Nose

What is comprehensive nasal care?

At Central Coast Otolaryngology we offer comprehensive nasal services including allergy testing and treatment, advanced medical therapy, minimally invasive sinus surgery, and personalized surgical options to improve your nasal breathing, congestion and sleep. We are your one-stop-shop for problems related to the nose and sinuses on the central coast.

What is a deviated septum? How can I breath better through my nose?

Remember how terrible you have felt when you had a bad cold and couldn’t breath through your nose. Many people have this feeling most of the time. Easy natural breathing through your nose is taken for granted by most people however if you are a chronic mouth breather, every breath takes work.

If you have persistent nasal breathing problems which have not responded to sprays, pills and allergy treatments, you likely have an anatomical blockage in your nose. This can almost always either be improved or eliminated. Many surgeons perform a “septoplasty” for a breathing problems. For some people this alone will significantly improve their nasal breathing. For others it will give only limited relief. At Central Coast Otolaryngology we address all parts of the nose for the most advanced, customized surgical treatments for breathing problems.

What is sinusitis?

Sinusitis, also known as rhinosinusitis is an infection in the sinuses caused by a virus or bacteria. This causes the lining of the nose to swell and block the outflow of mucous. Since the sinuses make about a liter of mucus per day this backflow of mucous and pus causes pain and pressure in the sinuses and eventually becomes a source for bacterial growth if not able to drain.

1 in 8 people will be diagnosed with sinusitis every year and are responsible for over 20% of all antibiotic prescriptions for adults. Many of these are self-limiting but can significantly affect quality of life and work productivity. Most routine sinus infections are treated by your primary doctor. For frequent or persistent sinus infections, an otolaryngologist able to provide advanced medical and surgical options.

How do I know if I have a sinus infection?

If you have a sinus infection for

Do antibiotics help sinus infections?

If your sinus infection has been going on for less than 10 days, it is likely caused by a virus. Antibiotics do not help for viral infections. If your sinus infection has been going on for >10 days without improvement or is now worse after initially improving then it is likely that there is a bacterial sinus infection. In this situation there is a mild benefit of antibiotics. If your symptoms are not severe it is an option to not treat with antibiotics though as most people will still get better in about the same amount of time.

Do I need sinus surgery?

For people with recurrent or persistent sinus infections that have not adequately responded to medication, surgery may be your best option. Your sinus surgeon will determine if this is the best option for you. Sinus surgery is almost always performed endoscopically through the nose with small cameras. This is call functional endoscopic sinus surgery (FESS). This technique minimizes recovery times and does not required any cuts on the face or inside the mouth.

What are the benefits of sinus surgery?

Endoscopic sinus surgery enlarged the normally small natural drainage pathways of the sinuses. This allows mucus and pus to drain out more easily. It also removes chronically infected debris and polyps when medication has not worked. One of the most significant benefits though is that more topical medication can reach the infected and swollen tissue inside the nose.