ENT Procedures

Sinus Surgery & Nose Surgery

Sinus Surgery | Nose Surgery | Nasal Fractures | Ear Surgery | Encino CA | Los Angeles CASinus surgery is usually performed to enlarge the openings that drain the sinuses. A patient may choose surgery if other treatments (i.e. medications, nasal sprays, humidifiers, etc.) have failed to alleviate chronic sinus conditions. Surgery can be performed using various techniques including:

  • Endoscopic Sinus Surgery: the doctor uses a thin fiber optic tube to examine the openings of the sinuses and remove abnormal or obstructive tissue
  • Image-Guided Surgery: combines CT scans with endoscopic surgery
  • Caldwell-Luc Operation: a more radical method of removing abscesses from the maxillary sinus beneath the eye and improve drainage by connecting it to the nose

Usually these procedures are performed on an out-patient basis. During recovery, patients may experience some bruising, swelling, and discomfort.

Correction of Nasal Fractures and Deviations

In cases of facial trauma, nasal fractures account for around 40% of bone injuries. This is largely due to the prominence and centrality of the nose on the face and its low breaking strength. However, nasal fractures often go unnoticed by both physicians and patients. A combination of symptoms, including tenderness, hemorrhaging, instability, and deformity, may not present themselves for long or at all. Untreated nasal fractures can negatively affect both the appearance and the function of the nose. Functional problems include chronic nasal obstruction or blockage, and a predisposition for sinusitis, infection, and nose bleeds.

Tonsillectomy

Sinus Surgery | Nose Surgery | Nasal Fractures | Ear Surgery | Encino CA | Los Angeles CAA tonsillectomy is the surgical removal of the tonsils (two oval-shaped pads located in the back of the throat on each side). A tonsillectomy is needed when an individual has recurring episodes of tonsillitis (inflammation of the tonsils) or an infection that has not gotten better with other treatment. In some cases, a tonsillectomy may be performed if enlarged tonsils block normal breathing. This can lead to problems such as sleep apnea and difficulty eating. Occasionally, a tonsillectomy may be performed to treat cancer.

A tonsillectomy is much more common for children than for adults. The surgery is most often an outpatient procedure and uses a general anesthetic for children. Adults may require only a local anesthetic to numb the area.

Ear Surgery

Middle Ear Surgery

The ear is made up of the basic parts: the outer ear, the middle ear, and the inner ear. The middle ear is an air-filled cavity which consists of an eardrum and three tiny, interconnected bones called the hammer, anvil, and stirrup. Middle ear surgery is used to treat a variety of conditions in any of these parts. Most ear surgery is microsurgical, performed using an operating microscope to enable the surgeon to view the very small structures of the ear.Types of middle ear surgery include stapedectomy to repair hearing loss by replacing a middle ear bone with a prosthesis; tympanoplasty to reconstruct the eardrum after partial or total conductive hearing loss caused by an infection; myringotomy to drain ear fluid, preventing infection and normalizing middle ear pressure; repair of a perforated eardrum; and removal of middle ear tumors.Minimally invasive laser surgery for middle ear procedures is increasing in popularity. Laser surgery reduces trauma, improves blood clotting, and allows the surgeon to operate more easily on hard to reach places in the middle ear.

Laser Ear Surgery

Laser ear surgery can treat a wide range of ear conditions with greater precision, less trauma and shorter recovery times than traditional surgery, and are effective in relieving symptoms and restoring hearing in patients of all ages. Using targeted laser energy, your doctor can treat serious ear problems with no incisions and more accurate results. These surgeries are often performed to treat hearing loss caused by otosclerosis or tumors in the ear, such as a cholesteatoma.

Otosclerosis involves the abnormal growth of bone in the middle ear, which prevents structures from functioning properly and can lead to hearing loss. The blocked ear structures are unable to vibrate in response to sound waves and therefore the ear cannot hear. This condition is often hereditary, but may also be caused by pregnancy or a family history of hearing loss. Treatment for otosclerosis involves a procedure called a stapedectomy to bypass the abnormal bone and allow sound waves to travel through the ear.

A cholesteatoma is a benign skin growth that grows in the middle or inner ear as a result of eardrum perforation, infection or direct trauma, a birth defect or other abnormalities. This tumor may result in fluid leaking from the ear, increased pressure in the ear and eventual hearing loss. It can also break the bones in the middle ear if it grows large enough. Surgical treatment removes the growth and eliminates the risk of infection, while also preserving or restoring any hearing loss caused by the tumor.


Contact our office to learn more about our ENT Procedures, or to make an appointment.

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