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Advanced Sinus Treatments

Medical conditions of the nose and sinuses can drastically affect a person’s quality of life. Fayetteville Otolaryngology is staffed by fellowship-trained ear, nose, throat & sinus doctors.

Fayetteville Otolaryngology’s Advanced Sinus Center believes in a comprehensive approach to managing nasal and sinus disorders. Our surgeon are dedicated to providing the highest level of care to patients with sinus disorders, while  emphasizing comprehensive strategies that combine both medical treatments and sinus and nasal surgery.

Fayetteville Otolaryngology offers the following treatments for patients suffering from nasal and sinus disease and complications:

  • Acute and chronic sinusitis and its complications
  • Nasal polyps and allergy
  • Neoplastic disease
  • Reconstructive problems
  • Septal deformities and other problems leading to nasal airway obstruction
  • Sinus surgery after prior unsuccessful therapy

What are Sinuses?


The sinuses are small spaces that contain air, and produce mucous to cleanse the nose and upper respiratory tract. There are four sinuses located on each side of our face:

  • Maxillary Sinus
  • Ethmoid Sinus
  • Frontal Sinus
  • Sphenoid Sinus

All have sinuses have small openings to drain mucus into the nose. On average, humans produce approximately one to two liters of mucus a day, and is swallowed. However, when the sinus openings are blocked due to a swelling from a cold, virus, allergy or polyp the sinuses retain the mucus.

What is Sinusitis, and What are the Symptoms?

When mucus is trapped inside the sinuses, it can become infected with the bacteria that normally live inside the nose. This infection can cause pain pressure as the mucus fills the sinus. This pressure causes the nose to  swell, making breathing difficult and can interferes with sleep. The mucus may also drip into the throat causing sore throat, throat clearing, cough, hacking, “lump in throat” sensation and even fatigue with fevers. In some instances patients can even lose their sense of smell and taste.

Some of the main symptoms of Sinusitis can be:

  • Painful sinus pressure
  • Purulent drip
  • Nasal congestion
  • Discolored mucous
  • Inability to smell
  • Low grade fever
  • Cough
  • Phlegm in throat
  • Fatigue for greater than three month

There are three main types of sinus infections:

  1. Acute Sinus Infection – symptoms are less than three weeks in length
  2. Chronic Sinusitis – symptoms last longer than three months
  3. Acute Recurrent Sinus Infection – a form of chronic sinusitis where there are three to four episodes a year

What are the Treatments for Sinusitis?

For some patients, sinus infections simply go away by themselves. However, due to the pain and discomfort caused by this sinus condition, many people require medical treatment.

Some first line treatments for Sinusitis are:

  • Saline sprays, washes and irrigations
  • Decongestants like Sudafed to help congestion
  • Antihistamines to aid allergic symptoms

When these simple remedies fail, a visit to a sinus specialists is required to determine if antibiotics are needed to treat a bacterial sinus infection.

Sinus Procedures

If antibiotic fail-meaning the symptoms continue despite antibiotic treatments-, a CT scan of the sinuses will be ordered. Depending on the findings of the CT scan evaluation and the patient’s history of chronic sinusitis, a medical recommendation can be made.

Balloon Sinuplasty Office Procedure

Balloon Sinuplasty devices are an endoscopic, catheter-based system proven to provide relief from painful and nagging sinus symptoms.

Opening blocked sinus passageways facilitates drainage of the mucus that builds up and results in pain. When the sinus balloon is inflated it restructures and widens the walls of the sinus passageway, while maintaining the integrity of the sinus lining.

To-date Balloon Sinuplasty has helped more than 420,000 patients by dilating more than 1.1 million sinus passageways. Numerous studies and information published in leading Ear, Nose, and Throat (ENT) medical journals shows that the technology is safe and effective at providing what Fayetteville Otolaryngology’s patients need most – relief from their symptoms and an improved quality of life. No numbing injections required.

Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery is surgery performed to unblock the congested sinuses. FESS is typically reserved for patients who’ve tried antibiotics and/or have anatomical blockages leading to chronic infection.

The FESS procedure typically takes place in an outpatient facility either at the hospital, freestanding facility or doctor’s office. The recovery period following FESS is about one week; two weeks from heavy exercising.

Septoplasty (correction of deviated nasal septum)

In between each nostril, there is an internal wall made up of cartilage and bone. When this internal wall becomes crooked and blocks the nasal passages it is called a deviated nasal septum. A septoplasty is a medical procedure to correct this deviation and return the nasal passage to normal.