Nasal and Sinus Surgery in Jacksonville
North Florida Sinus Center offers unique surgical expertise focusing on the treatment of numerous conditions affecting the nose, and sinuses including surrounding structures along the skull base, in addition to the surgical treatment of upper airway disorders spanning from voice and breathing difficulties to obstructive sleep apnea. This unique offering of surgical expertise and outcomes makes us unique in the community and keeps us busy. We frequently perform collaborative surgeries often in conjunction with other specialties, spanning neurosurgery and thoracic surgery. Please call to schedule a consultation to discuss your symptoms and the treatment options.
Below is a list of clinical/surgical interests and expertise (also includes non-surgical office-based
procedures)
Surgery for sinus and nasal disorders:
Endoscopic Sinus Surgery: Open and endoscopic treatments, including extensive experience with revision surgeries, for various chronic sinonasal conditions (chronic sinusitis, polyposis, allergic fungal sinusitis/inverted papilloma)
In-office procedures including: balloon sinuplasty, polypectomy, eustachian tube balloon dilation, lysis of adhesions, Latera® implant, Inferior turbinate ablation
Piezosurgery: A relatively new technology helps address this challenge by generating sound waves and small vibrations to remove bone. This technology is called piezosurgery or ultrasonic bone aspiration
Endoscopic surgery for blocked tear ducts and orbital decompression for Grave’s related eye disease:
Endoscopic treatment of thyroid eye disease (proptosis), medial and inferior orbital decompression
Endoscopic treatment of blocked tear duct (Dacryocystorhinostomy procedure)
Endoscopic orbital/optic nerve decompression
Multi-level surgery for obstructive sleep apnea:
Nonsurgical/office treatments for Obstructive Sleep Apnea (OSA): Injection snoreplasty, Palatal implants (Pillar Implant©), Latera® implant, Somnoplasty of the tongue/palate/inferior turbinate
Trans-Oral Robotic Surgery: A new and promising use for moderate to severe obstructive sleep apnea. In these cases, Trans-Oral Robotic Surgery is used to reduce the size of the tongue and the back of the throat to improve airflow and breathing. Compared with traditional open surgical options, Trans-Oral Robotic Surgery provides improved visualization and access to such difficult-to- access areas. This often translates into less pain and swelling after the surgery.
Uvulopalatopharyngoplasty (UPPP)
Midline/partial glossectomy
Genial tubercle advancement
Genioglossus advancement
Endoscopic supraglottoplasty/epiglottopexy
Hyoid myotomy/hyoid suspension – Airlift® procedure
Radiofrequency ablation of soft palate/tongue base
Inspire® procedure
Expanded Rhinologic & anterior cranial/skull base surgery:
Skull Base Surgery: Expanded endonasal endoscopic approaches for management of benign and malignant sinonasal and anterior skull base tumors: paranasal/orbital/petro-clival/cribriform/planum/pterygopalatine fossa and other similar approaches
Reconstruction of anterior skull base defects (post-surgical/traumatic/idiopathic)
Cerebrospinal fluid leak (brain fluid leak from the nose)
Management of encephaloceles or meningoencephaloceles (brain herniation into the nose/sinus cavity)
Surgery for upper airway disorders
(Tracheal stenosis, laryngeal stenosis, cricoarytenoid joint fixation, vocal cord paralysis, stridor, tracheostomy dependence, aphonia):
Open and endoscopic CO2-laser assisted arytenoidectomy/epiglottiplasty
Endoscopic management of laryngotracheal airway stenosis
Cervico-thoracic approach to tracheal resection
Tracheoplasty: laser/balloon-assisted dilation & stenting
Endoscopic view of the trachea showing tracheal narrowing (stenosis) Cricoid split & slide tracheoplasty, tracheal reconstruction
Other focused surgical expertise:
Trans-Oral Robotic Surgery (TORS) trained and certified
Sialensocopy
Open and endoscopic management of Zenker’s diverticulum
Vagus nerve stimulator for intractable seizure disorders
The Florida Skull Base Center® is a dedicated new program offered by the North Florida Sinus Center© to the greater community in the North Florida and surrounding region.
The team is comprised of a select group of subspecialists working in unison to manage a variety of complex conditions affecting the skull base. The combined knowledge and experience of this multidisciplinary team of subspecialists makes it unique to the south eastern region and among a few in the country to offer such focused specialized services.
Other focused surgical expertise:
- Trans-Oral Robotic Surgery (TORS) trained and certified
- Sialoendoscopy
- Open and endoscopic management of Zenker’s diverticulum
- Vagus nerve stimulator for intractable seizure disorders
What is minimally invasive surgery?
Over the years, technologic advances have allowed surgeons to perform certain operations through smaller incisions which translates to less damage to surrounding normal structures, incisions and scars (if any), less pain and shorter recovery times. When surgery is needed patients may not all be given such options as they may not be available depending on the institution. At the skull they center at Baptist Health Jacksonville we have the ability to remove many skull base tumors by avoiding any incisions that may lead to unwanted pain, scars or disfigurement. Many tumors are accessed and removed through the nose.
What conditions would we treat?
- Benign and malignant anterior, mid and lateral skull base tumors including pituitary, meningioma, esthesioneuroblastoma, squamous cell carcinoma, juvenile angiofibroma, orbital tumors and cysts, glomus tumors, acoustic neuroma, Chordoma, cholesterol granuloma, epidermoid tumors and others.
- Complex skull base vascular lesions
- Reconstruction of anterior skull base defects (post-surgical/traumatic/idiopathic)
- Cerebrospinal fluid leak (brain fluid leak from the nose)
- Management of encephaloceles or meningoencephaloceles (brain herniation into the nose/sinus cavity)
Subspecialties
- Neurovascular surgery
- Neurosurgical oncology
- Otolaryngology – rhinology – neurotology
- Oral and maxillofacial surgery
- Head and neck microvascular reconstruction
- Radiation oncology
- Medical oncology
- Neuro-radiology
- Neuro-pathology
- Neuro-ophthalmology
