Posts for category: ENT
Most people who have been diagnosed with sinusitis are put on home remedies and conservative treatments to help manage their symptoms. However, is these treatments don’t ease their symptoms in three months, the condition will be considered chronic sinusitis that only ENT doctors can treat.
ENT doctors specialize in issues that involve the ears, throat, and nose. If your symptoms are so severe that they are negatively affecting your quality of life, your ENT doctor here at Everyone's ENT & Sinus Center in San Antonio, TX, Dr. Christine Gilliam, might recommend sinus surgery.
Before Turning to Sinus Surgery
People who don’t respond well to medical treatments for sinus surgery don’t necessarily need to undergo sinus surgery. However, those whose CT scans show clear signs of persistent disease are usually ideal candidates for the procedure. Prior to turning to sinus surgery, your ENT doctor will first put you on maximum medical therapy, which may entail an extended course of steroid medications, antibiotics, and sinus irrigations.
If these medical treatments fail to work, your ENT doctor will recommend a CT scan. In the event that your scans show signs of chronic sinus disease or a sinus obstruction that only surgery could relieve, then your ENT doctor in San Antonio, TX, may suggest sinus surgery.
Common Reasons to Get Sinus Surgery
- Obvious symptoms of persistent sinusitis even after undergoing aggressive medical therapy
- Presence of sinus or nasal polyps
- Sinusitis due to a fungal infection
- Sinusitis that has spread to nearby bone
- Structural irregularities of the sinuses or nose
- Chronic sinus infections with HIV
- Sinus cancer
Sinus Surgery Types
Surgical procedures used for treating chronic sinusitis include functional endoscopic surgery, balloon sinuplasty, and open sinus surgery. The most commonly recommend sinus surgery is endoscopic sinus surgery. On the other hand, rare sinus tumors or certain kinds of aggressive fungal sinus infections respond better to external or traditional surgical procedures that involve incisions over the eyebrows or the gum line.
Your ENT doctor will be the one to decide which surgical approach will work best for your specific circumstances. To help ensure the best possible outcomes, you will need to work closely with your ENT doctor before and after the sinus surgery.
For More Details on Sinus Surgery, Give Us a Call
Contact Everyone's ENT & Sinus Center in San Antonio, TX, by calling (210) 647-3838 to arrange your appointment with Dr. Christine Gilliam.
Is Your Child Dealing With Recurrent Ear Infections?
Ear infections can be miserable, and when it comes to children the painful condition is distressingly common. Dr. Christine Gilliam at Everyone's ENT and Sinus Center in San Antonio, TX treats many pediatric patients for recurrent ear infections, and she can help put your child on the path to recovery as well.
What causes ear infections?
Ear infections occur when the Eustachian tube, which equalizes the middle ear, develops fluid or pressure buildup. This happens more frequently in babies, toddlers, and preschool-age children as their Eustachian tube is not yet fully sized and matured. In addition to the immaturity of the Eustachian tube, environmental factors such as exposure to secondhand smoke, allergies, sinus or bacterial infections can lead to a sinus infection. If your child is enrolled in day care or school, you may find they are quicker to develop contagious ear infections.
What can a pediatric ENT do for my child's ear infections?
At our San Antonio, TX office a pediatric ENT may recommend medicinal or surgical options for your child's ear infection, depending on the cause, severity or duration of the infection.
Prescription antibiotics are typically the first course of action for an ear infection, with the type, dosage and length of treatment determined on an individual basis. If your child is in need of more intensive treatment, your pediatric ENT may opt to surgically place pressure equalization tubes in your child's ears. This procedure involves putting your child under anesthesia while your pediatric ENT makes a small incision in the ear drum to drain out any built-up fluid and insert the tube. This process should take under 10 minutes, and your child will be able to return home right after.
The tube will likely remain in place up to a year, falling out on its own. During this time, your child will be seen by your pediatric ENT at our San Antonio, TX office every six months to monitor the tube and progress in treating the infection.
How effective are pressure equalization tubes?
Most pediatric patients will have lasting results with a single set of tubes, but more sets may be needed, especially if the tubes fall out before the ear infection has been remedied. You will want to schedule regular visits for your child with a pediatric ENT at our San Antonio, TX office to monitor their ear health.
If your child is suffering from persistent, painful ear infections, call Everyone's ENT and Sinus Center in San Antonio, TX at 210-647-3838.
Sinus surgery can put an end to chronic sinus pain, congestion, headaches and other symptoms. The surgery is usually recommended if symptoms are severe or medication no longer helps. Your San Antonio, TX, ENT, Dr. Christine Gilliam, offers several types of sinus surgery at Everyone's ENT & Sinus Center.
Functional endoscopic sinus surgery (FESS)
Minimally invasive endoscopic surgery is used to remove blockages, scar tissue, growths, and polyps; improve drainage; ease breathing; treat infections; and correct deviated septums and other structural problems.
Your San Antonio ENT inserts a thin, lighted endoscope into your nasal passages. A tiny camera attached to the end of endoscope sends images to a digital monitor, giving your doctor a clear picture of your sinuses. She'll consult the monitor as she performs surgery using tiny instruments inserted through your nostrils.
Image-guided surgery improves the precision of your procedure with computed tomography (CT) scans and infrared signals that provide more detailed information about the anatomy of your sinuses.
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This type of surgery can improve sinus drainage in the maxillary sinus, located under the eye. During the surgery, your doctor makes an incision above your second molar and creates a new drainage opening in the sinus cavity.
Balloon sinuplasty offers an alternative to sinus surgery. Your doctor inserts a catheter that contains a small balloon into your sinuses. Once the catheter is in place, the balloon is inflated. Inflating the balloon expands the walls of the sinuses and reduces congestion.
