Procedures and Treatments

Procedures & Treatments

Advanced surgical techniques and minimally invasive treatments performed by fellowship-trained surgeons.

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Featured Procedures

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Advanced Frontal Sinus Surgery

Advanced frontal sinus surgery opens the narrow frontal sinus drainage pathway for severe, recurrent, or revision frontal sinus disease when standard endoscopic surgery and medical therapy have not been enough.

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Rhinology and Skull Base

Advanced Frontal Sinus Surgery

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Rhinology and Skull Base

Balloon Sinuplasty

Balloon sinuplasty is a minimally invasive procedure that uses a small balloon to gently widen blocked sinus drainage openings, often performed in the office for selected patients with recurrent or chronic sinusitis.

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Rhinology and Skull Base

Endoscopic CSF Leak Repair

Endoscopic CSF leak repair seals a defect in the skull base where cerebrospinal fluid drains into the nose, using endoscopic techniques through the nostrils to restore the barrier between the nose and the brain.

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Rhinology and Skull Base

Endoscopic Pituitary Surgery

Endoscopic pituitary surgery removes a pituitary tumor through the nose and sphenoid sinus, a minimally invasive skull-base approach performed together with neurosurgery.

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Rhinology and Skull Base

Endoscopic Sinus Surgery

Endoscopic sinus surgery is a minimally invasive procedure performed through the nostrils to open blocked sinus drainage pathways and remove obstructing inflammatory tissue or polyps. It is considered when symptoms, endoscopy, imaging, and medical therapy support it.

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Rhinology and Skull Base

Endoscopic Skull Base Surgery

Endoscopic skull base surgery reaches tumors and lesions at the base of the skull through the nose and sinuses, a minimally invasive approach performed together with neurosurgery when appropriate.

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Rhinology and Skull Base

Image-Guided Sinus Surgery

Image-guided sinus surgery uses a navigation system linked to your CT scan to track instruments in real time, helping the surgeon work safely in complex, revision, or skull-base-adjacent sinus anatomy.

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Rhinology and Skull Base

Revision Sinus Surgery

Revision sinus surgery is a repeat endoscopic procedure for patients whose sinus symptoms persist or return after earlier surgery, addressing scarring, retained partitions, polyps, or untreated disease.

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Rhinology and Skull Base

Sinus Surgery Recovery

Sinus surgery recovery covers what to expect after endoscopic sinus surgery, including saline rinses, in-office cleaning visits, activity limits, and how breathing and drainage improve over the following weeks.

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Rhinology and Skull Base

Skull Base Fracture Repair

Skull base fracture repair addresses fractures at the base of the skull that cause a cerebrospinal fluid leak or other complications, often using endoscopic techniques through the nose and coordinated with neurosurgery.

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Rhinology and Skull Base

Steroid Implant for Nasal Polyps

A steroid-eluting sinus implant is a small, dissolvable device placed in the sinus or nasal cavity that releases anti-inflammatory medication over time to treat nasal polyps and support healing after sinus surgery.

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Rhinology and Skull Base

Vidian Neurectomy

Vidian neurectomy is an endoscopic procedure that interrupts the vidian nerve to reduce severe, persistent runny nose and congestion from chronic rhinitis that has not responded to medical therapy.

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Rhinology and Skull Base

Nasal Valve Repair

Nasal valve repair strengthens or widens the narrow sidewall region of the nasal airway to improve breathing when the valve collapses during inhalation or stays narrowed at rest.

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Rhinology and Skull Base

Posterior Nasal Nerve Ablation

Posterior nasal nerve ablation is a minimally invasive, often office-based treatment that reduces overactive nerve signals driving chronic runny nose and congestion in selected patients with chronic rhinitis.

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Rhinology and Skull Base

Risks and Complications of Sinus Surgery

A balanced guide to the common and uncommon risks of endoscopic sinus surgery, how risk is reduced, and which symptoms after surgery need urgent evaluation.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

Rhinoplasty

Rhinoplasty reshapes the nose to change its appearance, improve nasal breathing, or both, with a plan tailored to your anatomy and goals.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

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.

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Facial Plastics and Reconstructive Surgery

Turbinoplasty

Turbinoplasty reduces or reshapes enlarged nasal turbinates to improve airflow while preserving the turbinate's role in warming and humidifying the air.

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Facial Plastics and Reconstructive Surgery

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.

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Head and Neck

Laryngeal Cancer Surgery

Surgery is one tool used to treat cancer of the voice box. The right approach balances cancer control with preserving voice, swallowing, and breathing whenever possible.

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Head and Neck

Neck Dissection

Neck dissection removes lymph nodes from defined areas of the neck to treat or stage cancer, while protecting nearby nerves, vessels, and muscles when possible.

