Nose & Sinus Treatment - Coastal Ear Nose & Throat
                     Nose & Sinus Causes and 
Coastal ENT is a premier center of excellenTce rine thae rtemgione ofn ditagnosis and  
treatment of diseases related to the nose, sinuses, and skull base. We have two  
fellowship trained physicians, Dr. Josef Shargorodsky and Dr. Qasim Husain,  
as well as an experienced staff equipped to handle the most difficult cases  with 
both medical and surgical management.
Nasal Endoscopy / Culture
A small camera through the nose allows us to identify the problem & formulate the  right 
treatment plan.
Minimally Invasive Sinusitis Treatment
Endoscopic sinus procedures, In-office balloon sinuplasty
Chronic Rhinitis Treatment
In-office turbinate reduction and cryoablation
Nasal Airway Relief
Repair of nasal valve collapse with rhinoplasty or in-office stent placement
Balloon Sinus Surgery 
(Sinuplasty)
A balloon sinuplasty is a minimally invasive endoscopic procedure used 
to  treat chronic sinusitis. Sinusitis is an inflammation of the lining 
within the  paranasal sinuses. Once inflamed, the sinus cavities become 
a fertile ground  for viruses, bacteria, and occasionally fungi to grow, 
resulting in infection. If  it becomes chronic there may be a structural 
problem in the nose or sinuses.  In those cases, a balloon sinuplasty may 
1.Coastal ENT physician gently places a sinus guide catheter and a  flexible sinus guidewire through the nostrils to 
be recommended.
access the target  sinus. Next, a sinus balloon catheter advances over the sinus  guidewire.
2.The sinus balloon catheter is positioned across the blocked ostium  and gently inflated.
3.The Balloon Sinuplasty system is removed, leaving an open sinus passageway and restoring normal drainage and  
function.
Adenoid Hypertrophy
The tonsils are two masses of tissue found on either side of the back of the  
throat. The adenoids are located high in the throat behind the nose and roof of  
the mouth. Together they form part of the ring of glandular tissue at the back of  
the throat. The tonsils and adenoids assist the body in defense against infection  
by “sampling” entering bacteria and viruses and becoming infected themselves.  
They then help form antibodies to resist and fight future infections. However,  
the tonsils and adenoids often become susceptible to recurrent bacterial  
infections and can even trigger airway obstruction.
While the tonsils can be seen by physical examination, the adenoids  
cannot. However, diseased adenoids have certain telltale signs,  
including yellow or white spots near the tonsils or tongue, swollen  
lymph nodes, or irritated red spots in the mouth, that enable their  
diagnosis. The adenoids themselves may be seen through the use of a  
special mirror in the mouth, or through a tube called an endoscope,  
which is inserted through the nose. Other tests to diagnose problems  
with the adenoids may include sleep studies or X-rays of the area.
Allergic and Chronic 
Allergic rhinitis (hay Rfevher) iisn ani etspiescially common chronic nasal  
problem in adolescents and young adults. Allergies to inhalants like  
pollen, dust, and animal dander begin to cause sinus and nasal  
symptoms in early childhood. Infants and young children are  
especially susceptible to allergic sensitivity to foods and indoor  
allergens.
When Should My Child See a Doctor?
If your child’s cold-like symptoms (sneezing and runny nose) persist  for 
more than two weeks, it is appropriate to contact a physician.
Emergency treatment is rarely necessary except for upper airway  
obstruction causing severe sleep apnea or an anaphylactic reaction caused  
by exposure to a food allergen. Treatment of anaphylactic shock should be 
 immediate and requires continued observation and care.
Pituitary 
Pituitary tumoTrs aure ambnoromarl gsrowths in the pituitary gland, a small  
gland at the base of the brain. The pituitary gland is extremely  
important because it both releases its own hormones and controls  
hormones released by other endocrine glands, such as the thyroid and  
adrenal glands, and is thus responsible for regulating multiple  systems 
in the body. For this reason, pituitary tumors can have  serious medical 
consequences.
