7:30 to 8:30am: Surgery on female patient, mid-40’s. Patient had Functional Endoscopic Sinus Surgery, Septoplasty and Rhinoplasty. Patient of Asian decent and aesthetically was concerned about her wide nostrils, which were decreased during surgery.
Below is a Before/After image of an Asian female patient whom had a Rhinoplasty with Dr. Guida:
9 to 10:45pm: Surgery on male patient, mid-30’s. Patient to have Functional Endoscopic Sinus Surgery, Septoplasty and Tonsil Removal.
10:45 to 12pm: Surgery on male patient, early 50’s. Patient to have Functional Endoscopic Sinus Surgery and Septoplasty.
Q: What is new in surgical treatment of sinusitis?
Several revolutionary advances have occurred in the last decade that have improved the results of sinus surgery dramatically. Endoscopes connected to a TV monitor provide accurate and magnified views of the inside of the nose and sinuses, making surgery accurate and safe. CT scans are computerized x-rays giving detailed pictures of the nose and sinus anatomy allowing for accurate diagnosis and a “road map” during surgery. Powered nasal endoscopy is another major advance in this surgery. Using the nasal endoscope, the powered device gently shaves or debrides away the diseased, obstructive tissue under direct vision, while leaving normal tissue intact. Improved anesthesia allows the operation to be done under twilight intravenous sedation on an outpatient basis, allowing for a speedy recovery. Most often, Dr. Guida do not “pack the nose” after surgery making the recovery is much more comfortable.
7:30 to 9:15am: Surgery on male patient, 14 years old. Patient had Functional Endoscopic Sinus Surgery, Rhinoplasty and Septoplasty.
View Dr. Guida Male Rhinoplasty Before/After Images here.
9:15 to 10:30am: Surgery on male patient, 19 years old. Patient to have Functional Endoscopic Sinus Surgery and Septoplasty.
10:30 to 12:30pm: Surgery on female patient, mid 40’s. Patient to have Functional Endoscopic Sinus Surgery and Septoplasty.
GRAND ROUNDS/POST OP/FOLLOW UP/CONSULT
7:30 to 8:30am: Grand Rounds at Lenox Hill on Neurological Voice Disorders.
9 to 9:30am: Staff meeting with team. Go over schedule for the week and pending patient issues.
9:30 to 10am: Follow up with patient, female, 18 years old. Patient had a Rhinoplasty to narrow her nose and soften her profile. Patient to start college in the fall, in which she feels more confident with her new look. Often patients look to get surgery during transition times in their lives, such as starting college.
According to WebMD a rhinoplasty, or a nose job, is most commonly requested by teenagers. Rhinoplasty cannot be performed on teens as they are still growing, in which the average starting age is 15 years old. The American Society of Plastic Surgeons (ASPS) statistics indicate that almost 219,000 cosmetic procedures were performed on teens ages 13-19 in 2010. Nearly half, or 35,000, of those procedures were cosmetic rhinoplasty surgeries.
11:15 to 11:45am: Follow up with patient, female, 36 years old. Patient had a Functional Endoscopic Sinus Surgery, Rhinoplasty and Septoplasty. She is extremely confident about her new look and is breathing better when she exercises.
All three of these procedures are often performed at one time, in which the average time for surgery is around 90 minutes.
11:45 to 12:15pm: A new consultation with a female patient regarding Sinus Infection. Upon inspection Dr. Guida found many Nasal Polyps in her nose. She developed asthma a few years again, which was a result of the polyps. The polyps cause a post nasal drip, which in turn results in wheezing. Image guided Sinus Surgery is required to remove the polyps, as well as cleaning out her sinuses as she has a severely deviated septum.
More than 37 million Americans suffer from at least one episode of acute sinusitis each year. Do you think that you may have Sinusitis? Take this survey from the America Academy of Otolaryngology to see if your symptoms may be a sign of such an infection.