Our team of sinus surgeons and nurses use the most effective techniques available—including an image-guided, computerized navigation system—to pinpoint sinus disease and minimally invasive technology to ensure a quick recovery with less pain and improved symptom control. Procedures are performed at our freestanding Surgical Center in Sewell, NJ, where the highest level of care meets the highest level of comfort.
Sinus Services Include:
- Sinusitis Management
- Allergic Fungal Sinusitis Management
- Sinus and Nasal Trauma
- Septum Repair
- Nasal Blockage Surgery
- Cosmetic Rhinoplasty
- Nasal Polyp Removal
Unless you or a loved one has been dealing with a sinus issue, most people don't fully understand what sinuses are and how they work. We've compiled some basic information to help educate you on the topic. For more detailed information, please visit one of the recommended websites or contact us.
An online textbook "Allergic and Non-Allergic Sinusitis for the Primary Care Physician: Pathophysiology, Evaluation and Treatment" is provided free to web users concerned with sinonasal disorders. Click below to access this resource.
What Do Your Sinuses Do?
Your nose and sinuses play an important role in your everyday life. They affect your ability to smell, breath and taste, while providing defense against airborne debris, and assist in the production of mucus to keep the nasal and upper respiratory passageways properly moist. There are four pairs of sinuses:
- The Ethmoid Sinus, between the eyes and nose
- The Frontal Sinus, above the eyes
- The Maxillary Sinus, located in the cheekbone and under the eyes
- The Sphenoid Sinus, behind the eyes
Normal mucus secretion, normal functioning microscopic hairs (called cilia), and clear sinus drainage openings are three essential components needed to keep sinuses healthy. If one or more of these components aren't working properly, sinusitis may occur.
What is Sinusitis?
Sinusitis is an inflammatory condition that can cause pain, infection and other troubling symptoms. It is one of the most common chronic illnesses in the United States. About 1 in 8 people suffer from sinusitis at some point in their lives. Common causes of sinus problems include:
- Allergies: Most common are airborne particles, animals, foods, feathers, fabrics
- Increased Air Pollutants
- Cigarette Smoke
- Narrow or Blocked Sinuses
- Increases in Temperature and Humidity
How Long Will Sinusitis Last?
There are four categories of sinusitis, each with their own duration:
- Acute cases, which last a month or less
- Sub-acute cases, lasting four to 12 weeks
- Chronic cases, lasting more than 12 weeks which can continue for months, or even years
- Recurrent cases, which involve several acute attacks within a one-year period
What are some Sinusitis Treatments Options?
When sinus problems persist, the first step in treatment is evaluation by a sinus specialist. Treatments may include:
- Oral steroids
- Steroid nasal sprays
- Saline nasal sprays or rinses
- Allergy shots, if indicated sinusitis symptoms continue or are the result of a nasal obstruction (such as polyps), sinus surgery is often an effective option.
What are Some Common Sinus Medications?
Depending on your medical diagnosis and symptoms of your sinus problem, your physician may prescribe various medications, some of which are over-the-counter products, and others which are available only through a doctor's prescription. These include:
- Oral antibiotics to treat and prevent infection. Many antibiotics are available; generally, your doctor will take a culture to determine the most effective antibiotic for your particular infection. If prescribed an antibiotic, be sure to take the entire course of medication, even if you begin to feel better.
- Oral antihistamines to treat indoor and outdoor allergies, as well as chronic hives or rashes, including Xyzal®, Allegra®, Zytrec®, Claritin, Chlor-Trimenton, Tavist-1, Alavert, Astelin, Patanase, and Benadryl.
- Oral or nasal steroids to reduce swelling and inflammation, including Medrol Dosepak®/Prednisone (given orally).
- Steroid sprays such as Nasacort AQ®, Rhinocort Aqua®, Veramyst® and Flonase®-intrasnasal are used to reduce inflammation and reduce a stuffy, runny nose.
- Mucolytics are used to thin and loosen mucus that causes congestion, including Mucinex®, an over-the-counter medication taken orally to break up mucus.
- Oral and nasal sprays such as Robitussin, Guaifenesin Decongestants are used to decrease sinus congestion.
- Pseudoephedrines or phenylephrines such as Sudafed(R), Afrin, and NeoSynephrine.
- Proton pump inhibitors treat symptoms of acid reflux and promote healing of damage to esophagus caused by stomach acid, including Nexium®, Prilosec®, Prevacid®, and Protonix®.
- Leukatriene Blockers such as Singulair®, a prescription oral medication that blocks leukotrienes, an underlying cause of allergy symptoms that cause narrowing and swelling of the airways is used to treat both indoor and outdoor allergies and prevent asthma attacks.
- Nasal saline sprays loosen mucus and moisten the nasal cavity or a Neti Pot, an over-the-counter salt water nasal irrigation treatment.
Remember: It is important to follow the same schedule every day and take all medications as directed. Please call your physician with any questions or concerns.
If you have sinus problems, please call the Jefferson Sinus Surgery Coordinator at 856-218-4900 who can refer you to one of Jefferson's sinus specialists.
Sinus Surgery at Jefferson Health
540 Egg Harbor Road
Sewell, NJ 08080