Between the cooler winter air and the common cold and flu, most people expect some sinus issues this time of year. While medication and rest may work for some people, if you’re suffering from chronic sinus infections or swelling, you may need a different approach for sinus relief.
Balloon sinuplasty is a minimally invasive procedure during which a small balloon is inserted into your nasal passage to open the airway. During the procedure, your ear, nose, and throat doctor will also be able to flush out any bacteria or mucus with a quick saline rinse.
Keep reading to find out if the balloon sinuplasty is right for you and how your Edinburg ENT can help you breathe better!
Sinus problems don’t just affect the nose; sometimes, they can cause facial pain, pressure, headaches, congestion, and discharge. A balloon sinuplasty could be the answer to clearing up these annoying sinus issues.
ENTs generally recommend a balloon sinuplasty treatment after people with chronic sinus infections have tried medication and gotten no relief. Doctors also use it to treat sinusitis, a swelling or inflammation of the sinuses.
Not everyone will be a good candidate for a balloon sinuplasty. If you have an ethmoid disease, nasal polyps, nasal tumors, or anatomical issues like a deviated septum, balloon sinuplasty isn’t right for you.
However, if you’re an adult who has suffered for more than 12 weeks with sinusitis, or it keeps coming back, you may be a good candidate for a balloon sinuplasty, depending on your symptoms.
Keep in mind that doctors will try medication to resolve the issues first before attempting a balloon sinuplasty.
Your care team will place you under general or local anesthesia for the procedure. Most patients are able to resume normal activities within a couple of days. You may not be able to blow your nose for 24 hours and have to avoid strenuous activity for one week after the procedure.
Since a balloon sinuplasty is less invasive than an open sinus surgery, you shouldn’t have any bruising or scars on your face. You may experience discolored nasal drainage or small amounts of blood in your nasal drainage, congestion, and discomfort for a few days during recovery.
A balloon sinuplasty is not only effective in relieving symptoms, but it also requires minimal downtime! Without the need to cut or remove tissues, the risk of infections, complications, bruising, or swelling is much lower than with an open sinus procedure.
At the Glatz Group, Dr. Glatz and his trusted team are here to make sure you stay comfortable throughout the procedure and recovery process. While a balloon sinuplasty isn’t the right fit for everyone, it may be for you! Reach out to our Edinburg office to find out if balloon sinuplasty is the answer you need to breathe better!
Many sinus infections go away on their own, even without treatment. Since sinus infections can also be confused for a cold, it’s common for sinus infections to be left untreated.
However, an untreated sinus infection can lead to multiple problems. Your local ENT will break down common issues resulting from untreated sinus infections.
Sinus infections are also called sinusitis. Sinusitis occurs when the tissues lining your sinuses become swollen or inflamed. Usually, your sinuses fill with air, but when you have an infection, they become blocked and filled with fluid. Sinus infections cause symptoms such as congestion, sinus pressure, post-nasal drip, coughing, bad breath, and fatigue.
Common causes of sinus infections include bacteria, viruses, and, in rare cases–fungi. Colds, allergies, and anatomical issues like a deviated septum don’t directly cause these issues but can be contributing factors.
There are two main types of sinus infections: acute and chronic. The two types are separated based on their severity. Acute sinus infections usually have symptoms like a runny or stuffy nose and can last up to four weeks. A chronic sinus infection lasts 12 weeks or more.
Viruses trigger most sinus infections, and these infections will usually clear up with minor treatment or no treatment at all. Sinusitis caused by viruses is typically acute and only lasts up to 10 days. When a sinus infection lasts longer, this indicates that bacteria may be the trigger. Additionally, bacteria can cause sinus infections to return quickly.
Your sinus doctor can help identify the cause of your sinus infection and the most effective treatment.
As you can see, while acute sinus infections can often be left untreated, chronic infections can cause more significant harm. The most common side effects of sinus infections are similar to allergies, colds, and flu symptoms. Unfortunately, it can be difficult for non-medical professionals to tell the difference between these two types, so it’s important that you visit an ear, nose, and throat doctor if you think you may have a sinus infection. Otherwise, you may experience the following complications.
