Introduction
In New York City, the demand for minimally invasive nasal root stent implantation is on the rise. Patients are increasingly seeking out these procedures due to their reduced invasiveness, shorter recovery times, and potential for better outcomes. This article will explore several hospitals in New York City that are well - equipped to arrange for such procedures, their unique features, and the benefits they offer.
What is Minimally Invasive Nasal Root Stent Implantation?
Minimally invasive nasal root stent implantation is a procedure that involves placing a stent in the nasal area to address various nasal conditions. A stent is a small, expandable tube that can help keep the nasal passages open, improve airflow, and alleviate symptoms such as congestion, difficulty breathing, and recurrent sinus infections. This approach typically uses specialized instruments and techniques to make the implantation with smaller incisions or through natural orifices, reducing the trauma to the patient's body compared to traditional open - surgery methods.
Hospitals in New York City for Minimally Invasive Nasal Root Stent Implantation
Mount Sinai
Overview
Mount Sinai has been a leading institution in the management of head and neck disease for nearly half a century. It has multiple centers and divisions dedicated to advanced surgical techniques, including minimally invasive procedures for the ear, nose, and throat (otolaryngology) – head and neck surgery.
Robotic and Minimally Invasive Techniques
- Robotic Surgery: Mount Sinai surgeons use robotic surgery for some patients to treat head and neck tumors and sleep apnea without creating external incisions. In transoral robotic surgery (TORS), a surgeon sits at a console directly controlling a robotic arm that extends a small surgical instrument through the patient's mouth. With a high - powered 3 - D camera, surgeons can see the surgical field better, allowing for greater dexterity and surgical precision. Although TORS is mainly used for head and neck tumors and sleep apnea, the advanced technology and surgical skills developed here can be relevant to nasal procedures as well. For instance, the ability to precisely navigate and operate in small spaces can be transferred to the nasal area for stent implantation.
- Endoscopic and Minimally Invasive Surgery: The head and neck surgical center at Mount Sinai is highly skilled at using advanced, minimally invasive techniques to remove tumors of the larynx, pharynx, thyroid, parathyroid, and skull base while preserving voice and swallowing capabilities. Using an endoscope (a thin, lighted instrument) inserted into the nose, doctors can peer into the body and use surgical instruments along with it to remove tumors or perform other procedures without cutting through the skin. Skull - base tumors can also be removed through minimally invasive and endoscopic techniques. These same endoscopic techniques can be adapted for nasal root stent implantation, allowing for a more targeted and less invasive approach.
Treatment of Nasal and Sinus Conditions
Mount Sinai’s division of rhinology, sinus surgery, and allergy is at the forefront of treating the full range of nasal and sinus disease, ranging from severe nosebleeds and chronic sinusitis to advanced sinus cancers. For cases that require surgery, they use minimally invasive techniques to effectively treat sinus disease while minimizing recovery time. 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 these are not exactly stents, the experience in placing implants in the nasal area can translate to expertise in stent implantation. 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, which uses endoscopic techniques that maximize the opening of the frontal sinuses and their communication to the nasal cavity. This demonstrates their proficiency in using minimally invasive approaches to improve nasal and sinus conditions, which is relevant to nasal root stent implantation.
Montefiore Medical Center
Montefiore Institute for Minimally Invasive Surgery
The Montefiore Institute for Minimally Invasive Surgery (MIMIS) is the most comprehensive, state - of - the - art facility in the New York–New Jersey–Connecticut area. It is furthering education, treatment, and research in the field through excellence in patient care, advancement of the latest surgical techniques, and development of new technology.
Benefits of Minimally Invasive Surgery at Montefiore
- Advanced Instruments and Techniques: Minimally invasive surgery at Montefiore involves using state - of - the - art, specially designed instruments to perform sophisticated surgery through small incisions in the body or a natural orifice. In many cases, these modern techniques are replacing traditional open surgery completely. They offer expertise in laparoscopic, endoluminal, robotic, and incisionless surgery options.
