Saint Louis University Sinus Institute offers patient-centered, integrated care
Sinusitis is the most common chronic illness in the United States. It affects people across all ages, genders and ethnic groups; contributes to staggering rates of missed days of work and school; and is reported to have a greater negative impact on quality of life than other chronic conditions, including heart failure and asthma. When you are among the millions of Americans experiencing the discomfort of a runny nose, postnasal drip, stuffy nose, sinus pressure and general malaise, it probably doesn't matter whether it is a chronic condition or an acute attack - you want relief!
Every day, SLUCare experts in the Saint Louis University Sinus Institute of the Department of Otolaryngology-Head and Neck Surgery evaluate and treat conditions such as sinusitis, nasal blockage, allergies, deviated septum, recurrent sinus infections, nasal polyps and tumors affecting the nose and sinuses.
Chronic sinusitis is an inflammation of the nasal sinuses. Straightforward primary medical treatment can include saline irrigation, antibiotics, steroids and antihistamines. Surgery may be an option for patients unresponsive to medical treatments or patients with more extensive issues, such as those requiring revision sinus surgeries for previous surgeries that did not adequately relieve symptoms. Some severe forms of chronic sinusitis may require collaboration with experts from immunology and pulmonary medicine.
Acute sinusitis and viral episodes are often confused. Differentiating the two is vital for appropriate relief for the patient. Treatment for acute sinusitis is aimed at managing symptoms, eliminating infections and preventing complications, and may include analgesics, decongestants, corticosteroids and intranasal saline sprays or flushes.
Inhalant allergy symptoms include nasal congestion, sneezing and itchy, watery eyes in response to an airborne trigger. The only way to eliminate an inhalant allergy is to eliminate exposure to the allergen, typically pet dander, dust mites and mold. If eliminating the allergen is impossible, lifestyle and environmental modifications may limit exposure, and antihistamines, decongestants and steroids may control symptoms. To more directly treat allergies, specialists employ immunomodulation through immunotherapy - also known as allergy shots - using extracts of allergens to build the immune system's tolerance and thereby reduce the body's reaction to allergic triggers.
Nasal obstructions can include growths, such as polyps and scar tissue, and structural issues, such as a deviated septum (when the wall separating nasal cavities is displaced, blocking a nasal passageway and thereby reducing air flow). Medications or appliances may be used to manage minor symptoms. Surgeries to remove polyps and scar tissue, or to correct and reposition a mid-to-severely deviated septum, are typically successful at resolving symptoms such as nosebleeds and nasal obstruction.
Collaborative Care for Patients with Other Conditions
In addition to serving chronic and acute sinusitis patients and patients with other sinonasal issues, specialists in the Department of Otolaryngology-Head and Neck Surgery work collaboratively with specialists from the Department of Ophthalmology and the Department of Neurosurgery to care for patients with transorbital conditions and cerebrovascular and anterior skull base problems.
Transorbital Services - Collaborative patient care from experts in otolaryngology and neuro-ophthalmology can benefit patients with a variety of conditions related to the eyes and vision, including:
- Exophthalmos - a swelling and bulging of the eyes, often associated with the autoimmune disorder Graves disease.
- Orbital tumors - growths that develop in and around the tissues of the eyeball, including the sinuses, and brain and nasal cavities that can cause visual impairment, discomfort and infections.
- Nasolacrimal duct obstruction - when tear ducts become irritated, clogged, infected and even permanently blocked.
- Cerebrovascular and Anterior Skull Base Services - Collaborative care from experts in otolaryngology and neurosurgery can benefit patients with cerebrovascular and anterior skull base problems, including:
- Surgery to remove pituitary lesions or masses, regardless of the underlying disorder.
- Surgery to repair cerebrospinal fluid (CSF) leak.
- Surgery to remove neoplasms (brain tumors).
Saint Louis University Sinus Institute
Jastin Antisdel, M.D., FACS, director of sinus surgery and the Saint Louis University Sinus Institute, is proud of the team of experts and the quality of patient care the program provides. "Care for sinonasal issues at the Saint Louis University Sinus Institute offers patient-centered, integrated care," Antisdel said. "Patients are treated promptly, effectively and comprehensively."
The Saint Louis University Sinus Institute specialists:
Jastin Antisdel, M.D., FACS
Assistant Professor, Director of the Division of Rhinology and Sinus Surgery and Saint Louis University Sinus Institute
John F. Eisenbeis, M.D.
Thomas Sanford, M.D., FACS, FAAOA
Assistant Professor, Director of the Division of Otolaryngic Allergy and Immunology
Joshua L. Hentzelman, M.D., FAAOA
Debra Webb, RN, BSN
Head Clinical Allergy Nurse
Amy Marvin, RN, MSN
Clinical Allergy Nurse
Susan Agnew, LPN
Clinical Allergy Nurse
The Saint Louis University Sinus Institute serves patients with chronic and acute sinusitis and nasal obstruction, and has locations at the Doctors Office Building and SLUCare Otolaryngology Services at Mercy. For transorbital, cerebrovascular and skull base services, the Department of Otolaryngology-Head and Neck Surgery Center for Cerebrovascular and Skull Base Surgery is located at Saint Louis University Hospital. To schedule a consultation with a SLUCare otolaryngologist, call 977-4440 (Doctors Office Building); 251-6362 (Mercy); or 268-7888 (SLU Hospital).