An untreated sinus infection may cause ansomnia, a decrease, or a complete loss of smell. Inflammation and blockage of your sinus passageways or damage to your olfactory nerves cause ansomnia. In many cases, ansomnia is only temporary but can become permanent.
Prolonged sinus infections can cause respiratory problems. Trouble breathing may result in your body feeling fatigued as it’s harder to get oxygen to your brain. Your doctor can drain your sinus passages, decreasing inflammation, and help you breathe easier.
Dacryocystitis occurs when a tear sac's inflammation or infection blocks your tear duct. Dacryocystitis causes tearing, pain, and swelling in the inner corner of your eye and will require antibiotic treatment.
Although rare, sinus infections can also spread to the brain and cause brain abscesses or meningitis. Both of these conditions are life-threatening. Although brain infections usually don’t happen following a sinus infection, they’re all the more reasons to visit a qualified sinus doctor.
At Glatz Group, our team of experienced sinus doctors can help diagnose your problem and recommend treatment, whether you have an acute infection or a more serious condition.
Whether you need some antibiotics or a procedure like a balloon sinuplasty, our qualified team can help you find the best option for you.
Millions of Americans suffer from sinusitis problems every year. These problems may range from a slightly runny nose to intense sinus ear pressure, difficulty breathing, and much more.
Often a result of infections or allergies, many people use medications to alleviate their sinus issues. However, this form of treatment doesn’t work for every individual.
When over-the-counter medications don’t provide relief, some will find that they benefit from a procedure known as a balloon sinuplasty. This minimally invasive procedure is safe, and our McAllen ENT and sinus doctor would like to provide you with a bit of information about balloon sinuplasty.
A balloon sinuplasty can be used to treat a wide list of sinus issues, and is often used when patients have already exhausted other forms of treatment. The procedure starts with your McAllen ENT spraying your nose with a numbing agent and decongestants.
Next, you’ll wait approximately 20 minutes or so for the anesthesia to take effect, or you may even have a local anesthetic applied directly to completely numb your nose. Your doctor will then examine your nose with an endoscope, place a catheter into your sinus, and may have to make a tiny puncture into your sinus right under your lip.
Finally, the doctor will inflate a small balloon specially designed for the procedure for about ten seconds before removing it. It’s possible that you may hear a cracking sound, but this is normal, and for most patients, the process isn’t painful.
The purpose of the procedure is to unblock your sinuses to help improve your breathing and alleviate other sinus issues.
The recovery process will vary depending on the patient. For the initial visit, patients can expect their appointment to last under two hours. While the procedure will almost never involve an overnight visit, and most patients feel good enough to leave the office after a short stay, it’s recommended to have a friend or family member drive you to and from the office.
Additionally, it’s recommended to avoid any intense physical activities for at least a week and to sleep or rest in a position that promotes an elevated neck and head to help with sinus drainage. Also, it’s a good idea to avoid blowing your nose for a couple of days and to use over-the-counter anti-inflammatory medication to help mitigate any discomfort.
Following the initial procedure, there are typically follow-up appointments involving a nasal endoscopy after one week, three months, and a year.
Possible side effects that may occur as a result of a balloon sinuplasty include:
There are many benefits to getting a balloon sinuplasty, including:
Having sinus problems like pressure in the head and ears can be extremely frustrating and painful, especially for patients that have tried various treatments. That’s why exploring the option of balloon sinuplasty can be a great choice. Not only has the procedure proved to benefit many patients, but it’s also minimally invasive and has a fast recovery time.
Our sinus doctor at Glatz Group can help determine if balloon sinuplasty is a good choice for you. Our ENT doctor has years of experience and can perform the procedure effectively. Contact Glatz You Did! today to find out more.
According to Medical News Today, it is estimated that the number of people over the age of 18 suffering from diabetes in the United States is approximately 30.2 million. Diabetes is a condition that can arise when your blood glucose, also known as blood sugar, is too high. If left untreated, the condition can cause strokes, heart attacks, nerve damage, and kidney failure, among other health issues.
