Nasal, Sinus, and Allergy Disorders
Mount Sinai is at the forefront of treating nasal and sinus disease, from chronic sinusitis to severe nosebleeds to squamous cell carcinoma. Through our close relationship with the Department of Medicine divisions of allergy/immunology and pulmonary medicine, as well as the departments of neurosurgery and oncology, our nasal and sinus disease program epitomizes the multidisciplinary approach necessary to address both inflammatory conditions of the nasal cavity and sinuses as well as benign and malignant tumors.
Nasal and sinus diseases we treat include:
- Acute and chronic sinusitis
- Allergic and invasive fungal sinusitis
- Allergy and immune disorders affecting the sinonasal cavity
- Autoimmune sinonasal disease
- Benign and malignant tumors of the sinonasal cavity
- Cerebrospinal fluid leaks and encephalocele treatment
- Inflammatory polyp disease
- Mucoceles of the sinuses
- Orbital and optic nerve decompression
- Protrusion of the eyeball secondary to thyroid disease
- Severe and uncontrollable nosebleeds
- Sinonasal and skull base cancer
Sinusitis (Inflammatory Sinus Disease)
Sinusitis symptoms can occur in an acute form that lasts anywhere from a few days to four weeks or a chronic form lasting several weeks to months. Common causes of sinusitis include viruses or chronic sinonasal irritation from allergy or environmental irritants, such as dust, molds, or cigarette smoke.
The Mount Sinai Program for Comprehensive Management of Nasal and Sinus Disease specializes in formulating non-surgical treatment plans for sinusitis. However, if you fail to respond to medical treatment or you suffer from recurrent sinus infections, our doctors may ultimately prescribe surgical intervention.
Cerebrospinal Fluid Leaks and Encephaloceles
Cerebrospinal fluid (CSF) leaks occur most often as a result of trauma; however, they can occur spontaneously without preceding injury. Many cerebrospinal fluid leaks that were previously considered of unknown origin are actually the result of increased intracranial pressure. CSF leaks associated with intracranial pressure may also cause brain herniations, a condition in which brain tissue, cerebrospinal fluid, and blood vessels are moved or pressed away from their usual position inside the skull.
Advanced imaging technologies such as high resolution CT scans and MRI may detect these entities at an early stage and allow proper surgical planning. Mount Sinai specializes in successfully correcting these conditions through endoscopy.
Sinonasal and Skull-Base Tumors
Mount Sinai is a leader in the management of inverted papilloma — the most common tumor affecting the sinonasal cavity. We treat inverted papillomas through surgical removal — either through endoscopy or another minimally invasive approach. In some cases, these tumors turn into squamous cell carcinoma and have a high risk of recurrence.
Other benign tumors we treat include:
- Sinonasal fibrosseous tumors, such as osteoma, fibrous dysplasia, ossifying fibroma, and chondroma
- Juvenile angiofibroma
Malignant tumors we treat include:
- Adenoid cystic carcinoma
- Squamous cell carcinoma
We present all patient cases at our weekly Head and Neck Cancer Tumor Board, where we discuss both surgical and nonsurgical care options and develop a treatment plan based on the individual patient. Endoscopic and minimally invasive approaches are used in select cases. However, in the case of malignant lesions, our priority is complete excision of the tumor if feasible.
Nasal and Sinus Disease Treatment
Mount Sinai excels in the treatment of nasal and sinus disease. We offer the following treatments for nasal, sinus, and allergy disorders:
Endoscopic Sinus Surgery
If your doctor determines that surgery is necessary, Mount Sinai specializes in minimally invasive endoscopic techniques to minimize discomfort and ensure a quick recovery.
Advances in technology enable us to manage surgical treatment of inflammatory sinus disease almost exclusively through endoscopic means. Your surgical team also has expertise in treating those cases requiring traditional, open surgery.
Endoscopic and Minimally Invasive Skull-Base Surgery
Cerebrospinal fluid leaks and encephaloceles are non-cancerous conditions whose treatment has evolved with the advent of the endoscope, an instrument used to examine the interior of a hollow organ or cavity of the body. Unlike most other medical imaging devices, endoscopes are inserted directly into the organ
Because of our multidisciplinary approach, we have developed strong relationships with our colleagues in neurosurgery and interventional radiology, who are closely involved in many of our cases. As a result, we are able to remove tumors using an endoscope and through other minimally invasive approaches. These techniques enable us to avoid facial incisions and preserve appearance.
Functional Nasal Disorders
Nasal obstruction may result from inflammatory or anatomical factors, or a combination of both. Structural changes may involve the nasal cavity proper or the external framework of the nose, including internal or external nasal valve collapse — a condition in which the side walls of your nostrils collapse as you breathe in — whether from a developmental or traumatic cause.
We treat functional as well as cosmetic disorders simultaneously with endoscopic sinus surgery and incisionless rhinoplasty techniques. This eliminates the need for multiple procedures and general anesthetics, and reduces recovery time and absences from work or school — all on an out-patient basis.
We Can Help
U.S. News & World Report ranks The Mount Sinai Health System in New York City among the top 20 hospitals in the United States for the treatment of ear, nose, and throat disease, including nasal, sinus, and allergy disorders. Please call us at 212-241-9410 to schedule an appointment.