After the balloon is deflated, excess mucus is removed with a stream of saline solution. A shorter recovery period and less post-procedure pain are benefits of balloon sinuplasty.
Who benefits from sinus surgery?
Your ENT may recommend sinus surgery if you have:
- Chronic sinusitis
- Three to four sinus infections per year
- Pain and inflammation that lasts longer than 45 days
- An obstruction in your nasal passages, such as a polyp, deviated septum, growth, cyst, or bone spur
- An infection that's spread to your facial bones or skull
Are you tired of living with chronic sinusitis? Sinus surgery may ease your painful symptoms. Call your San Antonio, TX, ENT, Dr. Christine Gilliam, at (210) 647-3838 to schedule an appointment.
Learn more about getting sinus surgery in San Antonio and who’s a good candidate for this procedure.
Are you living with chronic sinus infections in San Antonio, TX? If so, our otolaryngologist Dr. Christine Gilliam offers several treatment options to help you get your symptoms under control. Of course, if your symptoms don’t seem to change despite trying a variety of different nonsurgical treatments then it may be time to consider whether you could benefit from surgery. Learn more about sinus surgery and what it entails.
What is involved in sinus surgery?
In this day and age of advanced medical technology, our San Antonio ENT doctor is able to offer a minimally invasive endoscopic sinus surgery option to treat patients dealing with severe and chronic sinus infections. Endoscopic sinus surgery is less invasive, doesn’t require any cutting or removal of tissue and bone, and boasts a faster recovery time than traditional sinus surgery.
During endoscopic sinus surgery a thin flexible tube (an endoscope) sometimes with a deflated balloon at the end is guided through the nasal cavity. Once it is fully inserted, we will slowly inflate the balloon, which will open up the blocked nasal cavity and allow it to fully drain. Once the cavity is unblocked we can wash out the sinuses to remove the bacteria responsible for your infections before removing the endoscope.
How long is the recovery period?
The length of your recovery will depend on several factors including your overall health and which type of sinus surgery you are getting. After all, some patients may need to undergo traditional sinus surgery instead of endoscopic surgery, which will have a longer recovery process. You should allow yourself a few days to recover before returning to work and normal activities. Patients who’ve undergone endoscopic sinus surgery can often return to work within 48-72 hours.
Are there any side effects of sinus surgery?
It is common for there to be some bleeding for a couple of days after endoscopic surgery. Since endoscopic surgery is only minimally invasive any swelling, discomfort or bleeding you experience will be very minor and will often go away with 2-3 days. We will provide you with thorough self-care instructions.
Will surgery relieve my symptoms permanently?
Endoscopic sinus surgery is extremely effective and research has even found that as many as 97 percent who underwent sinuplasty experienced a long-term improvement in their sinus symptoms. It is important to keep in mind that this surgery is not a cure-all. It is still possible for some patients to get sinus infections even after surgery, but the frequency and severity of your symptoms should be greatly reduced.
Are you living with severe or persistent sinus issues? If your sinus problems are affecting your quality of life then it’s time to turn to Everyone’s ENT & Sinus Center in San Antonio, TX, to find out if endoscopic sinus surgery is right for you.
Do you have allergies? These common conditions are reactions by your immune system to harmless substances, and they can make you miserable and even put your life at risk. Led by Dr. Christine Gilliam, ENT & Sinus Center in San Antonio, TX, offers allergy testing and treatment—read below to learn if you are suffering from allergies and could benefit from the Center's services!
Pollen, a plant released spore, is one of the most common causes of allergies in America. The symptoms of a pollen allergy can include itchy, red, and watery eyes, coughing, runny nose, nasal congestion, sneezing, itchy throat, and wheezing.
If you have experienced an allergic reaction after taking medication, you may have a drug allergy. In many cases, the allergic reaction is mild, though severe cases can lead to anaphylactic shock and may be life-threatening. A severe, widespread allergic reaction is called anaphylaxis, and it may affect your skin, airways, and organs. Symptoms of a drug allergy can include rash, hives, fever, itching, runny nose, watery eyes, and swelling.
Food allergies affect both children and adults. Symptoms of a food allergy can include hives, wheezing, dizziness, digestive problems, or swelling of the lips, tongue, face, or throat. Severe reactions can be life-threatening.
A skin allergy occurs when your skin touches something that your immune system believes is harmful—even though it isn't. Causes can include contact with poison ivy, cosmetics, latex, perfume, dyes, topical medications, detergent, and some metals. If you have a skin allergy, your skin may turn rough, dry, and scaly, as well as develop a reddish color, swell into hives, ooze, or crack as a result of irritation.
One of the most common indoor allergens, this allergy is caused by dust mites, which are tiny bugs that feed off house dust and the moisture in the air. Accordingly, people with dust allergies often suffer the most inside their homes. The symptoms of a dust allergy can include sneezing, watery eyes, coughing, wheezing, runny nose, shortness of breath, and tightness in the chest.
Do pet allergies have you sneezing again? A pet allergy is an abnormal immune reaction to proteins in an animal's skin cells, saliva, or urine. Pet allergies can run in families and occur more often in people with asthma. The symptoms of a pet allergy can include wheezing, coughing, shortness of breath, nasal congestion, watery eyes, itchy throat, and sneezing.
Seeking Relief? Call our San Antonio Office Today!
Allergies can interfere with your day-to-day activities and decrease the quality of your life. Get relief today with one of San Antonio's top ENT doctors. Call Everyone's ENT & Sinus Center at (210) 647-3838 today to schedule an appointment with Dr. Christine Gilliam. We want you to live your best possible life!