Fortunately, it can be managed when caught early.
Today, your trusted McAllen sinus relief specialists at the Glatz Group of Valley ENT will discuss diabetes and how it can be a risk factor for hearing loss.
Diabetes is a chronic health condition that takes place when the pancreas is no longer able to properly make insulin. When the body lacks the right amount of insulin, it results in there being too much sugar in your bloodstream.
When this occurs it can cause vision impairment, gum disease, fatigue, and foot ulcers.
Type 1, type 2, and gestational are the three main types of diabetes.
Type 1 diabetes occurs when the body fails to produce insulin. Type 1 diabetes impacts approximately 5-10% of those suffering from diabetes. Children, teens, and young adults are typically the ones diagnosed with type 1. There is no way to prevent type 1 diabetes and those who have it must take insulin daily.
Type 2 diabetes appears when your body does not use insulin correctly, thus causing blood sugar to rise to an abnormal level. Roughly 90-95% of people with diabetes suffer from type 2 diabetes, which can be diagnosed in adults, children, teens, and young adults.
The causes of type 2 diabetes vary but the most common variables include an unhealthy lifestyle, being overweight, family history, genetic factors, and even ethnicity.
Gestational diabetes shows up in pregnant women who have never had a history of diabetes. Gestational diabetes puts your baby at a greater risk for health issues, including obesity and the risk of developing type 2 diabetes.
Gestational diabetes often goes away after childbirth but can increase the risk of the mother developing type 2 diabetes in the future.
Diabetes and hearing loss have been correlated. In a study conducted by the National Institutes of Health, it was shown that hearing loss is twice as common in those who suffer from diabetes than those who do not.
Researchers believe that hearing loss presents itself in those who have diabetes because of the damage it inflicts to nerves and blood vessels. By not managing your diabetes, you become more susceptible to suffering from hearing loss.
If you believe that you might be losing your hearing, it is important to know the signs so that you can begin seeking solutions to slow down or stop the issue:
When diagnosed with diabetes, it is especially imperative to do everything possible to protect your hearing. Some approaches include:
If you or a loved one believe that you might be suffering from hearing loss due to diabetes, it is in your best interest to speak with your primary care doctor and a specialist that focuses on hearing problems.
A hearing exam can be done to assess hearing loss. Once the test is completed you will be able to learn more about the condition and how it can be treated.
If you believe that you could potentially suffer from hearing loss due to diabetes, get in touch with Glatz Group today to get professional help from specialists you can count on.
Nearly 30 million Americans suffer from sinusitis on a yearly basis, accounting for roughly 12% of the population. With so many suffering, finding relief started to become much more of a priority a few years ago, causing many experts in the field to innovate new operations and techniques. One recent, non-invasive procedure, however, is taking the ENT world by storm.
There are various options when it comes to how to resolve chronic sinusitis, but today, Physician Assistant Jonathan Lerma and his team of sinus relief specialists will take a look into why balloon sinuplasty could be the best choice for you.
Chronic sinusitis is a condition that interrupts the proper drainage of mucus, ultimately making your nose all stuffed up, and your eyes swollen and tender. It is typically caused by the inflammation or swelling of the tissue lining the sinuses because of exposure to allergens, bacteria, or viruses.
One is typically diagnosed with chronic sinusitis when their symptoms persist three months or longer even with treatment. Some common symptoms of chronic sinusitis can range from nasal inflammation and discharge, ear pain, sore throat, bad breath and even physical pain throughout the face.
Allergens, foregin bacteria, and viruses can all contribute to the inflammation of the inner linings of the sinuses. This results in congestion that prevents mucus from flushing it out of your sinuses. This causes unwanted bacteria in your sinuses that can spread and lead to severe infections and chronic pain.
There are multiple causes to chronic sinusitis but a few of the most notable ones are:
Allergies/hay fever: Foreign substances in the air like pollen and unwanted toxins can travel to through your sinuses causing inflammation in the nasal passageways.
