Dr. Zadeh performs turbinate reduction surgery to correct nasal obstruction by reducing the turbinate size while preserving the natural function of the turbinates. The goal is to improve nasal breathing and reduce nasal drainage and post-nasal drip. Since turbinate reduction surgery is performed to correct nasal obstruction and improve breathing, it can improve the patient's quality of life by decreasing headaches, snoring and sleep apnea.

Turbinate reduction surgery benefits patients with chronic nasal obstruction caused by hypertrophy of the inferior nasal turbinates, who have failed other medical treatments. Chronic nasal obstruction can impair normal breathing, thus forcing patients to breathe through the mouth and often affecting their daily activities. Enlarged turbinates and nasal congestion can also contribute to headaches and sleep disorders such as snoring and obstructive sleep apnea, as the nasal airway, the normal breathing route during sleep, is impaired. Turbinate reduction surgery is often performed in conjunction with nasal septal surgery.

Goals:

Dr. Zadeh performs turbinate reduction surgery in order to correct nasal obstruction by reducing the turbinate size while preserving the natural function of the turbinates. The goal is to improve nasal breathing and reduce nasal drainage and post-nasal drip. Since turbinate reduction surgery is performed to correct nasal obstruction and improve breathing, it can improve the patient's quality of life by decreasing headaches, snoring and sleep apnea.

Surgical Treatment:

• Inferior turbinate reduction surgery can be performed under local (in the office) or general anesthesia (in an operating room).
• Turbinate reduction surgery is performed entirely through the nostrils; thus there are no incisions made on the skin.
• Turbinates are reduced by making an incision in the lining mucosa of the turbinate and thinning the tissue inside the turbinate. A microdebrider may be used to thin the tissues inside the turbinate. Alternatively, the tissues may be cauterized with radio frequency or electrical current.
• After reduction, the turbinates are pushed outwards to increase the space between them and the septum, thus allowing more air to flow.
• After the surgery, once the effects of the anesthesia have worn off, the patient is discharged home.

Pre and Post-operative care:

• Pre-operative care
• Post-operative care

During the initial consultation, Dr. Zadeh will examine you, study your CT Scan, if one is available, and discuss your medical history to determine whether you are a good candidate for turbinate reduction surgery. Dr. Zadeh will explain the surgery and what you can expect and will answer any questions and/or concerns that you have.

Dr. Zadeh implements distinctive surgical approaches using the safest, most advanced, and minimally invasive techniques. Dr. Zadeh is focused on cutting-edge techniques and treatment options that offer his patients the greatest outcomes while minimizing risk.

If you are considering turbinate reduction surgery, please contact Dr. Zadeh at Los Angeles Sinus Institute to schedule an initial consultation.

Septal surgery (also known as septoplasty) is performed to straighten a deviated or crooked nasal septum.

Septal surgery is indicated when septal deviation is severe enough to cause nasal obstruction and affect breathing. Chronic nasal obstruction can contribute to headaches, sleep disorders such as snoring and obstructive sleep apnea, and impair normal breathing, forcing patients to breathe through the mouth and often affecting their daily activities. Septal surgery is often performed in conjunction with turbinate reduction surgery.

The main indications for septal surgery are:

• Nasal airway obstruction.
• Nasal septal deviation during endoscopic sinus surgery, preventing adequate visualization of the sinuses.
• Uncontrollable nosebleeds.

Goals:

The primary goal of septal surgery is to straighten the nasal septum, therefore relieving the obstruction and improving the breathing through the nose. Septal surgery may also reduce nasal drainage and post-nasal drip. Since septal surgery is performed to correct septal deviation and improve breathing, it can improve the patient's quality of life by decreasing headaches, snoring and sleep apnea.

Surgical Treatment:

• Septal surgery is performed under general anesthesia.
• Septal surgery is performed entirely through the nostrils; thus there are no incisions made on the skin.
• Through an incision made inside the nostril, the mucosa covering the septal bone and cartilage is lifted up to allow visualization of the bone and cartilage directly. The deviated portions of the bone and cartilage are then either removed or reshaped. The mucosa is then returned to its original position and the incision is stitched closed.
• After the septal surgery, once the effects of the anesthesia have worn off, the patient is discharged home.

Pre and Post-operative care:

• Pre-operative care
• Post-operative care

During the initial consultation, Dr. Zadeh will examine you, study your CT Scan, if one is available, and discuss your medical history to determine whether you are a good candidate for septal surgery. Dr. Zadeh will explain the surgery and what you can expect and will answer any questions and/or concerns that you have.

Dr. Zadeh implements distinctive surgical approaches using the safest, most advanced, and minimally invasive techniques. Dr. Zadeh is focused on cutting-edge techniques and treatment options that offer his patients the greatest outcomes while minimizing risk.

If you are considering septal surgery, please contact Dr. Zadeh at Los Angeles Sinus Institute to schedule an initial consultation.

The most common procedure for treatment of chronic sinusitis is endoscopic sinus surgery. Endoscopic sinus surgery is used to unblock the sinuses when drug therapy is not effective or if there are complications of sinusitis such as structural abnormalities, spread of infection into the eye or fungal sinusitis.

