Treating Nose Disorders | ENT Specialist | ENT Clinic | Ear Nose & Throat Centre CC Lau

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The Goal of Nose Disorder Treatment

Alleviate nasal symptoms
Correct any underlying inflammation or structural abnormality
Restore optimal breathing and sense of smell

Given the complexity and diversity of nose disorders, the line of treatment may vary too – which can range from conservative methods to surgical interventions.

Conservative Treatments

Lifestyle Modifications

This involves practicing good nasal hygiene (e.g. use of nasal rinses and humidifiers), and avoiding irritants and allergens (e.g. pollen, dust mites) to reduce risk of infection and ensure optimal nasal function.

Medications

Corticosteroids, antihistamines, decongestants, antibiotics, be it in the form of a nasal spray or rinse, oral medication or injection may be prescribed to treat symptoms of allergies, infections and inflammations.

Nasal Packing

Through the use of haemostatic gauze or sponge into the nasal cavity, pressure will be applied to control bleeding in the nose.

Allergy Immunotherapy

Aimed at building tolerance towards particular allergens and controlling allergic symptoms, this involves constant exposure to specific allergens in the form of an injection or oral medication.

Radiation Therapy or Chemotherapy

Usually reserved for cases of nasopharyngeal cancer, cancer cells are destroyed using targeted X-ray beams and chemical drugs. When used in combination, this increases the effectiveness of radiation therapy.

WHILE CONSERVATIVE TREATMENTS ARE OFTEN THE FIRST LINE OF MANAGEMENT TO HELP RELIEVE SYMPTOMS, FURTHER INTERVENTIONS MAY BE NEEDED FOR RECURRENT OR SEVERE NASAL CONDITIONS.

Surgical Methods

Image-guided Surgery (IGS)

Akin to a GPS system, this involves the use of real-time data from CT or MRI scans to create 3D images of the sinuses and surrounding structures of the nose.

The IGS can be used with or without endoscopic sinus surgery. With the detailed 3D image, it offers greater visibility of the surgical site, which greatly enhances precision and accuracy of the surgery, improving patient safety and surgical outcomes.

Septoplasty

With the nasal septum bent or crooked, nasal obstruction can occur and restrict airflow. A septoplasty can remove or realign the deviated portions of the nasal bone and cartilage to eliminate blockage and improve nasal function, without affecting the appearance of the nose.

Endoscopic Cautery

This is a minimally invasive procedure that uses diagnostic nasal endoscopy and an electrocautery device to seal off the targeted blood vessel causing the bleeding.

Turbinate Reduction Surgery

This is used to correct breathing issues in cases of nasal obstruction associated with swollen turbinates. It involves either the use of radiofrequency energy or removal of part or all of the inferior turbinate to reduce its size and improve nasal airflow.

Endoscopic Sinus Surgery (ESS)

With reduced pain, faster recovery, minimal scarring and postoperative complications, ESS is a minimally invasive procedure using a thin, flexible tube with a camera and light attached (endoscope) to treat various nose conditions.

ESS is often used to treat structural abnormalities that results in sinus problems (eg. a deviated septum, enlarged nasal turbinates or structurally narrow sinus openings). Removal of nasal polyps and tumors, or treatment of nasal neuralgia can also be done through this procedure.

WITH STRONG INTEREST IN ENDOSCOPIC AND IMAGE-GUIDED SINUS SURGERY, DR LAU CHEE CHONG HAS OVER 30 YEARS OF SPECIALIST EXPERIENCE PROVIDING SAFE AND EFFECTIVE SURGICAL NOSE TREATMENTS.

Dr Lau Chee Chong

Consultant ENT Head & Neck Surgeon

MBBS, FRCS (ENT) (Edinburgh, UK), FAMS (ENT) (S’pore)

Dr Lau Chee Chong is an established ENT specialist of over three decades with a special interest in the diagnosis and treatment of nose conditions, in particular endoscopic sinus surgery and image-guided (navigational) system. He is devoted to helping children and adults achieve lasting relief and improved nasal health.