Nasal polyps: Nasal polyps are painless, non-cancerous growths that line your nasal openings or sinuses. Although they’re painless, they can block nasal passages, making it tough to breathe.
Deviated nasal septum: A deviated nasal septum takes place when the bone and the cartilage that divide the nasal cavity in half is off center and crooked. This condition makes you struggle more to breathe and happens either at birth or following injury to the nose.
Respiratory tract infections: Viruses including the common cold and the flu are considered respiratory infections, which are bugs that attack your respiratory tract. These infections impact mucus drainage and can cause inflammation in your nasal membranes.
Other conditions such as asthma, cystic fibrosis, and HIV can all cause irritation within the nasal pathways which leads to mucus blockage over time.
Balloon sinuplasty is an endoscopic nasal surgery that uses a small balloon to open up your nasal sinuses slightly and gently to improve drainage. Approved by the Food and Drug Administration (FDA) in 2005, balloon sinuplasty has been performed on over 375,000 people and is mildly invasive with little downtime required upon surgery. Balloon sinuplasty has been proven effective in diminishing symptoms of chronic sinusitis.
If you think that balloon sinuplasty might be the optimal alternative for you, reach out to us to set up your consultation with the Glatz Group today! If eligible for the surgery, balloon sinuplasty can be done by our very own McAllen ENT doctors and staff right here in the office.
When you feel under the weather, you might lose your sense of smell for a couple of days. Since most of our senses are connected in some way, when we lose our sense of smell we also tend to lose our sense of taste. A decrease in the ability to smell is called hyposmia, while a total loss of smell is known as anosmia.
The causes of hyposmia and anosmia vary, ranging from a simple viral cold to an intracranial skull base tumor that has damaged the nerves responsible for the sense of smell.
While anosmia caused by a cold is just a temporary issue, unfortunately, many suffer from this problem more permanently as a result of sinusitis. The complexity of smell loss is exactly why you need an experienced ENT specialist.
Allow your local McAllen certified physician assistant Jonathan Lerma and sinus relief specialists team at the Glatz Group of Valley ENT to go more in-depth about smell and taste disorders, and to help you understand if balloon sinuplasty might be the right relief option for you.
The most common cause of loss of smell are viruses that cause upper respiratory infections, and COVID-19 has become a major cause of anosmia globally. In fact, loss of smell is one of the first symptoms of COVID-19.
If you’re experiencing anosmia or other COVID-19 symptoms, please seek medical attention immediately. Note that we CANNOT offer relief through our procedure if your loss of smell is a symptom of the coronavirus.
Anosmia is a condition that can be reversible. With the loss of smell, time plays a vital role, since the sooner treatment is started the more likely the sense of smell will come back. Anosmia is generally associated with dysgeusia, or taste loss, and the two conditions usually take place at the same time.
The two major types of loss of the smell are conductive smell loss and neural smell loss.
Conductive smell loss happens when a nasal obstruction blocks the passage of air odor molecules, while neural smell loss is the result of a damaged or defective olfactory nerve. Conductive smell loss is often easier to treat, and up to 70% of anosmia is conductive smell loss as the result of issues like nasal polyps or sinusitis. Neural smell loss can be a congenital condition or happen as the result of head trauma, a sinus or skull base tumor, or an infection.
If the symptoms of anosmia or hyposmia are present, it’s always important to consult an ENT specialist right away for an accurate diagnosis and treatment plan. Nasal endoscopy is critical to assessing the problem and
figuring out whether you are suffering from a conductive or a neural cause of smell loss. A longer delay in beginning treatment can reduce the likelihood that the sense of smell will return.
If a viral cold is the source of smell loss, oral steroids can be prescribed. Olfactory training, which is like physical therapy for smell loss, has shown promising results for people with sudden smell loss that have not responded to oral steroids. Conductive causes of anosmia such as nasal polyps or nasal obstruction might require medical treatment, and if these fail, may require endoscopic sinus surgery.
