Procedures and Treatments
Procedures & Treatments
Advanced surgical techniques and minimally invasive treatments performed by fellowship-trained surgeons.
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Featured Procedures
Advanced Frontal Sinus Surgery
Advanced frontal sinus procedures are reserved for frontal sinus disease that cannot be managed with medical therapy or a more limited drainage procedure.
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Head and Neck
Head and Neck Cancer
Site-specific cancer pages explain symptoms, diagnosis, and treatment pathways, and the surgical pages explain how operations are planned.
Treatment
Head and Neck Cancer Surgery
Head and neck cancer surgery is a family of operations, not one procedure. A clear plan defines the oncologic goal, the structures at risk, the expected defect, the reconstruction, and how you will breathe, speak, swallow, and recover.
Treatment
Oral Cancer Surgery
Oral cancer surgery removes the tumor with a healthy margin and, when needed, treats the neck lymph nodes and reconstructs the area. The plan balances complete cancer removal with preserving speech, chewing, and swallowing.
Treatment
Laryngeal Cancer Surgery
Surgery for laryngeal cancer ranges from a limited endoscopic procedure to partial or total laryngectomy. The right operation balances cancer control with whether the remaining larynx can provide a safe airway, useful voice, and effective swallowing.
Treatment
Transoral Robotic Surgery
Transoral robotic surgery allows selected tumors of the tonsil and tongue base to be removed through the mouth. The key question is not whether a robot can reach the tumor, but whether TORS improves the total treatment plan without creating unsafe margins, bleeding risk, poor function, or avoidable combined therapy.
Treatment
Neck Dissection
Neck dissection removes lymph nodes from defined levels of the neck to treat or stage head and neck cancer. The extent is matched to the tumor and to imaging, with the aim of thorough cancer control while protecting shoulder function, nerves, and major vessels.
Treatment
Laryngectomy Surgery and Recovery
Total laryngectomy removes the voice box and permanently separates the airway from the mouth, nose, and throat. Planning focuses on why the operation is recommended, whether reconstruction is needed, and how breathing, communication, and swallowing will be supported.
Head and Neck
Thyroid and Parathyroid
Evaluation and surgery for thyroid nodules, goiter, thyroid cancer, and overactive parathyroid glands, with imaging and biopsy when appropriate.
Treatment
Thyroid Surgery
Thyroid surgery may remove one lobe, nearly all, or all of the gland. The right extent depends on the diagnosis, both-lobe anatomy, lymph nodes, hormone status, symptoms, future surveillance, and the patient's preferences.
Treatment
Parathyroid Surgery
Parathyroid surgery removes the overactive gland or glands causing primary hyperparathyroidism. The plan depends on a confirmed biochemical diagnosis and on localization, with the choice between a focused operation and bilateral exploration made for each person.
Treatment
Thyroid Ultrasound and FNA Biopsy
A thyroid FNA is a targeted diagnostic test, not a routine step for every nodule. Ultrasound features and size determine whether a biopsy is likely to help, and the result must be translated into a concrete next decision.
Head and Neck
Salivary and Parotid
Diagnosis and surgery for salivary gland lumps, parotid tumors, and related conditions, with attention to facial nerve function.
Treatment
Parotidectomy
Parotidectomy removes part or all of the parotid gland to treat a tumor or persistent gland problem. The central decision is how much gland to remove while identifying and protecting the facial nerve.
Treatment
Salivary Gland Surgery
Salivary gland surgery treats tumors, stones, strictures, chronic infection, or cysts, and the right procedure ranges from gland-preserving techniques to removal of part or all of a gland, chosen to fit the diagnosis while protecting nearby nerves.
Treatment
Submandibular Gland Excision
Submandibular gland excision removes the salivary gland beneath the jaw through a neck incision. It may be considered for a tumor, severe chronic obstruction or infection, or stones that cannot be treated with a gland-preserving approach.
Head and Neck
Reconstruction and Recovery
How reconstruction restores form and function after tumor removal, and the supportive care that helps speech, swallowing, nutrition, and movement recover.
Treatment
Head and Neck Reconstruction
Reconstruction does more than close a wound. It restores lining, bulk, support, contour, and a platform for swallowing, speech, dental rehabilitation, and future treatment, with the method matched to the specific defect.
Treatment
Free Flaps
A free flap, or free tissue transfer, moves living tissue with its own blood vessels from a donor site to the head and neck, reconnecting the vessels under a microscope. The flap is chosen to match the defect and the function being restored, not because one donor site suits every patient.
