Sinus infections, sinus headaches, nasal congestion, and nasal drainage are all treated in the same way.
There are essentially only two ways to treat nose and/or sinus problems
ONE: Non-surgical is anything and everything we can think of that will take down and keep down swelling in the nose.
- Aggressive allergy treatment for allergic swelling
- Allergy medicines (antihistamines or nasal steroid sprays)
- Decongestants (OTC)
- Mucous thinners
- Nasal irrigations
- Topical nose sprays
- Oral steroid pills
- Occasionally antibiotics
Combinations of these often need to be taken regularly in order to keep the sinus openings from swelling closed.
TWO: Sinus Surgery
- Surgery to either make the sinus openings bigger, straighten the septum, or decrease the size of the turbinates. This surgery typically takes less than an hour and can be done in the office using oral sedation or in the surgery center using a general anesthetic.
- Balloon Sinuplasty is performed in the office using a small amount of oral sedation. You are awake but very comfortable during the procedure. It takes about an hour to perform. Packing is almost never needed, there is no bruising and there is typically very little postoperative pain. Most people are back to work in 3-4 days and back to full activity within 10 days.
- Endoscopic Sinus Surgery is a minimally invasive technique performed in a surgery center using a general anesthetic. It takes less than an hour to perform, you are home the same day, has little postoperative pain, results in no bruising (unless we are fixing a broken nose at the same time), and almost never requires nasal packing. Most people are back to work in 4 days and at full activity in 10-14 days.
- These are both minimally invasive procedures that almost never require nasal packing, are associated with very little pain, are covered by almost all insurance plans and have a success rate greater than 90 percent.