Neural smell loss caused by sinus infections may be treated with antibiotics and oral steroids. Persistent infections may require a procedure that we offer in our office, known as balloon sinuplasty. This minimally invasive and innovative procedure opens up your sinus passageways in order to improve your sense of smell, along with other symptoms.
The key to successful anosmia treatment is choosing an approach tailored to the severity and cause of your smell loss. There is not one single solution that is correct for every patient, and that’s why we try to find one best suited for your personal needs.
Due to the ongoing pandemic, we continue to provide alternative options for having your symptoms addressed, including via telemedicine if you prefer to be seen without leaving your home.
For in-person appointments, we want you to feel safe and comfortable. Please know that we are taking all precautionary measures as necessary. We also take calls.
If you suffer from frequent sinus infections, you’re not alone. Roughly 37 million people are impacted by this condition each year. While the most obvious cause of sinus infections involve blockages in your sinus cavities, there are many other unusual sinus infection causes that can occur.
Today, the McAllen certified physician assistant Jonathan Lerma and his right-hand team of sinus relief specialists at the Glatz Group of Valley ENT will shed some light on some of the most uncommon causes of sinus infections in an effort to bring awareness.
Swimming as a form of exercise is wonderful for your health; however, spending too much time in chlorinated pools can raise the likelihood of sinus infections. The chlorine can irritate nasal passageways, causing inflammation and increasing susceptibility to infection. When you dive into the water, the pressure can push chlorinated water deeper into your sinuses, affecting deeper and delicate tissues.
People with diabetes generally have higher blood glucose levels. Those elevated levels can make it more likely for you to develop infections, particularly ones in the sinuses and other sensitive areas.
These infections aren’t limited to the common viral and bacterial invasions that often result in sinus infections. People with diabetes can also develop oral yeast infections, which may spread to the nasal cavity. This unusual sinus infection type can sometimes be tougher to spot and treat than more common infections.
Part of living in Texas means we hardly have to worry about a lack of humidity. However, if you spend a lot of time in air-conditioned buildings or flying for work, dry air can cause issues. When the air is too dry, it can dry out your sinuses and thicken mucus trapped in your nasal openings. When this occurs, bacteria and viruses can get trapped as well, causing infection.
Staying well-hydrated when indoors can help. Avoid caffeine and alcohol and drink plenty of water. You can also irrigate your sinuses with a neti pot or a saline nasal spray to reduce dryness and irritation.
Nasal spray decongestants can be a lifesaver when you’re coping with the pain of a sinus headache or infection, but overusing this medication can make sinus pressure and sinus infections more likely.
When over-the-counter sinus sprays are used too much, your body becomes less sensitive to the medication. This can result in tissues becoming swollen again, which is called rebound nasal congestion. Fluids then become trapped, making infections more likely.
When a sinus infection inflicts pain and pressure, don’t automatically reach for an over-the-counter spray. These sprays should be used sparingly so that they don’t cause rebound congestion.
Chronic conditions like cystic fibrosis and other disorders that weaken your immune system can lead to inflammation in the airways and make you prone to building up thick mucus.
This thicker mucus, or an impaired ability to fight germs due to diabetes or HIV infection, can make you susceptible to sinus infections.
If a cold doesn’t resolve within 10 to 15 days, bacteria may have joined the party.
Bacterial infections rarely cause sinus infections, but they are almost always the cause of complicating secondary infections.
These bacteria can creep up in healthy people and grow. Take a decongestant during a cold to avoid those circumstances, and if you do develop bacterial sinusitis, you can treat it with antibiotics.
Certain people have nasal abnormalities that make them more prone to sinus infections. These can include deviated septums that make it difficult for your sinuses to drain properly. Other causes can include cleft palate, narrow sinus pathways, and even tumors.
Despite what nasal abnormalities you may have, balloon sinuplasty can be an option for relief. The procedure helps open up your sinuses, minimizing the likelihood of future sinus infections.
While sinus infections can have many causes, there’s one solution that can help: the balloon sinuplasty procedure. This minimally invasive technique requires minimal tissue removal with little to no pain.
