A: Acute sinusitis is characterized by nasal congestion and obstruction, runny nose, postnasal drip (PND), possibly fever, sore throat, facial pain and pressure, upper tooth pain and ear symptoms. Chronic sinusitis is most commonly associated with nasal congestion and obstruction. If this only affects them in their sleep, patients may wake up tired, have headaches or ear symptoms, and possibly snore.
Q: At what point should a patient contact an Otolaryngologist – Ear, Nose, and Throat (ENT) Surgeon?
A: Recurrent infection in which preventative therapy has not been helpful is an indication. If those infections tend to be severe or prolonged is another reason. One who has not responded to a round or two of antibiotics over a month's time should also see an ENT. Patients with symptoms of chronic sinusitis, not responding to two to four weeks of a nasal steroid or antihistamine spray, should see an ENT who specializes in sinus disease.
Q: When should a patient consider a sinus procedure or surgery?
A: When reasonable medical therapy has failed to produce a resolution of symptoms and CT scan results are consistent with a need for intervention.
Q: What changes or advances in the treatment of sinus disease have occurred in recent years?
A: Being able to use small endoscopes with micro instrumentation allows surgery to be more directed toward the disease and the narrow openings that contribute. Surgery continues to be more limited with easier recoveries, less complications, and greater success. The most recent advancement is using balloons to dilate sinus openings, which allows many people to be treated in an office setting.
Q: Why do you like doing surgery at USMD Hospital at Fort Worth?
A: I have available to me the instruments and equipment I need to do my best for the patient. The anesthesiologists, nurses, and surgical technicians are top notch. As a patient I would want to know that my surgeon has everything he needs; equipment and support staff to what he needs to do.