Nose & Sinuses
Dr. Marc Lieberman is dedicated to providing the most advanced treatment for the full range of conditions affecting the nose and sinuses including:
- Deviated Nasal Septum
- Nasal Obstruction
- Nasal Polyps
- Post-Nasal Drip
- Smell & Taste Problems
What is rhinitis?
Rhinitis is an exposure reaction to inhalants such as dust, pollen, smoke, animal dander, strong odors and chemicals. Temperature changes, along with fluctuations in humidity and stress may also be triggers. A family history may predispose individuals to be sensitive to certain indoor and outdoor allergens resulting in rhinitis. Although people aren’t born with allergies, they can develop symptoms with repeated exposure to an allergen. Rhinitis can be acute (lasting less than 2-3 months) or chronic (lasting more than 3 months).
What are symptoms of rhinitis?
Rhinitis symptoms generally vary with the season and may include:
- Severe runny or stuffy nose
- Post nasal drip with a persistent cough
- Pain, tenderness, swelling and pressure around the forehead, cheeks, nose and between the eyes
- Clear or slightly colored mucus
- Behavioral changes such as insomnia, bedwetting or sleepwalking
- Reduced sense of smell and taste
- Specific to allergic rhinitis, itchy eyes, nose and throat
What causes rhinitis?
Typical triggers for rhinitis are:
- Hormone effects (e.g. pregnancy, menstruation, menopause, hypothyroidism, oral contraception, etc.)
- Hot or spicy foods
- Drugs (e.g. aspirin, ibuprofen, beta-blockers, sedatives, erectile dysfunction medicines, overuse of decongestant nasal sprays)
How is rhinitis diagnosed?
In addition to your medical history and physical examination, Dr. Lieberman can diagnose rhinitis by:
- Nasal endoscopy (inserting a flexible scope into the nasal passages)
- CT scan
- Allergy skin tests
How is allergic rhinitis treated?
While avoidance of the allergen is the most effective course of action, this is often impractical and Dr. Lieberman will suggest:
- Saline nasal sprays
- Leukotriene blockers (e.g. Singulair)
- Nasal steroid sprays for inflammation
- Desensitization through allergy shots
Deviated Nasal Septum
What is a deviated septum?
The septum is the wall between the nostrils that separates the 2 nasal cavities and is made up of bone and cartilage. This wall should run down the center of the nose and when it is deviated, it makes one nasal passage smaller than the other.
What are the symptoms of a deviated septum?
- Nasal congestion
- Sinus infection
- Difficulty in breathing
- Sleep apnea
How is a deviated symptom diagnosed?
A deviated septum might be congenital (present at birth) or the result of an injury and can be diagnosed by Dr. Lieberman via physical examination utilizing a nasal speculum to spread open the nostrils.
How is a deviated septum treated?
The symptoms might be managed with medication, but when breathing problems and snoring don’t improve, the only way to correct a deviated septum is for Dr. Lieberman to do an internal nasal reconstruction (septoplasty).
Septoplasty is a surgical procedure that takes approximately 90 minutes and is performed in an out patient surgery center. Dr. Lieberman works through the nose and make an incision in the septum to remove the excess cartilage or bone causing the deviation. After the septum is straightened, small splints will be temporarily inserted and the patient’s nose will be “packed” with gauze overnight.
Patients can generally return to work in about a week and will be fully recovered within a month.