Treatment
Recovery After Head and Neck Surgery
Recovery varies widely, from an outpatient biopsy to a major operation with neck dissection and free-flap reconstruction. A useful plan sets individual milestones for airway, pain, wounds, drains, nutrition, communication, swallowing, mobility, and return to daily life.
Head and Neck
More Head and Neck care
Additional treatments cared for by the Head and Neck team.
Rhinology and Skull Base
Sinus and Inflammatory Disease
Sinus disease, polyps, inflammation, and the medical and surgical care that addresses them.
Treatment
Endoscopic Sinus Surgery
Endoscopic sinus surgery improves drainage, removes obstructive disease, and creates access for ongoing topical treatment when medical therapy is not enough.
Treatment
Balloon Sinuplasty
Balloon sinus dilation can widen selected sinus openings without removing tissue, but it is not the right treatment for every form of sinus disease.
Treatment
Revision Sinus Surgery
A revision evaluation reconstructs the original diagnosis and operation, reviews imaging and pathology, and defines the specific problem a second sinus procedure would solve before recommending more surgery.
Treatment
Image-Guided Sinus Surgery
Surgical navigation links instruments to a patient's preoperative scan to provide an additional localization tool during selected complex sinus and skull-base operations.
Treatment
Advanced Frontal Sinus Surgery
Advanced frontal sinus procedures are reserved for frontal sinus disease that cannot be managed with medical therapy or a more limited drainage procedure.
Treatment
Steroid Implant for Nasal Polyps
Steroid-eluting sinus implants deliver anti-inflammatory medicine locally in selected postoperative or recurrent-polyp situations, as one part of a broader plan for nasal polyps.
Treatment
Postoperative Sinus Debridement
Postoperative sinus debridement is an in-office cleaning after sinus surgery that removes crusts, clots, and debris so the sinuses heal well and the newly opened drainage pathways stay clear.
Treatment
Sinus Surgery Recovery
Recovery after sinus surgery is shaped by the diagnosis, extent of surgery, and the treating team's instructions, which separate expected congestion and drainage from same-day concerns over the first month.
Treatment
Risks and Complications of Sinus Surgery
Every sinus operation has potential complications, and this guide supports informed consent by explaining common temporary effects, less common complications, and the symptoms that need immediate help.
Rhinology and Skull Base
Nasal Breathing, Rhinitis, and Smell
Nasal airflow, drainage, sensation, and the nerve-driven causes of congestion and postnasal symptoms.
Treatment
Nasal Valve Repair
Nasal valve repair begins with a dynamic examination and a complete airway diagnosis before considering grafts, implants, or other techniques to improve breathing.
Treatment
Posterior Nasal Nerve Ablation
Posterior nasal nerve ablation is an office-based option for selected patients with chronic rhinitis that remains bothersome despite appropriate medical care.
Treatment
Vidian Neurectomy
Vidian neurectomy is a more invasive nerve procedure reserved for selected severe, treatment-resistant rhinitis, with careful attention to dry-eye risk and less invasive alternatives.
Rhinology and Skull Base
Skull Base, Pituitary, and CSF Leak
Endoscopic care at the boundary of the nose, sinuses, and brain, with neurosurgery collaboration when appropriate.
Treatment
Endoscopic Skull Base Surgery
Endoscopic endonasal skull base surgery reaches selected lesions through the nose, avoiding some external incisions while requiring careful planning around the brain, optic nerves, carotid arteries, pituitary, and cranial nerves.
Treatment
Endoscopic Pituitary Surgery
Endoscopic pituitary surgery reaches selected pituitary and sellar lesions through the nasal corridor, with the decision guided by hormones, vision, and imaging.
Treatment
Endoscopic CSF Leak Repair
Successful CSF leak repair depends on confirming the leak, locating the defect, understanding why it occurred, and building a closure suited to its size, flow, and anatomy.
Treatment
Skull Base Fracture Repair
Most skull-base fractures are first managed in a trauma hospital and not every fracture needs surgery; repair is considered for defined complications such as a persistent CSF leak or unstable defect.
Treatment
Skull Base Reconstruction
Skull base reconstruction rebuilds the barrier between the nose and the brain after skull-base surgery or a CSF leak, using grafts and flaps to seal the defect and reduce the risk of leak and infection.
Rhinology and Skull Base
Tumors, Orbit, and Lacrimal
Sinonasal tumors and conditions near the eye and tear-drainage system, managed with coordinated specialty care.
