Sinusitis Specialist

The Beverly Hills Advanced Facial Surgery Institute -  - Facial Plastic Surgery & Otolaryngology Practice

The Beverly Hills Advanced Facial Surgery Institute

Facial Plastic Surgery & Otolaryngology Practice located in Beverly Hills, CA

If you are possibly suffering from sinusitis, you need expert evaluation and treatment. At The Beverly Hills Advanced Facial Surgery Institute, we specialize in the evaluation, diagnosis and treatment of acute sinusitis, chronic sinusitis and all other sinus problems. Dr. Ruder and Dr. Jumaily are both board certified in head and neck surgery and have extensive experience in medical and surgical treatment of sinusitis. We utilize state of the art sinus procedures including minimal invasive balloon sinuplasty.

Sinusitis and Treatment Q & A

The Beverly Hills Advanced Facial Surgery Institute

Do I have sinusitis?

The term sinusitis refers to inflammation of the sinuses. Sinuses are cavities which branch out of the nose and normally contain air. They are lined by a thin lining calling mucosa. Sinusitis referred to any inflammation in that lining which can swell and secret mucus and fluid. There are many causes and types of this inflammation. Dr. Ruder and Dr. Jumaily are experts in this fields and are able to examine the sinuses and order the appropriate tests to figure out the best treatment.

What is acute sinusitis

Acute sinuses is caused by inflammation in the paranasal sinuses that occurs due to viruses or bacteria. They cause nasal congestion (stuffy nose), nasal discharge (thick mucus from nose), headaches, pressure in the face, and decreased sense of smell. These symptoms are usually associated with an upper respiratory infection (cold or flu). Acute sinusitis is treated with medications and sometimes antibiotics and it resolves after 1-2 weeks.

What is chronic sinusitis?

Chronic sinusitis is caused by inflammation of the sinuses that lasts over 3 months. The symptoms are nasal congestion (stuffy nose), nasal discharge (thick mucus from nose), headaches, pressure in the face, and decreased sense of smell. Other symptoms may occur such as toothache, fatigue, cough etc. The symptoms can fluctuate in severity but patients always feel like they have a cold. Chronic sinusitis is still an area of active research. At our clinic, we aim to perform an evaluation and testing as well as start treatment to help patients feel better and return to normal daily function.

What causes chronic sinusitis?

The cause of chronic sinusitis is not completely understood. There are some associated risk factors such as allergies, frequent viral infections, immune system deficiency, smoking and genetic predisposition.

What is the treatment of chronic sinusitis?

Chronic sinusitis has several treatments depending on severity and response to treatment. The initial treatment is usually with medications, both oral (pills) and topical (sprays and solutions). Anti inflammatories, antibiotics are often used but we customize treatment to each patient to taking into account their unique biology. If patients do not respond to medications, we use state of the art modern procedures to open up the sinuses and clear the inflammation. Dr. Ruder and Dr. Jumaily are experts in minimally invasive balloon sinuplasty to open up the sinuses without surgery. Surgical options are also available for patients who are not candidates for the balloon procedures.

Do I need surgery if I have chronic sinusitis?

Not all patients who have chronic sinusitis need surgery. Our goal is to avoid surgery if possible. It is very important that you consult specialists who have your wellbeing as their priority. Due to our experience and expertise, our evaluation can often point us to the right direction. We start treatment with medical therapy and we have various options to try and decrease the inflammation in the sinuses. If this treatment improves the symptoms to a satisfactory level, surgery is not needed. We guide you through the treatment to maximize the benefit while decreasing side effects.

If medical therapy is not effective, more interventions may be needed. Surgical therapy can be very helpful to patients. It is important that surgeons are experienced in this type of procedure to avoid unnecessary procedures and minimize complications and risks.

What to do if medications are not helping or not helping enough in the treatment of sinusitis?

If medical therapy is not effective, more interventions may be needed. Surgical therapy can be very helpful to patients. It is important that surgeons are experienced in this type of procedure to avoid unnecessary procedures and minimize complications and risks.

There are two procedures to address chronic sinusitis:

  1.   Balloon sinuplasty

Balloon sinuplasty is a procedure designed to dilate the openings of the sinuses to allow better drainage and flow of mucus. It is less invasive than endoscopic sinus surgery because it does not remove tissue. One of the advantages is that it can be done in the office under local anesthesia; with the need for general anesthesia, or operating room etc. It has been shown to work well in patients with mild severity. Balloon sinusplasty (balloon sinus surgery) is not for everyone which is why it is important to consult with expert sinus specialists.

2. Functional endoscopic sinus surgery (FESS)

For patients who are improving with medical treatment, sinus surgery may be necessary. Sinus surgery is designed to remove tissue to keep sinuses open to allow better drainage and flow of mucus. This procedure generally requires anesthesia and done in the operating room.

FESS has risks that are well known but not common. If done by an experienced surgeon these risks are uncommon.