- Reduced Impact on Patients: The benefits of minimally invasive approaches at Montefiore include a significant reduction in blood loss, scarring, and pain, which means less pain medication. Hospital stay, recovery, and rehabilitation time are also drastically reduced, and patients can expect to return to their normal activities in a matter of days. These advantages are crucial for patients undergoing nasal root stent implantation as they can lead to a quicker and more comfortable recovery.
Treatments and Training
Common conditions treated with minimally invasive techniques at Montefiore include gastroesophageal reflux disease (GERD)/heartburn, morbid obesity, hernia, esophageal disorders/achalasia, diverticular/colon & rectal disease, gallstones, and disease of the appendix/appendicitis. Although these are not directly related to nasal procedures, the overall expertise in minimally invasive surgery can be applied to nasal root stent implantation. The institute also provides extensive clinical education and training. Throughout the year, it offers structured didactic and practical courses in all aspects of minimally invasive surgery, providing instruction to surgeons - in - training as well as those already in practice. This continuous learning environment ensures that the surgical staff is up - to - date with the latest techniques, which can enhance the quality of nasal root stent implantation procedures.
Madison ENT & Facial Plastic Surgery
Minimally Invasive Sinus Surgery Experience
Madison ENT & Facial Plastic Surgery has over 25 years of experience in minimally invasive sinus surgery. They offer in - office sinus surgery, which is a minimally invasive option performed by Dr. Silvers at their Manhattan office. The goal of office sinus surgery is to reshape anatomy to expand sinus pathways and restore drainage. The procedure utilizes a small balloon placed in key locations within the nose, which is then dilated to expand the sinus pathways. Although a balloon is not a stent, the experience of working within the nasal cavity using minimally invasive techniques can be valuable for nasal root stent implantation.
Propel Sinus Stent
The Propel® sinus stent is clinically proven to improve the results of sinus surgery. The Propel stent is placed at the time of surgery and delivers anti - inflammatory medication directly to the sinuses. This reduces the need for additional post - operative surgeries and oral steroids. Madison ENT can provide detailed information on the use of this stent, which may be relevant to nasal root stent implantation procedures. They can also explain the risks and benefits associated with such stents. Risks may include, but are not limited to, pain/pressure, movement of the implant (within or out of the sinus), possible side effects of the drug, infection, and nose bleed.
Patient - Centered Care
The procedure at Madison ENT is performed using local anesthesia, where the inside of the nose is numbed with a spray and small injection. This allows the patient to sit comfortably and wide awake during the entire process. The average pain felt by patients is minimal and only requires Tylenol if they experience discomfort. This patient - centered approach can also be extended to nasal root stent implantation, ensuring that patients are well - informed and comfortable throughout the procedure.
Comparison of Hospitals
| Hospital | Unique Features | Benefits for Nasal Root Stent Implantation |
|---|---|---|
| Mount Sinai | Advanced robotic and endoscopic surgery, experienced in treating a wide range of head and neck diseases, clinical trials in rhinology, use of dissolvable steroid implants | Precise surgical techniques, expertise in nasal and sinus surgery, potential for access to innovative treatments |
| Montefiore Medical Center | Comprehensive minimally invasive surgery institute, large residency training program, research on new technologies, multiple minimally invasive surgery options | Reduced patient recovery time, up - to - date surgical skills, access to the latest minimally invasive techniques |
| Madison ENT & Facial Plastic Surgery | Long - term experience in minimally invasive sinus surgery, in - office procedures, use of Propel sinus stents | Patient - centered approach, knowledge of nasal stents, minimal pain during procedures |
Preparing for Minimally Invasive Nasal Root Stent Implantation
Initial Consultation
Patients interested in nasal root stent implantation should schedule an initial consultation with the hospital or surgeon of their choice. During this consultation, the doctor will review the patient's medical history, including any previous nasal or sinus problems, allergies, and medications. They will also perform a physical examination of the nose, which may include the use of an endoscope to get a detailed view of the nasal passages. The doctor will discuss the patient's symptoms, such as nasal congestion, difficulty breathing, and frequency of sinus infections, and determine if stent implantation is an appropriate treatment option.