Treatment
Orbital Decompression
Orbital decompression makes more room for the eye by removing bone, fat, or both around the eye socket, most often for thyroid eye disease that causes bulging, pressure, or vision concerns.
Treatment
Dacryocystorhinostomy (DCR)
Dacryocystorhinostomy (DCR) treats a blocked tear duct by creating a new drainage opening between the tear sac and the nose, often done endoscopically through the nostril, which generally avoids a skin incision.
Treatment
Endoscopic Orbital Surgery
Endoscopic orbital surgery reaches selected problems of the eye socket through the nose and sinuses, used in chosen cases for decompression, abscess drainage, biopsy, or tumor surgery alongside ophthalmology.
Facial Plastics and Reconstructive Surgery
Facial Paralysis and Reanimation
Evaluation and treatment of facial nerve weakness, from physical therapy to nerve and muscle transfer.
Treatment
Facial Nerve Repair
Facial nerve repair refers to surgical techniques used to restore continuity or input to the facial nerve after injury, with the goal of recovering facial movement and protecting the eye.
Treatment
Cross-Face Nerve Graft
A cross-face nerve graft borrows signals from working facial nerve branches on the healthy side of the face, routing them across to the paralyzed side to support a more spontaneous, natural smile.
Treatment
Hypoglossal to Facial Nerve Transfer
A hypoglossal-to-facial nerve transfer reroutes part of the tongue's nerve to the facial nerve to restore facial muscle tone and movement when the facial nerve is injured but the facial muscles are still healthy.
Treatment
Masseter to Facial Nerve Transfer
A masseter-to-facial nerve transfer connects the chewing-muscle nerve to the facial nerve to restore smile movement in facial paralysis when the facial muscles are still healthy.
Treatment
Gracilis Free Tissue Transfer
Gracilis free tissue transfer is a microsurgical procedure that moves a small segment of thigh muscle to the face to restore the ability to smile in long-standing or complete facial paralysis.
Treatment
Temporalis Tendon Transfer
Temporalis tendon transfer repurposes the temporalis chewing muscle to restore a dynamic smile in established facial paralysis when the facial nerve cannot be repaired.
Treatment
Static Suspension
Static suspension uses a graft or suture sling to lift and reposition sagging facial structures in facial paralysis, improving symmetry at rest without restoring movement.
Treatment
Selective Denervation
Selective denervation is a surgical treatment for facial synkinesis that interrupts overactive nerve branches to relax specific muscles and improve facial balance and movement.
Treatment
Botox for Facial Paralysis
Botulinum toxin (Botox) for facial paralysis uses small, targeted injections to relax overactive or tight muscles, ease synkinesis, and improve facial symmetry at rest and with movement.
Treatment
Fillers for Facial Paralysis
Fillers for facial paralysis use injectable soft-tissue fillers to improve facial symmetry at rest by adding volume or balancing contours affected by facial nerve weakness.
Treatment
Facial Physical Therapy
Facial physical therapy, also called facial neuromuscular retraining, is a nonsurgical, exercise-based program that helps people with facial paralysis or synkinesis improve movement, symmetry, and control.
Facial Plastics and Reconstructive Surgery
Nose and Breathing
Functional and aesthetic nasal surgery and the structural causes of nasal obstruction.
Treatment
Functional Septorhinoplasty
Functional septorhinoplasty is a single operation that addresses the structures controlling nasal breathing — the septum, the nasal valves, the turbinates, and the cartilage framework — and, when desired, the external shape of the nose. It is planned around how the nose works, not appearance alone.
Treatment
Rhinoplasty
Rhinoplasty reshapes the nose to change its appearance, improve nasal breathing, or both, with a plan tailored to your anatomy and goals.
Treatment
Revision Rhinoplasty
Revision rhinoplasty addresses breathing problems or appearance concerns that remain or develop after a previous nose surgery, often using grafts to rebuild support.
Treatment
Septoplasty
Septoplasty is a surgical procedure that straightens a deviated nasal septum to improve airflow when a crooked or displaced septum blocks breathing through the nose.
Treatment
Turbinoplasty
Turbinoplasty reduces or reshapes enlarged nasal turbinates to improve airflow while preserving the turbinate's role in warming and humidifying the air.
Treatment
Nasal Septal Perforation Surgery
Nasal septal perforation surgery repairs a hole in the nasal septum to relieve crusting, bleeding, whistling, and congestion and to restore the septal lining.
