Entsa of Appleton
Entsa of Appleton

Deviated Septum, Nosebleeds, Sinus Surgery, and Sleep Apnea

The nose is the protruding part of the face that houses the nostrils. The nose is responsible for helping the body smell things and breathe. As air enters the nose, specialized cells send the scent to the brain to be recognized and identified. While cleaning the air of foreign particles, the nose also carries the air to the sinuses and lungs supplying the body with oxygen or helping to expel carbon dioxide.

When the nose is not functioning properly, it can be difficult to breathe. There may also be nosebleeds or snoring. Problems with the nose are often a sign of another condition or disorder and should be diagnosed by a doctor. If you or someone you care for are having problems with the nose, please contact Ear, Nose and Throat Surgical Associates, in Appleton, at (920) 734-7181 to schedule an appointment.

A deviated septum occurs when the nasal septum, the bone and cartilage that divides the nasal cavity of the nose in half, is significantly off center or crooked. This can happen for a variety of causes; the most common are genetic (being born with a deviated septum) and injury or trauma to the nose.

Signs you may have a deviated septum include nosebleeds, facial pain, headache, difficulty breathing, postnasal drip, loud breathing and snoring during sleep. A deviated septum may also cause a more serious sleep disorder called sleep apnea. The only way to correct a deviated septum is to undergo a septoplasty procedure.

A septoplasty is an outpatient surgical procedure in which excess bone or cartilage is removed so the nasal septum may be realigned. It’s best to wait until the nose has stopped growing to perform this procedure, usually around the age of 15. Internal splints or soft packing material may be placed in the nose to stabilize the septum as it heals.

If you or someone you care for has signs of a deviated septum, please contact us at (920) 734-7181 to schedule an appointment.

A nasal blockage is an obstruction of the nose or nasal cavity. Blockages can be caused by a variety of factors including a deviated septum, foreign bodies in the nose, enlarged adenoids or swelling of the nasal lining caused by allergies.

Signs you have a nasal blockage include breathing difficulty through the nose and mouth breathing. Treatment will depend on the underlying cause of the blockage. Treatment options include medication, septoplasty, turbinate reduction and surgical removal of the adenoids.

If you or someone you care for has symptoms of a nasal blockage, please contact us at (920) 734-7181 to schedule an appointment.

Nasal fractures or broken noses are a common occurrence, usually caused by a sports injury or falls. Any time the nose is struck, such as by a door, another person or the floor, the nose is at risk of being broken. The cartilage and the bone in the nose can both be affected.

It’s important to see a doctor if you or someone you care for has a broken nose. The doctor will reset the nose and check for a septal hematoma, which is a collection of blood under the nasal lining.

If you or someone you care for has a nasal fracture, please contact us at (920) 734-7181 to schedule an appointment.

There are more than three million cases of sinusitis every year. Sinusitis is an inflammation or swelling of the tissue lining the sinuses. Sinuses are usually filled with air. If they become infected with viruses, bacteria or fungi they become blocked up. Sinusitis can occur as the result of a cold, allergies, nasal polyps or a deviated septum.

Common symptoms of sinusitis include facial pain, nasal stuffiness, nasal discharge, loss of smell and cough or congestion. Symptoms may also include fever, bad breath, fatigue and dental pain. Sinusitis can be chronic for some patients, lasting for an extended period of time, and include symptoms such as headaches and fatigue.

There are different treatment options available for sinusitis depending on the underlying cause. Treatment usually begins with medication such as decongestants, antihistamines or antibiotics. Steam to rehydrate the sinus linings may also be recommended. Your doctor may prescribe lifestyle changes such as quitting smoking or increasing your fluid intake.

If these treatments have been tried with no relief, your doctor may recommend a sinus procedure. There are many procedures such as traditional sinus surgery or balloon sinuplasty that open the sinuses to help with drainage and to relieve the blockage.

Balloon Sinuplasty is safe, effective and requires no cutting of the nasal bone or tissue. A balloon is inserted into the blocked up sinus and inflated. Saline is sprayed into the newly opened sinus to clear out any pus or mucus that has built up. The balloon is then deflated and removed, leaving behind an open sinus. This procedure can be completed in the comfort of our office and has received high patient satisfaction.

