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Given the long list of possible causes of sinusitis, it can sometimes be quite challenging figuring out the exact cause in each particular case. I spend a lot of time with my patients asking questions that can help me narrow down the possible causes and when combined with examination findings, we can often get a much better idea of the cause and possible treatment options. Depending on the findings, further testing might be recommended as well. For instance, a CT scan of the sinuses and allergy testing. As a specially trained sinus and nasal specialist, I carefully examine my patients’ nasal and sinus cavities using a simple procedure called Diagnostic Nasal Endoscopy – right in the office. First, we place a low reactive, safe topical non-injectable spray in the nose to provide a numbing effect and to decongest the nasal tissue. Then, a small sized rigid nasal endoscope attached to a state-of-the art camera is carefully guided into the nasal cavity and sinuses. The entire exam lasts a few minutes – depending on the findings – and gives us an abundance of information with minimal discomfort. With this specialized exam, I can tell if a patient has anatomical issues, inflammation, infection, and nasal polyps, for example. It’s a crucial part of the diagnostic process and all of the findings are recorded to play back and share with my patients so they have a better understanding of what is going on and what treatments are available. This is really what separates a sinus specialist like myself from other physicians. The diagnostic nasal endoscopy is the cornerstone to formulating an accurate diagnosis and an individualized treatment plan in the vast majority of cases, and it allows me to assess the response to treatments being used.