Treatment
Nostril Reduction
Nostril reduction, or alar base reduction, narrows wide or flared nostrils and refines the base of the nose, often as part of or after rhinoplasty.
Facial Plastics and Reconstructive Surgery
Eyelid and Periocular Surgery
Procedures that protect, position, and restore the function and appearance of the eyelids.
Treatment
Blepharoplasty
Blepharoplasty is eyelid surgery that removes or repositions excess skin, muscle, or fat from the upper or lower eyelids to address heaviness, puffiness, or a tired appearance, and in some cases to improve a visual field limited by drooping skin.
Treatment
Ptosis Surgery
Ptosis surgery lifts a drooping upper eyelid by tightening or repositioning the muscle that raises the lid, improving eyelid position and, when vision is affected, the field of view.
Treatment
Ectropion Surgery
Ectropion surgery repositions a lower eyelid that turns outward, restoring normal contact with the eye to relieve tearing, irritation, and dryness and to help protect the eye surface.
Treatment
Entropion Surgery
Entropion surgery repositions a lower eyelid that turns inward, stopping the lashes and skin from rubbing against the eye to relieve irritation and help protect the cornea.
Treatment
Lower Eyelid Retraction Surgery
Lower eyelid retraction surgery raises and supports a lower eyelid that sits too low or pulls away from the eye, improving eye closure, comfort, and protection of the eye surface.
Treatment
Upper Eyelid Weight Surgery
Upper eyelid weight surgery places a small gold or platinum implant in the upper eyelid to help it close in facial paralysis, protecting the eye when blinking is impaired.
Facial Plastics and Reconstructive Surgery
Facial Rejuvenation and Contouring
Surgery that addresses facial laxity, aging, and lower-face contour.
Treatment
Facelift
Facelift, or rhytidectomy, is a surgical procedure that repositions and tightens the deeper tissues of the lower face and neck to reduce sagging and restore a more rested facial contour.
Treatment
Browlift
A brow lift raises and stabilizes a low or heavy eyebrow position to open the upper eye, reduce forehead heaviness, and create a more rested appearance.
Treatment
Mentalis Resection
Mentalis resection is a procedure that weakens or partially removes the mentalis muscle of the chin to reduce chin dimpling, puckering, or excessive muscle activity.
Facial Plastics and Reconstructive Surgery
Skin Cancer Reconstruction and Trauma
Reconstruction after Mohs and skin cancer removal, facial fractures, and scarring.
Treatment
Mohs Reconstruction
Mohs reconstruction restores facial form and function after skin cancer removal, with planning focused on the defect, surrounding tissue, scar placement, and function such as eyelid closure and nasal breathing.
Treatment
Facial Fracture Repair
Facial fracture repair is surgery to realign and stabilize broken bones of the face, such as the nose, cheek, eye socket, or jaw, to restore facial structure, function, and appearance.
Treatment
Free Grafts
A free graft transfers skin, cartilage, or composite tissue from one part of the body to reconstruct a facial defect, restoring coverage, contour, and support after skin cancer removal, trauma, or prior surgery.
Treatment
Scar Revision
Scar revision improves the appearance of a scar—from surgery, injury, or skin cancer removal—by repositioning, resurfacing, or refining it to blend with surrounding skin.
Facial Plastics and Reconstructive Surgery
More Facial Plastics and Reconstructive Surgery care
Additional treatments cared for by the Facial Plastics and Reconstructive Surgery team.
Treatment
Chin Augmentation
Chin augmentation increases the projection and definition of a recessed or weak chin to improve facial balance and the profile. It is performed with a chin implant or by repositioning the chin bone (sliding genioplasty), and is often planned alongside nose or neck procedures.
Treatment
Cosmetic Neuromodulators
Cosmetic neuromodulators are injectable botulinum toxin treatments — products such as Botox, Dysport, Xeomin, Jeuveau, and Daxxify — that temporarily relax specific facial muscles to soften the dynamic lines created by repeated expression. They treat lines caused by muscle movement, not the volume loss or skin-surface changes that other treatments address.
Treatment
Deep-Plane Facelift
A deep-plane facelift repositions the deeper layer of the face — the muscle and connective-tissue layer called the SMAS, along with its attachments — rather than pulling on skin. By releasing and lifting this layer as a unit, it aims to restore the position of sagging cheek and jawline tissue while keeping the face looking natural.