If you or someone you care for has symptoms of sinusitis, please contact us at (920) 734-7181 to schedule an appointment to discuss your options.

Nosebleeds can be messy and even frightening, but most nosebleeds are not serious and can be handled easily. More than 90 percent of nosebleeds are anterior, meaning they come from the blood vessel in the front part of the nose. Posterior nosebleeds that come from the back of the nose are rare and typically only affect older people. This type of nosebleed is more complicated to stop and usually requires a visit to the doctor or hospital.

You should seek immediate medical attention if the nosebleed last longer than 10 minutes, is accompanied by dizziness, you are coughing or vomiting blood, or you have a rash or fever. If you or someone you care for has problems with nosebleeds, please contact us at (920) 734-7181 to schedule an appointment.

Sinus surgery is a surgical procedure that can improve sinus drainage by removing any blockages and draining the remaining mucous. This can be part of the treatment plan for patients with chronic sinusitis.

Sinus procedures include endoscopic surgery and sinus surgery. Endoscopic surgery uses a lighted tool called an endoscope. This scope is inserted through the nose so your doctor can see the blockage and remove it. Traditional sinus surgery, which is used to treat sinusitis, requires your doctor to make an incision to remove the tissue that is blocking the sinus.

This surgery is typically performed on an outpatient basis. After the surgery, the nose may be packed with gauze to absorb blood and other drainage. Certain activities may need to be avoided for a few days.

Balloon Sinuplasty is safe, effective and requires no cutting of the nasal bone or tissue. A balloon is inserted into the blocked up sinus and inflated. Saline is sprayed into the newly opened sinus to clear out any pus or mucus that has built up. The balloon is then deflated and removed, leaving behind an open sinus. This procedure can be completed in the comfort of our office and has received high patient satisfaction.

If you or someone you care for is suffering from sinus problems, please contact us at (920) 734-7181 to schedule an appointment.

Snoring and sleep apnea are sleep disorders. Snoring is a common condition that affects about half of all adults. It occurs when air flow through the nose and mouth is obstructed. This causes the airway tissue to vibrate and make the snoring sound. This condition disturbs sleep patterns and prevents adequate sleep.

Symptoms include noise during sleep, excessive daytime sleepiness, difficulty concentrating, morning headaches, sore throat, restless sleep, very loud snoring, and waking up choking or gasping. There are many factors that can cause snoring. It can also be a sign of a more serious medical condition called sleep apnea.

Sleep apnea is a sleep breathing disorder that affects 1 in every 15 Americans. It occurs when a person experiences one or more pauses in their breathing or shallow breathing while asleep. These pauses can last only a few seconds to a few minutes. Generally, breathing begins again and is sometimes accompanied by snorting or choking.

The types of sleep apnea are:

Obstructive Sleep Apnea is caused by a blockage of the airway usually when the soft tissue in the rear of the throat collapses and closes during sleep.

Central Sleep Apnea is caused when the brain fails to signal the muscles to breathe.

Symptoms include loud snoring, episodes of breathing pauses during sleep, abrupt awakenings accompanied by shortness of breath, waking with a dry mouth or sore throat, morning headache, difficulty staying asleep, excessive daytime sleepiness, attention problems and irritability. Sleep apnea may lead to serious complications such as daytime fatigue, high blood pressure or heart problems, type 2 diabetes, metabolic syndrome, stroke or liver problems.

Depending on the diagnosis, your doctor may suggest one of many treatments. Treatments that may help snoring include losing weight, avoiding alcohol, staying hydrated and changing your pillow or sleep position. Sleep apnea may require more advanced treatments such as continuous positive airway pressure (CPAP), expiratory positive airway pressure (EPAP) or an oral appliance.

If you are experiencing snoring or sleep apnea, it’s important to see a doctor. Primary care physicians or sleep specialists such as otolaryngologists (ear, nose and throat specialists) can help you evaluate your symptoms and provide you with a diagnosis. It may be necessary to do a sleep study overnight in a lab or at home with special equipment. Please contact us at (920) 734-7181 to schedule an appointment if your or someone you care for has symptoms of snoring or sleep apnea.