All it takes is getting it done in our office, with a recovery time that’s significantly quicker than traditional sinus surgery. Many patients are able to go back to their normal activities within two days.
If sinus infections are a frequent issue, we recommend having a conversation with us to determine if you’re a candidate for balloon sinuplasty. If you wish to learn more about the benefits of balloon sinuplasty, feel free to reach out to The Glatz Group.
If you can’t figure out the cause of your sinus infections and want to eliminate them altogether, we’d be ‘Glatz’ to detect the problem and find a solution that works best for you.
As COVID-19 remains an ongoing health concern, we will keep providing the alternative to have your symptoms addressed through telemedicine if you’d rather seek treatment or help from the safety and comfort of your humble abode. If you need an appointment, you can rest assured knowing that we take all precautionary measures necessary to preserve the safety of our patients and staff members. For an in-office procedure, we also accept calls.
If you’ve stopped by the Glatz Group offices in McAllen, chances are that you may have seen some new faces around. However, they’ve actually been loyal and integral staff members for years.
One of those Glatz Group team members you’ll become even more familiar with is Jonathan Lerma, our very own certified Physician Assistant. He’s now leading our team, delivering the same quality care and service as Dr. Glatz.
Working alongside Dr. Glatz for a year and as a dedicated student for six months, Jonathan absorbed the lessons and wisdom of Dr. Glatz for nearly two years.
Today, we’re here to tell you a little bit more about Jonathan Lerma and his trusted team of sinus relief specialists at the Glatz Group of Valley ENT, as well as what inspired his career path, and what quality patient care means to him.
Jonathan Lerma decided to settle down in the Rio Grande Valley for its amazing environment and the laidback lifestyle it has to offer. Family-oriented, Jonathan wanted to find a home best suited for his new family, including his baby girl.
He brings this fatherly perspective into his profession and wants to make sure you and your little ones are always comfortable whenever you stop by our Glatz Group office.
Lerma’s favorite hobbies outside of work and spending time with his family include sports like football, basketball, and soccer.
Being involved in the medical field has always been a lifelong dream of Jonathan. He always carried a deep appreciation for those involved in the world of medicine and the impact they had on their patients. This passion grew stronger when he began to work with Dr. Glatz.
What intrigues him the most about working as a certified Physician Assistant in the specialized area of ENT is how different every single day can be. Jonathan finds it fascinating how unique each case is, and enjoys having the opportunity to see all sides of the spectrum.
His favorite part about being a part of Glatz Group is that he and his team are able to deliver medical services that are oftentimes outside of what a general doctor can do.
Patient care, overall, will always be his top priority. He values what people remember from their visit to Glatz Group, and has plenty of fond memories of his own experiences with patients. Providing exceptional quality patient care, he believes he can have a positive impact on his clients’ lives.
For those dealing with potential sinus-related health issues, here are some warning signs that Jonathan advises you should be aware of:
2020 has undeniably been the furthest thing from normal, but Lerma’s goal for the Glatz Group is to keep ensuring that patients are being properly taken care of. He’s also working closely with his team to deliver improved telemedicine services so that all patients can obtain the care they need, regardless of their ability to visit the office because of COVID-19.
The team will also continue to ensure that our offices follow all CDC recommendations for cleaning and protecting visitors.
For patients whose symptoms do not resolve with medication, Jonathan Lerma is able to perform the minimally invasive and effective procedure known as balloon sinuplasty. When it comes to your allergy and sinus problems, you can count on our McAllen Physician Assistant to take care of it.
If you’re experiencing any allergy or sinus issues, do not hesitate to set up an appointment with the Glatz Group of Valley ENT, and see Jonathan Lerma himself.
Most people turn to antibiotics in hopes of obtaining relief from their sinusitis symptoms. Unfortunately, most of this is wishful thinking more than actual results. Research has shown that antibiotics are ineffective at treating sinusitis — even in extreme scenarios in which symptoms are dire.
