Unveiling the Top 5 Public Stomatology Departments for Nasal Base Elevation Surgery in New York City
New York City, a bustling metropolis, is renowned for its world - class medical facilities. When it comes to nasal base elevation surgery, the right stomatology department can make all the difference. In this article, we'll explore the top 5 public stomatology departments in the city, delving into their services, expertise, and what sets them apart.
1. Cangello Plastic Surgery
Overview
Cangello Plastic Surgery is a leading name in the field of rhinoplasty in New York City. Dr. Cangello, the preeminent rhinoplasty surgeon at this facility, offers customized treatment plans and transformative results. With decades of experience, he has honed his skills to create noses that are both functionally superior and cosmetically beautiful.
Nasal Base Reduction
Nasal base reduction, or alarplasty, is a significant part of their services. It refers to a rhinoplasty technique aimed at narrowing the alar base of the nose when it is excessively wide for the face. The alar base plays a crucial role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can lead to a nose that looks bottom - heavy, which is a concern for many patients seeking this surgery.
Dr. Cangello assesses each patient's unique nasal anatomy, including the anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the soft tissue and skin that envelope the nose. These elements all contribute to the overall appearance of the nasal base and its width. Based on this assessment, he determines the optimal surgical technique.
There are three main surgical techniques used in nasal base reduction:
- Alar Wedge Excision: Also known as the weir incision, this is the preferred technique for minimizing excessively flared ala to reduce the wide nasal base from the frontal appearance. It removes wedge - shaped pieces of tissue from the nasal flare while sparing an incision in the nostrils. This approach helps avoid over - straightening of the ala and preserves the natural curvature of the ala.
- Nasal Sill Excision: Typically used in the correction of enlarged nasal sill width along with excessive flare in the ala. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged.
- V - Y Advancement: Used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, this technique is rarely performed as it will leave a scar on the face.
The benefits of nasal base reduction surgery at Cangello Plastic Surgery include refining and improving the overall appearance of the nose, improving facial symmetry and balance, enhancing self - confidence, decreasing the size of the nostrils, reducing nostril flare, and providing long - lasting results.
Nasal base reduction at Cangello Plastic Surgery is a fairly common procedure with minimal risks when working with an experienced surgeon like Dr. Cangello. If performed alone (without concomitant rhinoplasty), it can be performed under local anesthesia only. The recovery time is roughly one to two weeks, with patients experiencing some swelling and redness immediately after surgery, which gradually subsides. Any stitches are typically removed one week after surgery, and full recovery takes approximately one month.
2. Mount Sinai - New York
Rhinology and Sinus Surgery Services
Mount Sinai's division of rhinology, sinus surgery, and allergy is at the forefront of treating a wide range of nasal and sinus diseases. Their fellowship - trained surgeons are experts in endoscopic sinus and skull base surgery, inflammatory sinus surgery, and all nasal obstruction surgeries. The multidisciplinary team also includes experts dedicated to the medical treatment of allergies.
They treat conditions such as acute and chronic sinusitis, nasal polyps, nasal obstructions, and nosebleeds (epistaxis), among others. Starting with the initial visit, they factor in the patient's symptoms, medical history, and concerns to make a thorough and accurate diagnosis and develop a precise treatment plan tailored to the patient's lifestyle.
Treatment Approaches
At Mount Sinai, they focus on maximizing the medical management of hard - to - treat sinusitis cases, using surgery as a last resort. 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. This treatment allows for the direct delivery of steroid therapy to the sinus cavity while decreasing the degree of systemic steroid absorption.
For cases that require surgery, they use minimally invasive techniques to effectively treat sinus disease and minimize 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 uses endoscopic techniques to maximize the opening of the frontal sinuses and their communication to the nasal cavity, enabling effective delivery of topical irrigation therapy to the frontal sinus and easy access in an office setting.
