Introduction

New York City is renowned for its top - notch medical facilities, especially in the field of otolaryngology, where minimally invasive injection of the nasal base is becoming an increasingly popular procedure. This article serves as a comprehensive guide to the hospitals in New York City that offer this service. We will explore each hospital's capabilities, expertise, and what they bring to the table for patients seeking nasal base injection treatments.

Mount Sinai - New York

Expertise in Rhinology and Sinus Surgery

Mount Sinai is at the forefront of treating a wide range of nasal and sinus diseases. Their division of rhinology, sinus surgery, and allergy disorders has fellowship - trained surgeons who are experts in various types of nasal surgeries, including those related to nasal base injection. The hospital's multidisciplinary team, which includes experts in the medical treatment of allergies, allows for a holistic approach to patient care.

For instance, when a patient presents with a nasal condition that may require minimally invasive injection of the nasal base, the team can factor in the patient's allergy history. If a patient has allergies that may affect the injection site or the overall outcome of the procedure, the allergists can provide guidance on pre - and post - treatment management.

Treatable Conditions

• Acute and Chronic Sinusitis: These conditions can cause inflammation and blockages in the nasal passages. Minimally invasive injection of the nasal base can sometimes be used as part of the treatment plan to relieve pressure and improve drainage. For example, in chronic sinusitis cases where traditional medications have not provided sufficient relief, a targeted injection at the nasal base can help reduce inflammation and promote better sinus function.
• Nasal Polyps: Polyps can obstruct the nasal airway and cause breathing difficulties. While the primary treatment for large polyps may involve surgery, minimally invasive injection techniques can be used in some cases to shrink the polyps or manage associated inflammation.
• Nasal Obstructions: Whether caused by a deviated septum, enlarged turbinates, or other structural issues, nasal obstructions can significantly impact a patient's quality of life. Minimally invasive injections can be used in combination with other treatments to alleviate symptoms and improve nasal airflow.
• Nosebleeds (Epistaxis): In some cases, the source of nosebleeds may be related to the nasal base area. A targeted injection can help to stop the bleeding or prevent future episodes by strengthening the blood vessels in the area.

Treatment Techniques

Mount Sinai's surgeons use state - of - the - art technology and employ the least invasive treatment possible for each patient. One of the novel treatments they offer is the use of dissolvable steroid implants (Propel) in patients suffering from polyp disease and severe chronic sinusitis. Although not strictly an injection, this minimally invasive approach can be used in conjunction with nasal base injections to provide comprehensive treatment.

For cases that require surgery, they use minimally invasive techniques to effectively treat sinus disease while minimizing recovery time. For example, in patients with severe frontal sinusitis who have failed multiple prior surgeries, they use a minimally invasive method called the Draf III frontal sinus procedure. This procedure can be complemented with nasal base injections to optimize the overall treatment outcome.

Research and Clinical Trials

Physicians and researchers at Mount Sinai are actively investigating endoscopic sinus surgery and other nasal treatments to improve results for their patients. Select patients have the option to participate in prominent rhinology clinical trials. Areas of study include alternative sinusitis treatments for those who have failed on traditional therapies, virtual reality, and reducing the recurrence rate of nasal polyps. Although not directly related to nasal base injections, the research can lead to advancements in the overall field of nasal treatment, which may indirectly benefit patients undergoing nasal base injection procedures.

New York Sinus & Thyroid Surgery Center

Endoscopic Sinus Surgery Expertise

Dr. Edward Shin at the New York Sinus & Thyroid Surgery Center performs endoscopic sinus surgery in NYC to help patients improve breathing function and relieve conditions such as chronic or severe sinusitis. This expertise is relevant to minimally invasive injection of the nasal base as the procedures often share the same anatomical targets.

Endoscopic sinus surgery allows sinus surgeons to see inside the nasal passages using an endoscope and real - time imaging. This high - precision imaging technology can also be used during nasal base injection procedures to ensure accurate placement of the injection. For example, if a patient has a complex nasal anatomy due to previous surgeries or congenital conditions, the endoscope can help the surgeon navigate to the exact location for the injection.