This leads us to question what can be done to ease your pain if antibiotics don’t function as they should to help you with your sinus issues. Let the McAllen certified physician assistant, Jonathan Lerma, and his sinus relief specialist team at the Glatz Group of Valley ENT take a closer look at what your options are for relief if antibiotics don’t cut it.
Antibiotic resistance can take place when bacteria are treated with an antibiotic. The medicine may kill most of these germs, but a small group might survive. This can happen in a couple of ways.
The germs can either:
When bacteria get resistant, the original antibiotic can no longer kill them. These germs can grow and spread. They can result in infections that are difficult to treat. Sometimes they may even spread the resistance to other bacteria that they encounter.
When you use an antibiotic, there’s a risk that some of the bacteria will become resistant. Using these medicines when they’re not needed is a key reason why antibiotic resistance is becoming more common.
So it’s best to use these medicines only when absolutely necessary.
Antibiotics are labeled as narrow-spectrum drugs when they work against only certain kinds of bacteria. On the other hand, broad-spectrum antibiotics are more efficient as they fight a wide range of bacteria, but are more likely to promote antibiotic resistance. Because of this, your ENT will most likely prescribe narrow-spectrum antibiotics, which generally cost less. However, you may be recommended broad-spectrum antibiotics for infections that don’t respond to treatment with narrow-spectrum drugs.
In many instances, antibiotics are prescribed for patients dealing with specific issues such as persistent nasal discharge and facial pain, and who are not improving after seven days, or those with severe symptoms of rhinosinusitis, regardless of duration. On the basis of clinical trials, amoxicillin, doxycycline, or trimethoprim-sulfamethoxazole are preferred antibiotics.
Even with a long regimen of antibiotics, chronic sinusitis symptoms can be tough to take care of. Generally speaking, however, treating chronic sinusitis with antibiotics and decongestants, is similar to treating acute sinusitis.
When antibiotic treatment fails, allergy testing, desensitization, and/or surgery may be suggested as the most effective options for treating chronic sinusitis. Research studies claim that the vast majority of people who go through with surgery experience improved symptoms and a better quality of life.
Antibiotics that are unlikely to be effective in children who don’t improve with amoxicillin, trimethoprim-sulfamethoxazole (Bactrim), or erythromycin-sulfisoxazole (Pediazole), since many bacteria are resistant to these older antibiotics. For kids that don’t respond to two courses of traditional antibiotics, the dosage and length of antibiotic treatment are usually expanded, or treatment with intravenous cefotaxime or ceftriaxone and/or a referral to an ENT specialist is recommended.
About 30 million Americans are diagnosed with inflamed nasal passageways and sinuses each year, according to the Centers for Disease Control and Prevention (CDC). Sinus infection symptoms are uncomfortable, painful and debilitating.
Symptoms can include:
While antibiotics are a common treatment approach, evidence suggests that they do no more good than a placebo in regards to improving sinusitis. Not only that, but adverse effects associated with antibiotic usage and escalating rates of drug resistance are also other reasons to avoid antibiotics.
Instead, we recommend using a variety of methods to accelerate the sinusitis recovery process, including:
While sinus issues will sometimes resolve on their own or with the help of the treatment methods we just mentioned, chronic sinusitis can last for months. If your symptoms last for more than 10 days or if they recur on numerous occasions, you still have another option.
One especially promising sinusitis treatment that has revolutionized sinus care is the balloon sinuplasty procedure. This minimally invasive technique involves minimal tissue removal with hardly any pain.
Not only can this be done in our very own office, but it also has quicker recovery times than traditional sinus surgery. In fact, most patients resume their normal activities within two days.
If you’ve been living with pesky sinus problems, there’s no reason to continue to suffer — especially if you’ve faced bad luck with antibiotic treatments in the past. If you’re wondering whether you are a candidate for balloon sinuplasty or are interested in learning more about the benefits of balloon sinuplasty, don’t hesitate to reach out to The Glatz Group.
If antibiotics aren’t doing you any favors and you would like another approach to match your specific needs, we would be more than ‘Glatz’ to answer all your questions and find an ideal resolution.