Research and Clinical Trials
Physicians and researchers at Mount Sinai are actively investigating endoscopic sinus surgery to improve results for their patients. Select patients have the option to participate in prominent rhinology clinical trials, including studies on alternative sinusitis treatments for those who have failed on traditional therapies, virtual reality, and reducing the recurrence rate of nasal polyps.
3. NYU Langone Health - Anterior Skull Base Surgery Center
Expertise and Recognition
The Anterior Skull Base Surgery Center at NYU Langone Health is a leader in treating tumors in the sinuses, nose, pituitary gland, or the frontal lobes of the brain. U.S. News & World Report’s “Best Hospitals” ranks NYU Langone the no. 1 hospital in the nation for neurology and neurosurgery.
The program is led by Dr. Chandra Sen and Dr. Richard Lebowitz, who have a combined 40 years of experience specifically focused on using anterior skull base surgery to remove tumors such as meningiomas, pituitary tumors, craniopharyngiomas, juvenile angiofibromas, chordomas, and esthesioneuroblastomas. They also treat patients with non - tumorous conditions, such as cerebrospinal fluid fistulas and mucoceles, performing more than 100 such procedures each year.
Surgical Approaches
The center's team includes neurosurgeons and otolaryngologists. They offer two main surgical approaches: open craniotomy and endoscopic endonasal surgery. The craniotomy approach requires opening the skull to perform surgery, which creates visible incisions and generally requires a longer hospital stay and recovery time.
Many patients qualify for a less invasive approach: endonasal endoscopy. Instead of opening the skull to access the tumor, a tiny camera attached to a long, thin, lighted tube is inserted into the nasal and sinus cavity to relay images of the tumor site to a television screen. The neurosurgeon then inserts small tools through the nasal cavity and removes the tumor using those images as a guide. This minimally invasive approach means no visible scarring, and many patients can return to work within two to six weeks.
Patient Care
During the first visit, the team reviews the patient's symptoms, imaging studies such as CT and MRI scans, and other pertinent test results to assess the best treatment approach. Depending on the specific problem, the surgeon refers the patient for consultation with other members of the healthcare team, including otolaryngologists, endocrinologists, neuro - ophthalmologists, and neuro - oncologists. The neurosurgery nursing team specializes in caring for patients after brain surgery. If follow - up cancer treatment is required, patients are connected with NYU Langone’s Laura and Isaac Perlmutter Cancer Center, and for help with walking or balance after surgery, the experts at NYU Langone’s renowned Rusk Rehabilitation can assist.
4. New York - Presbyterian - Rhinology and Endoscopic Skull Base Surgery Fellowship
Training and Expertise
The Rhinology and Endoscopic Skull Base Surgery Fellowship at New York - Presbyterian combines the clinical, surgical, and research expertise of the outstanding rhinology faculty at New York - Presbyterian/Weill Cornell Medical Center and New York - Presbyterian/Columbia University Irving Medical Center. The one - year program provides training under the mentorship of four highly skilled, fellowship - trained rhinologists and skull base surgeons: fellowship program co - directors Abtin Tabaee, MD, and Ashutosh Kacker, MD, and rhinology fellowship faculty David A. Gudis, MD, and Aaron N. Pearlman, MD.
These experts bring an exceptional level of experience and expertise to the training of fellows in the management of diseases and disorders affecting the nasal cavity, paranasal sinuses, and anterior skull base. The field of rhinology has evolved rapidly, with the introduction of the rigid endoscope in the 1950s being a pivotal moment. Since then, technology, research advances, and improvements in imaging have led to the rapid development of endoscopic surgical techniques.
Multidisciplinary Approach
The program offers a multidisciplinary approach to training and education. Fellows spend time with multiple experts in the operating room and in the office, enabling them to receive a comprehensive clinical, surgical, and academic experience. The different experts at the two distinct hospital centers (Weill Cornell and Columbia) draw from different patient populations and complement each other in various procedural aspects. This diversity allows fellows to see the full breadth of the field handled in different ways.