Treatable Conditions with Endoscopic Techniques

• Chronic Sinusitis: Endoscopic sinus surgery can relieve the symptoms of chronic sinusitis by removing blockages and creating space for the sinuses to properly drain. Minimally invasive nasal base injection can be used in combination with this surgery to further reduce inflammation and improve sinus function. For instance, after the removal of blockages, an injection at the nasal base can deliver anti - inflammatory medications directly to the area, enhancing the healing process.
• Nasal or Sinus - Related Growths: Such as nasal polyps, sinus tumors, or paranasal sinus mucoceles. The endoscopic technique can be used to visualize these growths, and in some cases, a minimally invasive injection at the nasal base can be used to treat associated inflammation or as an adjunct to surgery. For example, a pre - operative injection may help to shrink a small nasal polyp, making the surgical removal easier.
• Structural Issues of the Nasal Cavity: Including a deviated septum or enlarged turbinates. While endoscopic surgery can correct these structural issues, nasal base injection can be used to manage the associated swelling and inflammation. For example, after septoplasty, an injection at the nasal base can help reduce post - operative swelling and promote faster recovery.

Range of Endoscopic Sinus Surgery Techniques

The center offers a variety of different endoscopic sinus surgery techniques that can open up the sinuses and relieve symptoms. These include frontal sinusotomy, maxillary antrostomy, ethmoidectomy, sphenoidectomy, and nasal polypectomy. Although these are surgical procedures, they can be closely related to nasal base injection. For example, during a nasal polypectomy, a post - operative injection at the nasal base can be used to prevent the recurrence of polyps or to reduce inflammation in the area.

NY Allergy & Sinus Centers

Comprehensive Sinus Condition Diagnosis

NY Allergy & Sinus Centers are well - known for diagnosing most sinus conditions. Their CBCT scan allows them to view the sinuses and get digital 3D images of the sinuses and ears, which gives them instant access to the information needed to diagnose a patient's sinus condition. This detailed diagnosis is crucial when considering minimally invasive injection of the nasal base.

For example, if a patient has a sinus infection that may be affecting the nasal base area, the CBCT scan can accurately show the extent of the infection, the presence of any blockages, and the condition of the surrounding tissues. This information helps the doctors determine if a nasal base injection is appropriate and what type of injection would be most effective.

Treatable Sinus Conditions

• Acute Sinusitis: This short - term inflammation of the sinuses lasting up to 4 weeks can be caused by allergies or a viral infection. Minimally invasive injection of the nasal base can be used to deliver medications directly to the affected area, reducing inflammation and relieving symptoms more quickly. For example, if a patient has allergic acute sinusitis, an injection containing a corticosteroid can be used to target the inflamed nasal base tissues.
• Chronic Sinusitis: Long - term inflammation of the sinuses lasting longer than 12 weeks may require a more comprehensive treatment approach. A nasal base injection can be part of this treatment plan, especially if traditional treatments like nasal sprays and decongestants have not been effective. The injection can provide a more targeted and sustained release of medications to combat the chronic inflammation.
• Nasal Obstruction: Whether due to a deviated septum, enlarged adenoids, nasal polyps, or turbinate bones, nasal obstruction can be improved with a properly placed nasal base injection. The injection can help reduce swelling in the nasal tissues, improving airflow. For example, if the nasal obstruction is caused by enlarged turbinates, an injection at the nasal base can help shrink the turbinates and relieve the blockage.
• Nasal and Sinus Tumors: While most tumors require surgical intervention, a minimally invasive injection at the nasal base can be used in some cases to manage associated inflammation or to deliver certain types of medications. For example, if a patient has a non - cancerous tumor, an injection of a medication that can slow down the growth of the tumor or reduce its associated inflammation may be beneficial.

Minimally Invasive Sinus Treatment Approaches

The center strives to treat sinus conditions without using invasive procedures. For allergic sinus conditions, they treat the underlying allergies to prevent recurring sinus infections. Non - allergic sinus conditions are treated with nasal sprays and in some cases, decongestants. However, if these treatments are not sufficient, minimally invasive injection of the nasal base can be considered. The injection can be a targeted and effective way to deliver medications directly to the problem area, without the need for more invasive surgical procedures.