As COVID-19 concerns are still prevalent and serious, we continue to offer the option to have your symptoms addressed via telemedicine for those who feel more comfortable seeking treatment or help from the safety and comfort of their own homes. If you’re in need of an appointment, you can feel secure knowing that we take precautionary measures to protect our patients and staff on a daily basis. For an in-office procedure, calls are also accepted.
Enlarged turbinates, or turbinate hypertrophy, is a condition that happens as the result of chronic inflammation of the mucosal membranes that cover the turbinates. When these membranes become chronically swollen, they can develop prolonged nasal congestion.
Fortunately, there’s a solution, and the McAllen certified physician assistant Jonathan Lerma and his team of sinus relief specialists at the Glatz Group of Valley ENT are here to help you understand your options for relief.
Turbinates are comprised of bone and soft tissue and are found inside the nose by the septum. The cartilage and bone are aligned with a thin protective membrane called mucosa which helps maintain moisture in your nose. There’s typically space between the septum and turbinates to let air pass through the nose, and the turbinates help bring warmth and moisture to the air that passes through.
There are three turbinates in both nostrils (inferior, middle, and superior), but the inferior turbinates impact airflow the most. For many, the soft tissue part of the turbinates is the key issue--where the turbinates become enlarged--causing nasal congestion and even obstruction.
As mentioned above, if the inferior turbinates are too large, they can cause nasal obstruction in one or both sides of the nose. Nasal obstruction is a blockage of the nose or nasal cavity that affects your ability to breathe through the nose.
As a result, those affected tend to breathe through their mouth, often resulting in dry mouth. For others, these symptoms worsen at night and can impact sleep. Learn more about nasal obstruction and what else causes it here.
Symptoms of enlarged turbinates may include:
Generally, we will ask you about your symptoms and conduct a nasal examination via a lighted, 4mm nasal endoscope. The endoscope will help us see the nasal and sinus passageways and figure out the source of your nasal congestion. For certain patients, CT scans and allergy testing may also be done.
When enlarged inferior turbinates are confirmed as the main contributing factor of nasal obstruction, turbinate reduction procedures may be recommended to reduce the size of the turbinates and improve breathing.
Two of the most commonly performed procedures include Radiofrequency Ablation (RFA) and Submucosal Reduction (SMR). Both are efficient in shrinking the swelling of the turbinate mucosa and in decreasing the congested lining.
In this procedure, a small probe is placed in the submucosal area of the turbinate (between the inner turbinate bone and the outer mucosal lining) and low-power radiofrequency energy is applied to minimize tissue volume.
For the SMR procedure, a small incision is made in the front part (head) of the inferior turbinate. General or local anesthesia is administered to the patient, and dissection is done by making a pocket in the submucosal lining for placement of a tool called a microdebrider. The microdebrider utilizes suction to gently pull up the engorged submucosal tissue and some bone of the inferior turbinate, and the rotating blades slice it down or shrink it. Once the submucosal lining has been reduced, the healing process begins and scar tissue forms to prevent the lining from swelling as it had prior to surgery.
Another Option to Open Up the Nasal Pathway
Moving or “out-fracturing” the turbinate bone may be suggested to particular patients to open up the nasal pathway. This is an additional operation that can be done alongside an RFA or SMR.
In an “out-fracture” procedure, the inferior turbinate Conchal bone is moved or “out-fractured” from its usual midline position to a more lateral position alongside the nasal sidewalls. This permits the primary component of the nasal airway to open up, enhancing improved airflow.
If you have any questions about Turbinate Reduction, you can look through our frequently asked questions (FAQ’s) here.
If you have any other questions about what to expect from Turbinate Reduction surgery, you can also refer to Jonathan's first-hand experience with the procedure in his video where you’ll also find the list of FAQ’s to give patients an idea of what to expect.
Due to COVID-19 concerns, we can address your symptoms through telemedicine based on your preference, comfort, and safety. If you need an appointment, you can rest assured knowing that we take the precautionary measures to protect our patients and staff. For a procedure done in our office, calls are also welcomed.
