NOSE & SINUSES
- Deviated Nasal Septum
- Nasal Obstruction
- Nasal Polyps
- Post-Nasal Drip
- Smell & Taste Problems
What is post-nasal drip?
The glands in your nose and throat continually produce mucus (1 to 2 quarts a day). It moistens and cleans the nasal membranes, humidifies air, traps and clears inhaled foreign matter, and fights infection. Although mucus normally is swallowed unconsciously, the feeling that it is accumulating in the throat or dripping from the back of your nose is called post-nasal drip.
What are causes of post-nasal drip?
- Excessive or thick secretions
- Chronic sinusitis
- Swallowing problems
How is post-nasal drip treated?
Treatment for post-nasal drip is determined by the cause of the condition. If Dr. Lieberman feels that it is a result of a bacterial infection, antibiotics are an effective method. For post-nasal drip caused by allergies, sinus issues or a virus, Dr. Lieberman may recommend an antihistamine and a nasal steroid spray.
Smell & Taste Problems
What causes smell & taste disorders?
Taste and smell disorders are closely related and common conditions that effect the chemo-sensation system and may develop as a result of:
- Age (sense of smell declines after age 60)
- Gender (women generally can smell more accurately than men)
- Upper respiratory infections
- Injury or trauma to the head or nose
- Polyps in the sinus or naval cavity
- Hormonal disturbances
- Dental problems
- Tobacco smoke
- Radiation therapy, especially for the head and neck
How are smell & taste problems treated?
Treatment of the loss of the sense of smell or taste depends on Dr. Lieberman’s diagnosis of the underlying cause. While the disorder itself is not generally serious, it can affect your daily life. Depending on the cause, treatments may range from simple life changes to surgery.
For example, if a medicine is causing the loss of the ability to taste or smell, discontinuing the medicine, if possible, often leads to a restoration of the ability to smell or taste.
In some cases, especially those involving a respiratory infection or a seasonal allergy, the sense of taste and smell return after the disease has disappeared.
If nasal polyps are found to be the cause of the loss of the sense of smell or taste, their surgical removal usually restores the lost senses.
What is sinusitis?
Have you ever had a cold or allergy attack that wouldn't go away? If so, there's a good chance you actually had sinusitis. The symptoms of bacterial sinusitis often mimic those of colds or allergies. By performing a physical examination, Dr. Lieberman can diagnosis the condition.
Bacterial sinusitis is a problem that refers to an inflammation of the lining within the paranasal sinuses. It usually is preceded by a cold, allergy attack or irritation by environmental pollutants. Unlike a cold or allergy, bacterial sinusitis requires a physician's diagnosis and treatment with an antibiotic to cure the infection and prevent future complications.
What are the symptoms of sinusitis?
- Pain or pressure in the cheek area (maxillary sinuses)
- Pain or pressure above and behind the eyes (frontal sinuses)
- Pain or pressure between or behind the eyes (ethmoid sinuses)
- Pain or pressure behind the eyes (sphenoid sinuses)
- Nasal discharge, pain in upper teeth, nasal congestion, coughing, bad breath, etc.
Sinusitis can also be classified by duration: acute lasts for 4 weeks or less, sub--acute lasts 4-12 weeks, chronic lasts more than 12 weeks and recurrent, which consists of several acute infections within a year. Basically with recurrent infections, the sinuses never get back to normal between episodes.
How is sinusitis treated?
Sinusitis can be treated through courses of antibiotics, antihistamines, nasal steroid sprays, etc. In cases of severe chronic sinusitis, Dr. Lieberman may prescribe an oral steroid.
When courses of antibiotics, etc. fail, functional endoscopic sinus surgery may be an alternative. The goal of the surgery is to improve the opening of the sinuses and reduce the blockage. Using an endoscope, Dr. Lieberman will enlarge the opening of the sinuses, remove any polyps and correct any defects (such as a deviated septum) that contribute to the nasal obstruction. This type of surgery is minimally invasive and is performed by Dr. Lieberman on an out-patient basis.