ADULT EAR, NOSE & THROAT AILMENTS
SINUS & ALLERGY
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Environmental Controls   Medical Therapy   Allergy Testing   Allergy Shots & Drops  
What are allergies?
Allergic rhinitis, known commonly as Hay Fever, is the inflammatory reaction of the nose and sinuses caused by exposure to airborne irritants. Since it is one of the most common illnesses in America, people often mistakenly believe that ‘everyone has allergies’ and so nothing needs to be done – this is incorrect. Patients suffer reduced quality of life and have their daily activities severely restricted, resulting in excessive time away from school or work. These are important reasons to seek treatment.

How do I know if I have allergies?
You most likely suffer from Allergic Rhinitis if you have a history of chronic sinus problems and/or exhibit these symptoms:
  • Stuffy nose
  • Runny nose
  • Sneezing
  • Post-Nasal Drip
  • Chronic Cough
  • Chronic Sore Throat
  • Sinus Pressure
  • Ear Blockage
  • Itchy, watery Eyes

  • How are the Sinuses and Hayfever Allergies Related?
    The sinuses are air-filled cavities within the bony confines of the skull whose purpose has yet to be defined. Their delicate mucosal surface is highly susceptible to the inflammation caused by allergic reactions to outside irritants – dust, mold, pollen, pet dander, chemicals, smoke, etc. When the tissues lining the sinus become swollen, known as Sinusitis, fluid begins to collect instead of draining naturally. The end result is facial pressure, nasal drainage, and with enough time to allow bacterial overgrowth, infection.

    What is Sinusitis?
    Rhinosinusitis is the preferred term describing inflammation of the nasal passage and one or more of the paranasal sinuses. Acute Sinusitis is swelling and irritation lasting less than 4 weeks, while Chronic Sinusitis symptoms last more than 12 weeks. It is important to realize that every bout of Sinusitis is not an infection. Allergy and environmental irritants play a huge role in causing sinus ailments, so blindly treating every episode with antibiotics is not the correct solution.

    Do I Have Sinusitis?
    If you experience any of the following symptoms, you most likely are suffering from sinusitis:
  • Nasal congestion
  • Nasal discharge
  • Postnasal drip
  • Facial pressure or pain
  • Decreased sense of smell
  • Cough
  • Fever

    Dr. Brodner does not rely merely on symptoms to make a diagnosis; instead, he uses evidence-based medicine to accurately identify the source of your sinus problem. Endoscopy (a tiny camera gently placed within the nose) allows him to examine the inside of your nose and sinuses to assess for polyps, growths, or a deviated septum. Using cultures to evaluate problem areas allows Dr Brodner to definitively determine the presence of infection – identifying not only specific bacteria, but also the antibiotics to which they are susceptible. Using the latest in low-radiation CT scan technology, a complete analysis is performed by obtaining detailed images of your individual sinonasal anatomy. All of this information is utilized by Dr Brodner to remove any guess-work and create a personalized treatment plan – allowing you to feel better more quickly without the hassle and expense of multiple doctor visits and medications.

  • How Will Dr. Brodner Treat My Sinusitis?
    Recurrent sinusitis and chronic sinusitis can cause long-term symptoms that can negatively impact a person’s quality of life. Dr. Brodner will use Medical Therapy to resolve your sinus issues:
  • Saline irrigations (cleansing and mucus-thinning)
  • Nasal steroid sprays (anti-inflammatory)
  • Oral mucolytics (mucus-thinning)
  • Culture-directed antibiotics (ONLY if needed)
  • Allergy Evaluation  and Treatment  (addressing the source of your problem, not just the symptoms)


  • If maximum medical therapy fails to resolve your symptoms, Functional Endoscopic Sinus Surgery (FESS) can be an effective cure. As with all maladies, Dr. Brodner reserves surgical intervention as the treatment of last resort.

    Sinus Diagrams (click to enlarge)

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