Paste your Google Webmaster Tools verification code here

Nose & Sinus Issues

Hereditary Hemorrhagic Telangiectasia

by Dr. Jason Hamilton
Thumbnail image for Hereditary Hemorrhagic Telangiectasia

Early Diagnosis of Nasal Mucosal Telangiectasias HHT Overview Hereditary Hemorrhagic Telangiectasia (HHT) is a hereditary disorder characterized by abnormal clusters of fragile capillaries that bleed with minimal agitation. Telangiectasias, commonly involve the nasal mucosa causing recurrent nosebleeds that may be severe enough to require hospitalization, surgical cauterization as well as blood and/or iron transfusions. Although […]

Read the full article →

Hereditary Hemorrhagic Telangiectasia: Septal Perforation and Nose Bleeds

by Dr. Jason Hamilton
Thumbnail image for Hereditary Hemorrhagic Telangiectasia: Septal Perforation and Nose Bleeds

Hereditary Hemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Disease, is a genetic disease that is characterized by the aberrant overgrowth and proliferation (dysplasia) of vascular tissue known as telangiectasias and arteriovenous malformations (AVMs). Because these newly formed vascular tissues are located at incorrect locations and improperly formed, they are prone to bleeding and in some […]

Read the full article →

Hereditary Hemorrhagic Telangiectasia: Epistaxis and Septal Perforation

by Dr. Jason Hamilton
Thumbnail image for Hereditary Hemorrhagic Telangiectasia: Epistaxis and Septal Perforation

Diagnosis and Treatment of Epistaxis: Preventing Septal Perforations HHT Overview Hereditary Hemorrhagic Telangiectasia (HHT) is a hereditary disorder characterized by abnormal clusters of weak bulging capillaries that bleed with little to no trauma or insult. They most commonly affect the nasal mucosa, but also involve the gut, skin, brain and lungs as well. Clinically patients most commonly […]

Read the full article →

Wegener’s Granulomatosis: Autoimmune Disease and Multi-Focal Septal Perforation

by Dr. Jason Hamilton
Thumbnail image for Wegener’s Granulomatosis: Autoimmune Disease and Multi-Focal Septal Perforation

Achieving Successful Septal Perforation Repair Background Autoimmune disorders are characterized by autoantibodies directed against the patient’s body instead of external pathogens (i.e. viruses, bacteria, etc.). In Wegener’s granulomatosis autoantibodies attack small blood vessels throughout the body, causing swelling and ultimately small inflammatory nodules called granulomas. Granulomas slow blood flow and eventually cut off vital oxygen […]

Read the full article →

Have You Heard of Wegener’s?

by Brendan Yoon
Thumbnail image for Have You Heard of Wegener’s?

Wegener’s Granulomatosis is a fairly uncommon autoimmune disorder in which small arterial blood vessels are attacked by the body, restricting blood flow to various organs. This ultimately results in scar tissue and organ injury. Autoimmune disorders are conditions in which the body inflicts harm onto itself, thinking the targeted area is harmful and foreign. Wegener’s […]

Read the full article →

What is the Best Imaging Study to Evaluate a Broken Nose?

by Dr. Hootan Zandifar
Thumbnail image for What is the Best Imaging Study to Evaluate a Broken Nose?

Case Study The patient is a 29-year-old female who sustained a fall and injury to her face. She was seen in the emergency room and was noted to have a swollen face and nose with nose bleed. She was diagnosed with a suspected nasal bone fracture and referred for evaluation. She was seen in office […]

Read the full article →

Mega-perforation: Pushing the Limits of Septal Perforation Repair

by Dr. Jason Hamilton
Thumbnail image for Mega-perforation: Pushing the Limits of Septal Perforation Repair

CLINICAL CHALLENGE We have coined the term ‘Mega-perforation’ to refer to a septal perforation that approaches the limits of reparability. Typically perforations greater than 3.0-3.5cm and/or greater than 75% of the anterior septum size fall into this category. MANAGEMENT CONSIDERATIONS The “watch and wait” approach to managing septal peforations is typically the wrong approach because […]

Read the full article →

Septoplasty Complication and Septal Perforation

by Dr. Jason Hamilton
Thumbnail image for Septoplasty Complication and Septal Perforation

CLINICAL CHALLENGE Septal perforation (a hole in the nasal septum) is considered a major complication after septoplasty. Septoplasty is typically performed to correct a deviated septum in a patient who complains of nasal obstruction. In a successful case the obstruction is relieved, the septum is straight, and the patient is happy with their newfound nasal […]

Read the full article →

Nose Picking (Rhinotillexis) and Septal Perforations: Why I should stop picking my nose…?

by Dr. Jason Hamilton
Thumbnail image for Nose Picking (Rhinotillexis) and Septal Perforations: Why I should stop picking my nose…?

BACKGROUND Nose picking is one of the leading causes of epistaxis (nose bleeds) and a common cause of septal perforations (a hole in the nasal septum). Nose picking (rhinotillexis) is defined as the insertion of the finger and/or object into the nose for the purpose of removing nasal secretions, mucus, crusts and so forth. PATHOLOGIC […]

Read the full article →

Nasal Fractures, Septal Hematoma, and Septal Perforation: Simultaneous Rhinoplasty and Septal Perforation Repair

by Dr. Jason Hamilton
Thumbnail image for Nasal Fractures, Septal Hematoma, and Septal Perforation:  Simultaneous Rhinoplasty and Septal Perforation Repair

Nasal Septum Repair/Septal Perforation Surgery/Rhinoplasty CLINICAL CHALLENGE The nose is the most commonly injured facial bone. A fractured nose must be evaluated immediately for the presence of a septal hematoma (a large blot clot involving the nasal septum). If not drained promptly a septal hematoma may lead to infection, septal perforation, and long-term nasal deformity. […]

Read the full article →

Septal Perforation: Long-Term Outcomes

by Dr. Jason Hamilton
Thumbnail image for Septal Perforation: Long-Term Outcomes

Nasal Septum Repair/Septal Perforation Surgery/Nose Deformity CLINICAL CHALLENGE Septal perforation surgery is likely one of the most difficult reconstructive surgical procedures performed by a nasal reconstructive surgeon. Long-term follow-up is mandatory to insure that the perforation heals well without complications. MANAGEMENT CONSIDERATIONS The complexity of each case is dictated by the cormorbidities present. Patients presenting […]

Read the full article →