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01/13/2017
By: David W.
Ear, Nose & Throat Institute - Cumming
Don't usually have the time to give reviews (unless the product/service is horrific enough to warrant warning others) but my own recent visits and procedures have been so unusually pleasant and complication-free, I thought to add those to the mix here.To say I'd suffered from chronic sinusitus for many years really doesn't do justice to my situation.Congenital defects with the eustation tubes and related structures preventing proper airflow and circulation, chronic inner ear infections since age 4 resulting in perforated eardrums and then developing seasonal/environmental allergies at around age 7 (treatments for that were limited, if even available in 1971), later a broken nose, chronic sinusitus, etc., etc., resulted in sinus cavities and adjacent drainage/airflow structures that were completely blocked, unable to drain, air unable to circulate...Over the years, the amalagm of moulde, fluids and bacterial infection grew to the point where it was going to eventually kill me via septic shock or evolve into a new life form (when your dogs growl and bare their fangs at the tissue you just wiped your nose with, you gotta know somethings not right).Just to say I've had a LOT of experience over the years having a number of surgeries, procedures, office visits, followups with a variety of doctors and offices and I have to say, the latest procedure I had done with Dr. Alvarez, the followups, etc., with his current staff at the Cumming location has been by far the smoothest I can remember and the only one of many, over the years, that have given me a 100% improvement.I don't recall every having to wait before going to the exam room, the front office staff have always been courteous from my own experience...Dr. Alvarez's PA, Hiral, is exceptionally good - the best I've ever had experience with, hands-down.
Tips & Advices
Balloon sinuplasty, or BSP, is a treatment for people with chronic or recurrent sinusitis. It's a safe, noninvasive and highly effective procedure that is becoming more common among ENTs. To perform BSP, the doctor inserts a small, flexible catheter into the sinus passageway. Next, the catheter is expanded, as like a balloon, to open up the cavity and allow built-up mucus to drain. This also widens the sinus cavity and restructures it to discourage further blockage after the procedure is completed. Then, a saline solution is sprayed into the cavity to wash out any remaining pus or mucus. Finally, the balloon is removed. Most patients find they experience fewer sinus-related symptoms and little to no device-related complications following the procedure.
For basic cases, a decongestant or saline nasal wash can treat sinusitis. A doctor can prescribe these or recommend an over-the-counter remedy. If the sinusitis persists for more than three days, further treatment should be sought. In other cases, a doctor may prescribe antibiotics or steroids. These often are taken over the course of 10 days to two weeks. Warm, moist air, such as that created by a vaporizer or a bowl of hot water, may also treat chronic sinusitis.
Pressure in the ears, also called ear barotrauma, is caused by blockage in the Eustachian tube, which spans from the rear of the nasal cavity to the middle of the ear space. Ear barotrauma is most commonly caused by altitude changes, as in plane rides, scuba diving, or hiking or driving through the mountains.
There are many causes of hoarseness. Common causes include:
  • Acute laryngitis
  • Smoking
  • Excessive use or strain on the vocal chords
Tonsils are two soft, small tissue masses located at the back of the throat. They are a part of the lymphatic system, which helps fight infections, though tonsils don't seem to play a large role in this process. Recurrent tonsillitis (inflammation of the tonsils), which can be caused by strep throat or other infections, could mean having them removed.

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