Evaluation & Management of Common Nose/Sinus Conditions

Condition ofTreatment OptionTime TakenWhere is it doneLocal/General AnaethesiaDegree of Pain/Discomfort
Nose Allergy (Rhinitis-Runny Nose) Medication or Blood Tests5-10 minsClinicNot RequiredMinimal
Nose Bleed (in Children)Medication or Silver Nitrate Cautery5-10 minsClinicNot RequiredMinimal
Nose Bleed (in Adult)Medication or RadioFrequency Cautery5-10 minsClinicNot RequiredMinimal
Blocked Nose / Obstruction (Children/ Adult)Medication or Reduction of Turbinates via Radio Frequency15 minsClinicLocal AnaethesiaMinimal
Severe Nose BlockSeptoplasty (straighten nasal bone)/ Reduction of Turbinates45 minsDay SurgeryGeneral AnaethesiaLittle
Nasal PolypsMedication or Polypectomy1 to 2 hrsDay SurgeryGeneral AnaethesiaLittle
Acute SinusitisMedication
Chronic SinusitisFunctional Endoscopic Sinus Surgery/ Balloon Sinuplasty1 hr to 2 hrsDay SurgeryGeneral AnaethesiaLittle
Deviated Septum (crooked nasal bone)Septoplasty45 minsDay SurgeryGeneral AnaethesiaLittle
Enlarged TurbinatesTurbinectomy (Reduction of Turbinates)30 minsDay SurgeryLocal or General AnaethesiaLittle
Balloon SinuplastyBalloon Sinuplasty1 hr to 2 hrs Day SurgeryGeneral AnaethesiaLittle
AdenoiditisMedication or Adenoidectomy45 minsDay SurgeryGeneral AnaethesiaLittle
Loss of SmellMedication or Functional Endoscopic Sinus Surgery / Balloon Sinuplasty
Nasal DischargeMedications or Sinus Washout10-20 minsClinicNot RequiredMinimal
Nose Cancer ScreeningNasal Endoscopy / Postnasal Space Biopsy5-10 minsClinicNot RequiredMinimal
Sinus WashoutSinus Washout10-15 minsClinicNot RequiredMinimal
Post Nasal DripMedication 5-10 mins Clinic Not Required
HeadacheMedication 5-10 minsClinicNot Required

Outpatient Nose Services

  • Diagnostic Nasal Endoscopy
  • Minor Endoscopic Surgical Procedures

Common Surgical Procedures

1. Functional Endoscopic Sinus Surgery

This is a procedure that may be used for the treatment of

  • Sinus Infections in Children & Adults
  • Chronic sinusitis Headaches and Congestion
  • Fungal sinusitis
  • Nasal polyps
  • Complications of sinusitis

Meant to restore sinus ventilation and normal function, functional endoscopic sinus surgery relies on a combination of nasal endoscopes and CT scans. It is a minimally invasive procedure that does not involve cutting of the skin

2. Balloon Sinuplasty

3. Surgery for Deviated Nasal Bones and Nasal Septum

Nasal bones and the nasal septum, which is the partition between the two nasal cavities, are the structural framework that holds up our nose. In some cases, deviation of the nasal bones and/or nasal septum may cause nasal obstruction and affect normal breathing and sleep. Options to correct are:

  • Surgery for nasal trauma
  • Septoplasty – a corrective surgical procedure performed to straighten the nasal septum
  • Functional septorhinoplasty – a surgical procedure that addresses the structure of the nasal skeleton to improve nasal breathing and aesthetic look.

4. Surgery for Turbinate Reduction

On each side of the nose, there are three turbinates (the inferior, middle and superior) which work together to clean and humidify the air we breathe.  When any of the turbinates is enlarged, nasal obstruction may happen and this will affect your normal breathing and sleep.

Doctor may recommend this procedure to shrink your turbinate to reduce the size of the turbinate, decrease airway resistance and improve overall nasal breathing. These include:

  • Inferior turbinoplasty
  • Radiofrequency reduction of inferior turbinates

Advanced Endoscopic Surgical Procedures

Examination based on symptoms, history, nasal endoscopy, CT scans, the doctor is able to view the nasal and sinus passages and make recommendations on proper management of your conditions.  Some of these procedures may be done to resolve your problems.

Doctor may recommend other advanced endoscopic removal procedures to resolve your problem. These may be performed together with other specialty surgeons for optimal results.

Advanced endoscopic procedures include:

  • Surgery for benign tumours of the nose and sinuses
  • Surgery for selected malignant tumours of the nose
  • Endoscopic repair of CSF leaks and encephaloceles
  • Endoscopic pituitary surgery – performed with neurosurgeons
  • Endoscopic surgery for selected skull base tumours – performed with neurosurgeons
  • Endoscopic removal of juvenile angiofibromas
  • Endoscopic dachrocystorhinostomy – performed with oculopastic surgeons
  • Endoscopic orbital decompressions – performed with oculopastic surgeons
  • Endoscopic optic nerve decompression – performed with oculopastic surgeons
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