NewYork - Presbyterian

Leadership in Minimally Invasive Approaches

NewYork - Presbyterian's head and neck surgeons are leaders in the use of minimally invasive approaches in otolaryngology. Their expertise includes transoral robotic surgery, salivary endoscopy, and transnasal skull base surgery to remove tumors and obstructions of the salivary glands, mouth, throat, thyroid and parathyroid glands, larynx, and cervical spine. This overall experience in minimally invasive techniques can be applied to minimally invasive injection of the nasal base.

For example, the same precision and minimally invasive principles used in transnasal skull base surgery can be applied to nasal base injection. The surgeons' ability to navigate the delicate nasal and skull base anatomy using advanced techniques ensures that the injection is placed accurately and safely.

Specialized Procedures

• Pioneering Sialendoscopy: Although mainly related to the salivary glands, the high - technical nature of this procedure shows the hospital's commitment to minimally invasive techniques. The skills and technology used in sialendoscopy can potentially be adapted to nasal base injection procedures. For example, the use of small, flexible instruments and imaging techniques in sialendoscopy can be used to guide the injection needle accurately in the nasal base area.
• Expanding Ear Endoscopy: Their growing ear endoscopy program, which offers less invasive transcanal access to middle ear surgeries, also demonstrates the hospital's ability to perform minimally invasive procedures. The endoscopic techniques used in ear surgery can provide valuable insights for nasal base injection. For instance, the way the endoscope is used to visualize and access the middle ear can be translated to visualizing and accessing the nasal base for injection.
• Leaders in Skull Base Surgery: Their expertise in the use of transnasal and transoral endoscopic approaches in children and adults, leaving the patient with no visible incisions, is relevant to nasal base injection. The endoscopic techniques used in skull base surgery can be used to access the nasal base area in a minimally invasive manner, reducing the risk of complications and improving patient recovery.

City Sinus Care

Sinuva Nasal Polyp Treatment and Nasal Base Injection

City Sinus Care offers Sinuva nasal polyp treatment, which is an innovative, minimally invasive option for those with nasal polyps who have previously had ethmoid sinus surgery. This treatment is related to minimally invasive injection of the nasal base as it also focuses on treating nasal and sinus conditions in a non - surgical, less - invasive way.

The Sinuva device is a small implant that is inserted into the nasal passage and sinus cavity. Similar to a nasal base injection, it delivers anti - inflammatory medication to the affected area. While it is not an injection in the traditional sense, the concept of targeted drug delivery in the nasal and sinus area is the same. In some cases, a nasal base injection may be used in combination with Sinuva treatment to provide more comprehensive treatment for nasal polyps or other nasal conditions.

Treatment of Nasal Polyps and Associated Conditions

Nasal polyps are growths that usually form when the sinuses are chronically inflamed, contributing to nasal congestion and blocked nasal passages. The exact cause of nasal polyps is not known, but there are known risk factors such as allergies, asthma, and chronic sinusitis. Minimally invasive injection of the nasal base can be used to reduce the inflammation associated with nasal polyps, either as a stand - alone treatment or in combination with other therapies like Sinuva.

For example, if a patient has persistent inflammation at the nasal base area due to nasal polyps, a corticosteroid injection at the nasal base can help to reduce the swelling and improve nasal airflow. This can also reduce the risk of sinus infections and other complications associated with nasal polyps.

Comparing the Hospitals

Conclusion

In conclusion, New York City offers a plethora of options for patients seeking minimally invasive injection of the nasal base. Mount Sinai - New York stands out with its comprehensive rhinology services, including advanced surgical techniques and ongoing research. The New York Sinus & Thyroid Surgery Center excels in endoscopic sinus surgery, which can be closely related to nasal base injection procedures. NY Allergy & Sinus Centers provide accurate diagnosis and a range of non - invasive and minimally invasive treatment options. NewYork - Presbyterian showcases leadership in various minimally invasive otolaryngology approaches, while City Sinus Care offers innovative solutions for nasal polyps that may be combined with nasal base injection.

If you are considering a minimally invasive injection of the nasal base, it is recommended that you do further research on each hospital, schedule consultations, and discuss your specific needs and concerns with the medical teams. Share this article with others who may be interested in this topic and visit our website for more information on nasal treatments and other related medical topics.