesia.
Adenoidectomy is the surgical removal of the adenoids, which are in the back of the nasal passage. This is done for several reasons, including impaired breathing through the nose, chronic infections, or recurrent ear infections. The surgery is most commonly performed in children, on an outpatient basis, under general anesthesia.
Septoplasty (correction of a deviated nasal septum)
Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Deviations of the septum can lead to nasal obstruction.
Microscopic Voice Surgery
Microlaryngoscopy is the examination of your larynx (voice box) while you are under a general anesthetic. Microlaryngoscopy is done to find and treat problems of the voice box, such as hoarseness. Your surgeon will put a short metal tube (a laryngoscope) through your mouth into your voice box. A microscope is then used to look into the voice box to find what the problem is. If needed, surgery on your voice box can also be done through the laryngoscope.
Endoscopic Sinus Surgery
Endoscopic sinus surgery is an operation in which the surgeon examines the interior of the nose and the openings to the paranasal sinuses. Using state of the art microtelescopes and instruments, abnormal and obstructive tissues are then removed. In most cases the surgery is performed entirely through the nostrils, leaving no external scars. There is little swelling and only mild discomfort.