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Sinus Disease

Dr. Rosner has performed over a thousand successful sinus surgeries. He is a fellow of the American Rhinologic Society and has a special interest in minimally invasive and minimally painful sinus surgeries. Most surgeries are performed endoscopically and do not require packs or splints, greatly reducing discomfort after surgery. Treatment of immune and sleep disorders may prevent the need for surgery. Treatment of chronic inflammation is an important part of treating sinus disease. Chronic inflammatory chemicals, called leukotrienes, need to be treated aggressively to control symptoms. These chemicals have a half-life of 18 days, so treatment must last long enough to reverse the inflammation.

Sinus disease symptoms include:

  • Infection or pus
  • Congestion or stuffiness
  • Sinus pain
  • Drainage
  • Congestion or stuffiness
  • Sinus pain

Medical management of sinusitis includes:

  • Antibiotics
  • Saline rinses
  • Steroid sprays, pills, and shots, allergy management
  • Dissolving steroid stents placed in the office or operating room
  • Immune evaluation, pneumonia vaccines

Sleep evaluation: Many patients with chronic sinusitis have undiagnosed narcolepsy (vivid dreams, dreaming during naps, sleep paralysis, waking up tired).

Dr. Rosner has done research showing a marked reduction in upper respiratory infections and sinusitis in patients diagnosed and treated for narcolepsy.