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Head and Neck

Oral Cancer Surgery

Oral cancer surgery removes cancer from the mouth with a margin of healthy tissue, and may include neck lymph node surgery and reconstruction to restore speech and swallowing.

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Head and Neck

Parathyroid Surgery

Parathyroid surgery removes one or more overactive parathyroid glands to treat hyperparathyroidism and bring high blood calcium back toward normal.

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Head and Neck

Parotidectomy

Parotidectomy removes part or all of the parotid salivary gland to treat a tumor or other gland problem, with careful protection of the facial nerve.

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Head and Neck

Salivary Gland Surgery

Salivary gland surgery treats tumors, stones, chronic infection, or other problems of the major or minor salivary glands while protecting nearby nerves.

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Head and Neck

Submandibular Gland Excision

Submandibular gland excision removes the salivary gland under the jaw to treat tumors, recurrent stones, or chronic infection, while protecting nearby nerves.

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Head and Neck

Thyroid Surgery

Thyroid surgery removes part or all of the thyroid gland to treat nodules, goiter, overactivity, or cancer, with careful protection of the voice and parathyroid glands.

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Head and Neck

Thyroid Ultrasound and FNA Biopsy

Thyroid ultrasound and fine-needle aspiration biopsy evaluate thyroid nodules to determine whether they are likely benign or need further treatment.

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Head and Neck

Transoral Robotic Surgery

Transoral robotic surgery uses a robotic system to remove selected throat tumors through the mouth, without external incisions, to help preserve function.

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Head and Neck

Recovery After Head and Neck Surgery

Recovery after head and neck surgery varies by operation and may involve wound care, drains, nutrition, voice and swallowing support, and follow-up.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Sleep

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.

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Allergy

Allergy Testing

In-office testing to identify environmental and seasonal allergy triggers and guide avoidance, medication, and immunotherapy.

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Allergy

Immunotherapy

Treatment that gradually reduces sensitivity to specific allergens over time.

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Norelle Health General Surgery

Laparoscopic Inguinal Hernia Repair

A minimally invasive procedure to repair an inguinal hernia through several small incisions.

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Norelle Health General Surgery

Umbilical Hernia Repair

A procedure to repair a hernia at or near the navel and reinforce the abdominal wall.

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Norelle Health General Surgery

Ventral and Incisional Hernia Repair

A procedure to repair a hernia in the front of the abdominal wall, including at a prior incision.

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Norelle Health General Surgery

Laparoscopic Cholecystectomy

Minimally invasive removal of the gallbladder, commonly performed for symptomatic gallstones.

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Norelle Health General Surgery

Appendectomy

Surgical removal of the appendix, commonly performed to treat appendicitis.

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Norelle Health General Surgery

Lipoma Excision

Surgical removal of a lipoma, a noncancerous fatty growth beneath the skin.

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Norelle Health General Surgery

Cyst Excision

Surgical removal of a skin cyst, such as a sebaceous or epidermoid cyst.

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Norelle Health General Surgery

Hemorrhoidectomy

A surgical procedure to remove hemorrhoids that have not improved with conservative care.

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Norelle Health General Surgery

Anti-Reflux Surgery (Fundoplication)

A procedure to treat persistent acid reflux by reinforcing the valve between the stomach and esophagus.

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Rhinology and Skull Base

Orbital Decompression

Orbital decompression makes more room for the eye by removing bone or fat around the eye socket, most often for thyroid eye disease that causes bulging, pressure, or vision concerns.

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Rhinology and Skull Base

Dacryocystorhinostomy (DCR)

Dacryocystorhinostomy (DCR) treats a blocked tear duct by creating a new drainage pathway between the tear sac and the nose, often performed endoscopically through the nostril without an external scar.

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Rhinology and Skull Base

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.

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Rhinology and Skull Base

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 stay open during recovery.

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Rhinology and Skull Base

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.

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Head and Neck

Laryngectomy Surgery and Recovery

Learn why partial or total laryngectomy may be recommended, how breathing and speech change, what recovery involves, and how rehabilitation is planned.

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Head and Neck

Head and Neck Cancer Surgery

Learn how surgery is planned for oral, throat, laryngeal, salivary, thyroid, skin and neck cancers, including lymph-node treatment and reconstruction.

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Head and Neck

Head and Neck Reconstruction

Understand reconstructive options after head and neck cancer, trauma or prior treatment, including grafts, local and regional flaps, free flaps and rehabilitation.

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Head and Neck

Microvascular Free Flap Reconstruction

Learn how microvascular free flaps reconstruct the tongue, jaw, throat, face, scalp and neck, including donor sites, monitoring, risks and recovery.

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Facial Plastics and Reconstructive Surgery

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.

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