Diagnostic Tests
Depending on the patient's condition, the doctor may order additional diagnostic tests. These may include imaging tests such as a CT scan or an MRI to get a better understanding of the nasal anatomy, identify any blockages or abnormalities, and plan the stent implantation procedure more accurately. Allergy testing may also be recommended to rule out any underlying allergic causes of the nasal symptoms, as allergies can sometimes affect the success of the stent implantation and the overall outcome.
Discussing the Procedure
The doctor will explain the minimally invasive nasal root stent implantation procedure in detail to the patient. This will include the steps involved, the expected duration of the procedure, the type of anesthesia that will be used (local or general), and the potential risks and complications. The patient should ask any questions they have about the procedure, such as the recovery process, the expected improvement in their symptoms, and the longevity of the stent. It is important for the patient to have a clear understanding of what to expect before making a decision about the surgery.
Pre - operative Instructions
If the patient decides to proceed with the stent implantation, the doctor will provide pre - operative instructions. These may include stopping certain medications that can increase the risk of bleeding, such as aspirin or blood thinners, for a certain period before the surgery. The patient may also be asked to avoid eating or drinking for a specific time before the procedure, depending on the type of anesthesia used. Additionally, the doctor may give instructions on personal hygiene, such as washing the face and hair thoroughly before coming to the hospital.
Recovery After Minimally Invasive Nasal Root Stent Implantation
Immediate Post - operative Period
After the nasal root stent implantation procedure, the patient will be monitored in a recovery area. If local anesthesia was used, the patient may be able to go home the same day. However, if general anesthesia was used, the patient may need to stay in the hospital overnight for observation. During this time, the medical staff will check the patient's vital signs, such as heart rate, blood pressure, and oxygen levels, and monitor for any signs of pain, bleeding, or other complications. The patient may have a nasal dressing or packing in place to help control bleeding and support the stent, which will be removed according to the doctor's instructions.
Short - term Recovery
In the first few days after the surgery, the patient may experience some pain, swelling, and nasal congestion. The doctor will prescribe pain medication to manage the pain, and the patient may be advised to use a saline nasal spray to keep the nasal passages moist and help with congestion. It is important for the patient to rest and avoid strenuous activities during this time to allow the body to heal. The patient may also notice some blood - tinged drainage from the nose, which is normal in the early post - operative period. However, if the bleeding is heavy or does not stop, the patient should contact the doctor immediately.
Long - term Recovery and Follow - up
As the patient continues to recover, they will need to follow up with the doctor for regular check - ups. During these follow - up visits, the doctor will examine the nasal passages to ensure that the stent is in place, functioning properly, and that the nasal tissue is healing well. The doctor may also adjust the treatment plan as needed, such as prescribing additional medications or recommending physical therapy if there are any problems with the nasal function. In the long term, the patient should expect to see an improvement in their nasal symptoms, such as better airflow, reduced congestion, and fewer sinus infections. However, it is important to note that individual results may vary depending on the patient's condition and the success of the stent implantation procedure.
Conclusion
In conclusion, several hospitals in New York City, including Mount Sinai, Montefiore Medical Center, and Madison ENT & Facial Plastic Surgery, are well - equipped to arrange for minimally invasive nasal root stent implantation. Each hospital has its own unique features and advantages, such as advanced surgical techniques, experienced medical staff, and patient - centered care. Patients considering this procedure should carefully research these hospitals, schedule consultations, and have in - depth discussions with the doctors to make an informed decision. Minimally invasive nasal root stent implantation can offer significant benefits in terms of improving nasal function and quality of life, but it is important to understand the procedure, the recovery process, and the potential risks involved.
If you are experiencing nasal problems and think that minimally invasive nasal root stent implantation may be an option for you, we encourage you to take the next step. Contact one of the hospitals mentioned in this article to schedule a consultation. You can also share this article with others who may be interested in learning more about this procedure, and explore other related topics on our website to gain a deeper understanding of nasal health and treatment options.