Research Opportunities
Research is a key component of the program. Fellows actively participate in clinical projects and scholarly activities. The majority of the experience targets clinical research, but collaborative opportunities exist for basic science and translational research at both Weill Cornell and Columbia. For example, Dr. Pearlman's research focuses on chronic inflammatory disease of the nose and paranasal sinuses, and he is collaborating with a fellow on a study to look at differences in commonly used medicated stents in the immediate postoperative setting for sinus surgery.
5. Healthgrades - Best Sinus Surgery Doctors in Brooklyn
Top Doctors and Their Expertise
Healthgrades has identified many top doctors in Brooklyn who perform sinus surgery. When determining the top options, they look at a combination of experience, satisfaction ratings, hospital quality scores, distance, and appointment availability.
Doctors like Dr. Isaac Namdar, Dr. Andrew Tassler, Dr. David Gudis, and others are among the highly rated professionals. Dr. Namdar completed his undergraduate studies at the State University of New York at Stony Brook and was accepted into Manhattan Eye, Ear, and Throat Hospital for training. He is on staff at Mount Sinai Morningside. Dr. Tassler is a specialist in all aspects of head and neck cancer surgery, with expertise in the diagnosis and treatment of benign and malignant tumors of the head and neck.
Dr. David Gudis is dual - fellowship trained in rhinology: advanced endoscopic sinus and skull base surgery and in pediatric otolaryngology. He treats the full spectrum of sinonasal disorders in both adults and children as well as the full spectrum of pediatric otolaryngology. The doctors in this list have an average rating of 4.3 stars, which is higher than the national average of 4.1 stars, indicating a high level of patient satisfaction.
Comparison of the Top 5
| Department | Specialty | Unique Services | Recovery Time | Patient Rating |
|---|---|---|---|---|
| Cangello Plastic Surgery | Nasal base reduction, rhinoplasty | Customized treatment plans, multiple surgical techniques for nasal base reduction | 1 - 2 weeks initial, 1 month full | N/A (known for surgical excellence) |
| Mount Sinai - New York | Rhinology and sinus surgery | Dissolvable steroid implants, minimally invasive sinus surgery | Depends on the procedure | N/A (well - regarded for research and treatment) |
| NYU Langone Health - Anterior Skull Base Surgery Center | Anterior skull base surgery for tumors | Endonasal endoscopy for minimally invasive tumor removal | 2 - 6 weeks for endoscopic approach | Top - ranked in neurology and neurosurgery |
| New York - Presbyterian - Rhinology and Endoscopic Skull Base Surgery Fellowship | Rhinology and endoscopic skull base surgery training and treatment | Multidisciplinary training approach, research opportunities | N/A | N/A (known for educational and clinical excellence) |
| Healthgrades - Best Sinus Surgery Doctors in Brooklyn | Sinus surgery | Experienced doctors with high patient satisfaction | Depends on the procedure | Average 4.3 stars |
Conclusion
New York City is home to some of the best public stomatology departments for nasal base elevation and related surgeries. Each of the top 5 departments discussed in this article offers unique services, expertise, and treatment approaches. Cangello Plastic Surgery stands out for its specialization in nasal base reduction and rhinoplasty, providing customized solutions with experienced surgeons. Mount Sinai focuses on comprehensive rhinology and sinus surgery, offering novel treatments and conducting research. NYU Langone Health excels in anterior skull base surgery for tumors, with advanced minimally invasive techniques. New York - Presbyterian provides excellent training and treatment in rhinology and endoscopic skull base surgery through its fellowship program. And the top sinus surgery doctors in Brooklyn, as identified by Healthgrades, offer high - quality care with high patient satisfaction.
If you are considering nasal base elevation surgery or related procedures, it is essential to research each department thoroughly, consult with the experts, and make an informed decision based on your specific needs. Don't hesitate to take the next step and schedule a consultation with one of these top - notch facilities to start your journey towards improved nasal health and appearance.