In endoscopic sinus surgery, fiber-optic surgical techniques are utilized to open the natural drainage areas of the sinuses and remove polyps, if present. Endoscopic sinus surgery unblocks obstructions, allowing ventilation and drainage, thus relieving sinus headaches and congestion, improving nasal breathing and often enhancing the sense of smell.

CT imaging and computers are used intra-operatively to minimize risk. Intra-operative CT guidance, or computer-aided surgery, allows Dr. Zadeh to not only view the "live images" of the procedure, but at the same time have a real time 3-dimentional CAT scan image of the area being operated on. Intra-operative CT guidance provides important anatomic information, thus allowing better insight into the operative field, and as a result decreasing the risks of surgery and improving the results of surgery.

Goals:

Endoscopic sinus surgery is designed to improve the drainage of the sinuses as well as to improve airflow through the nose. Endoscopic sinus surgery also relieves symptoms associated with sinusitis, septal deviations, turbinate hypertrophy and nasal polyps.

The goals of surgery include:

• Reduction of the number and severity of sinus infections.
• Improvement of symptoms associated with sinusitis.
• Improvement of airflow through the nose.
• Improvement of a patient's sense of smell.

Surgical Treatment:

• Endoscopic sinus surgery is performed under general anesthesia.
• Endoscopic sinus surgery is performed entirely through the nostrils; thus there are no incisions made on the skin.
• An endoscope, a thin camera rod with a light at the end to provide visualization and magnification, is used for direct visualization of the nasal cavity and sinuses.
• Adjacent to the screen with the live images from the endoscope is a second screen with real time 3-dimentional CAT scan images of the area being operated on.
• Working endoscopically through the nose, specialized instruments are used to safely and effectively remove causes of sinus blockage such as nasal polyps, diseased bone, diseased tissue or scar tissue.
• Under direct visualization as well as CT guidance, the natural drainage pathways of the sinuses are opened.
• After the surgery, once the effects of the anesthesia have worn off, the patient is discharged home.

Pre and Post-operative care:

• Pre-operative care
• Post-operative care

During the initial consultation, Dr. Zadeh will examine you, study your CT Scan, if one is available, and discuss your medical history to determine whether you are a good candidate for endoscopic sinus surgery. Dr. Zadeh will explain the surgery and what you can expect and will answer any questions and/or concerns that you have.

Dr. Zadeh implements distinctive surgical approaches using the safest, most advanced, and minimally invasive techniques. Dr. Zadeh is focused on cutting-edge techniques and treatment options that offer his patients the greatest outcomes while minimizing risk.

If you are considering endoscopic sinus surgery, please contact Dr. Zadeh at Los Angeles Sinus Institute to schedule an initial consultation.

Balloon Sinuplasty is designed to improve the drainage of the sinuses, similar to endoscopic sinus surgery. Balloon sinuplasty technology extends the sinus surgery evolution by offering the surgeon additional tools for endoscopic surgery. It uses a small, flexible, sinus balloon catheter to open up blocked sinus passageways similar to the way angioplasty uses balloons to open blocked coronary arteries. In balloon sinuplasty, a small sinus balloon catheter is threaded through the sinus passages and introduced into the sinus. When the sinus balloon is inflated, it gently restructures and widens the walls of the passageway while maintaining the integrity of the sinus. This restores normal sinus drainage and function, while preserving normal anatomy and mucosal tissue.

The benefits of balloon sinuplasty are that there is less trauma to the surrounding tissue and the natural sinus openings are preserved. Not all patients are candidates for this type of sinus surgery. For example, balloon sinuplasty is not effective in treating ethmoid sinusitis, removing nasal polyps or in patients with extensive scarring of their sinus openings. Balloon sinuplasty is often combined with endoscopic sinus surgery.

Goals:

Balloon sinuplasty is designed to improve the drainage of the sinuses. The goals of surgery include:

• Reduction of the number and severity of sinus infections.
• Improvement of symptoms associated with sinusitis.

Surgical Treatment:

• Balloon sinuplasty is performed under general anesthesia.
• Balloon sinuplasty is performed entirely through the nostrils; thus there are no incisions made on the skin.
• An endoscope, a thin camera rod with a light at the end to provide visualization and magnification, is used for direct visualization of the nasal cavity and sinuses.
• Working endoscopically through the nose, a catheter is threaded into the sinus cavity.
• A small balloon is passed over the catheter into the sinus. As the balloon is inflated, it gently restructures and widens the walls of the sinus passageway while maintaining the integrity of the sinus.
• Under direct visualization, the natural drainage pathways of the sinuses are opened.
• After the surgery, once the effects of the anesthesia have worn off, the patient is discharged home.
• Please click here to view animation of procedure.

Pre and Post-operative care:

• Pre-operative care
• Post-operative care

During the initial consultation, Dr. Zadeh will examine you, study your CT Scan, if one is available, and discuss your medical history to determine whether you are a good candidate for balloon sinuplasty. Dr. Zadeh will explain the surgery and what you can expect and will answer any questions and/or concerns that you have.

Dr. Zadeh implements distinctive surgical approaches using the safest, most advanced, and minimally invasive techniques. Dr. Zadeh is focused on cutting-edge techniques and treatment options that offer his patients the greatest outcomes while minimizing risk.

If you are considering balloon sinuplasty, please contact Dr. Zadeh at Los Angeles Sinus Institute to schedule an initial consultation.