Treatment
Dermal Fillers
Dermal fillers are injectable gels — most commonly made of hyaluronic acid — that add or restore volume and refine contour in the face. They are used to address the deflation and shadowing of facial aging, to balance proportions, and to enhance features such as the lips, cheeks, chin, and jawline. Fillers treat volume and shape, not muscle-related lines or skin-surface quality.
Treatment
Facial Fat Grafting
Facial fat grafting (fat transfer) uses a person's own fat — gently removed from one area of the body, processed, and reinjected into the face — to restore volume that has been lost with age or after injury or surgery. It addresses hollowing and flatness rather than sagging.
Treatment
Laser Skin Resurfacing
Lumenis ResurFX is a nonablative fractional laser resurfacing option used for selected texture, fine-line, pigment, and scar concerns. Treatment choice and settings depend on skin type, goals, and acceptable downtime.
Treatment
Neck Lift
A neck lift restores a smoother, more defined neck and jawline by addressing the structures that change with age — loose skin, excess or descended fat, and the banding of the platysma muscle. It is often planned alongside a facelift, since the neck and lower face age together.
Treatment
Otoplasty
Otoplasty is surgery to reshape, reposition, or resize the outer ear. It is most often performed to set back prominent ears by recreating the natural folds of the ear cartilage and adjusting the position of the ear relative to the head, and it can be done in children and adults.
Sleep
CPAP and Oral Appliance Therapy
Established treatments for sleep apnea and the nasal factors that affect tolerance.
Treatment
CPAP Therapy
CPAP therapy uses a mask and a quiet airflow generator to keep the upper airway open during sleep, and is a first-line treatment for obstructive sleep apnea.
Treatment
Mandibular Advancement Device
A mandibular advancement device is a custom oral appliance worn during sleep that holds the lower jaw slightly forward to keep the airway open, used for snoring and mild to moderate obstructive sleep apnea.
Sleep
Airway and Surgical Treatment
Procedures that address airway obstruction for selected patients with sleep apnea.
Treatment
Inspire Therapy
Inspire therapy is an implanted upper-airway stimulation device that gently moves the tongue forward during sleep to keep the airway open, used for selected patients with obstructive sleep apnea who cannot tolerate CPAP.
Treatment
UPPP
Uvulopalatopharyngoplasty (UPPP) removes or repositions excess tissue in the soft palate and throat to widen the airway, used for selected patients with obstructive sleep apnea and snoring.
Treatment
Maxillomandibular Advancement
Maxillomandibular advancement is a jaw surgery that moves the upper and lower jaws forward to enlarge the entire upper airway, used for selected patients with moderate to severe obstructive sleep apnea.
Treatment
Sliding Genioplasty
Sliding genioplasty repositions the chin segment of the lower jaw forward, advancing the tongue's muscle attachments to help open the airway in selected patients with obstructive sleep apnea.
Treatment
Tonsillectomy and Adenoidectomy for Sleep-Disordered Breathing
Removing enlarged tonsils and adenoids is a common treatment for sleep-disordered breathing, particularly in children, when these tissues block the airway during sleep.
Treatment
Nasal Valve Treatment for Sleep Apnea
Nasal valve treatment addresses narrowing or collapse of the nasal valve to improve nasal breathing, which can reduce snoring and help patients tolerate CPAP for sleep apnea.
Treatment
Septoplasty for Sleep Apnea
Septoplasty straightens a deviated nasal septum to improve nasal breathing, which can reduce snoring and help patients tolerate CPAP for obstructive sleep apnea.
Treatment
Turbinate Reduction for Sleep Apnea
Turbinate reduction shrinks enlarged nasal turbinates to improve nasal airflow, which can reduce snoring and help patients tolerate CPAP for obstructive sleep apnea.
Sleep
Diagnosis and Sleep Testing
How sleep apnea is evaluated, from sleep studies to drug-induced sleep endoscopy.
Treatment
Sleep Study
A sleep study (polysomnography) is an overnight test that records breathing, oxygen, brain waves, and movement to diagnose obstructive sleep apnea and other sleep disorders.
Treatment
Home Sleep Apnea Test
A home sleep apnea test is a simplified, take-home study that records breathing, oxygen levels, and effort overnight to help diagnose obstructive sleep apnea.
Treatment
Sleep Endoscopy
Drug-induced sleep endoscopy is a short procedure that examines the airway during medication-induced sleep to identify where and how it collapses, guiding treatment choices for obstructive sleep apnea.
Allergy
Allergy
Evaluation and management of environmental and seasonal allergies as part of integrated ENT care.