Rhinology

Nasal Septum deviation

Scoliosis of the nasal septum, is one of the most common anatomical deformities of the upper respiratory tract that results in breathing and sleeping difficulties.

The main effects of the deviated septum are difficulty in breathing during exercise, chronic sinusitis, sore throat, snoring and frequent pharyngitis - tonsillitis as the patient breaths through the mouth during sleep.

But there are also several cases where the patient does not complain as he is used in living and breathing with the crooked diaphragm and he thinks his breathing is right.

Examination by the ENT physician using an endoscopic camera will highlight the type and extent of the problem. Correction (septoplasty) is surgical and is the most frequent ENT surgery, with a spectacular improvement in breathing and quality of life of the patient.

Depending on whether other nasal conditions coexist, septoplasty may be combined with:

Hypertrophy of lower nasal conchae

Nasal conchae are anatomical structures in the nose that are covered with mucosa. Nasal conchae normally swell in viral infections, allergies, temperature changes, or crying and come back after cease of the cause. That is why we use the phrase "my nose is stuffed"

In some patients, however, this swelling becomes excessive and permanent, and is called Hypertrophy of inferior nasal conchae, thereby permanently inhibiting breathing. The most common causes of pathological hypertrophy are allergies, work in a dusty or chemical environments, abuse of decongestant sprays, hypertension and age. The treatment is initially conservative with nasal sprays. However, if conservative treatment does not work, then surgical lysis called the caustic (shrinkage) of the lower nasal compartments is indicated. The operation can be done either under LOCAL or GENERAL anaesthesia and is done using ultrasound, diathermy or radio frequencies device. Examination by an ENT physician will highlight the problem and decide together for the best possible treatment.

Sinusitis

Sinusitis is a condition that is related to inflammation of paranasal sinuses, ie the closed cavities located around the nose (maxillary sinuses, frontal /sphenoid sinuses and ethmoidal cells), which may be of acute onset

Acute sinusitis is treated with appropriate medication. On the contrary, the treatment of chronic sinusitis is surgical and involves endoscopic drainage of the sinuses. Examination by the ENT physician using endoscope and imaging test will highlight the problem and indicate the appropriate solution.

Nasal Polyps

Nasal polyposis is a benign disease of the nose and nasal polyps are "gelatinous" mucosal protrusions, like grape berries inside the nose, causing obstruction and difficulty in breathing but mainly loss of smell. This condition is often associated with an allergic background or asthma and needs integrated management to effectively treat it.

The treatment of polyps is initially done with endoscopic surgery and then with life-long medication (nasal sprays). Nasal polyps tend to relapse and may require more than one interventions at the end of a ten years period. For this reason, it is important a perfect patient-doctor co-operation as well as a correct treatment to minimize the likelihood of recurrence.

Examination of nasal cavity by using an endoscope, will highlight the severity of the problem and determine the best possible treatment.

Dacryocystitis

This condition is characterized by obstruction of the pore carrying tears from the eye into the nose. As a result, the patient's eye has increased tear flow and, if it gets infected with a pathogen (bacteria), shows inflammation with pain and redness. 

Dacryocystitis requires an otorhinolaryngologist, an ophthalmologist and a radiologist to perform a dacryoscopy. If it is necessary to drain the nasolacrimal sac, it is done endoscopically under general anesthesia and is called dacryocystorhinostomy (DCR).

"The quality of human life depends on the harmony and balance between his health, his psyche, and his social interactions. Medicine, in various ways, contributes to precisely this harmony of life qualities. Through a series of targeted and careful interventions, both aesthetic and functional, an excellent result is achieved that satisfies all three of these conditions."

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