Treatment of Pituitary Tumors
Since most pituitary tumors are not malignant, there is usually no danger of 
metastasis. Nonetheless, as a pituitary tumor  grows, the pressure on 
significant blood vessels and nerves can cause serious, and sometimes 
dangerous, complications.
Treatment of a pituitary tumor most often involves surgical excision, 
especially if the tumor is pressing on the optic nerve.
Most pituitary tumors can be removed through the nose and sinuses, but 
some require transcranial surgery. For patients  who are not candidates for 
surgery, radiation therapy may be used to shrink the tumor. Radiation 
therapy may also be  used in conjunction with surgery to make sure the 
entire tumor has been removed. For certain types of pituitary tumors,  
medications are also administered.
Nasal 
In cases of facial traumFa, rnaasalc frtacuturrese are a common type of bone  
injury. This is largely due to the prominence and central location of the  
nose on the face and the weakness of the nasal cartilage. A nasal fracture  
is commonly the result of an injury from a car accident, a fall, a physical  
altercation, or a sports related injury. Untreated nasal fractures can  
negatively affect both the appearance and the function of the nose.
Functional problems include chronic nasal obstruction or blockage, and a  
predisposition for sinusitis, infection, and nose bleeds.
Diagnosis of Nasal Fractures
A nasal fracture is commonly diagnosed by a doctor by reviewing the  
patient’s symptoms and performing a physical examination of the nose.  
Additional diagnostic tests may include:
CT Scan  X-Ray
Nasal 
Nasal obstruction is a syOmpbtoms rtatrheur tchant ai ostannd-alone diagnosis, and there is a wide  
range of medical and structural problems that can affect your ability to breathe properly.  
Structural problems caused by deformities of the cartilage or bony structures of the nasal  
framework are common causes of nasal obstruction. These include a deviated nasal  
septum, nasal polyps, large adenoids, as well as swollen turbinate tissue, and nasal valve  
collapse. Other causes may be non-anatomical and due to conditions that cause the nasal  
lining to swell, including chronic sinusitis or severe nasal allergies. Each of these nasal  
obstructions can often be corrected using a variety of surgical techniques.
How is inferior turbinate hypertrophy diagnosed?
1.Nasal speculum and light examination in the office
2.Nasal endoscopy – a small camera with a bright light  and monitor is used to look inside 
the nose
3.A CT scan can demonstrate enlarged turbinate as well,  but these scans are mainly looking 
for evidence of  sinusitis.
Nasal 
Nasal polyps are benignP groowlthys tphats develop within the lining of the  
nasal passages or sinuses. If large enough, these growths may block the  
passages and cause breathing difficulties, sinus infections or other  
complications. Nasal polyps can affect anyone, but they occur more  
frequently in adults. Medications may shrink or eliminate nasal polyps,  
but surgery is sometimes needed to remove them.
Diagnosis of Nasal Polyps
Nasal polyps are commonly diagnosed by a doctor or otolaryngologist  
who will review the patient’s symptoms and perform a physical  
examination of the nose. A lighted instrument is commonly used to look  
inside the nose through a procedure called a nasal endoscopy. Additional  
diagnostic tests may include:
Allergy tests  CT Scan  MRI
Cystic Fibrosis test for children
Nosebleeds 
(epistaxis)
What is an anterior and posterior nosebleed?  
How do I stop a nosebleed?
Tips to prevent a nosebleed  and more…
The nose is an area of the body that contains many tiny blood vessels or arterioles that can break easily. In  
the United States, one of every seven people will develop a nosebleed some time in their lifetime. Nosebleeds 
 can occur at any age but are most common in children aged 2-10 years and adults aged 50-80 years.  
Nosebleeds are divided into two types, depending on whether the bleeding is coming from the front or back  
of the nose.
Post Nasal 
Drip
Insight Into Treating a Runny Nose:
What is Post-Nasal Drip?  How is Swallowing Affected?
How is Post-Nasal Drip Treated?
Glands in your nose and throat continually produce mucus (one to  
two quarts a day). Mucus moistens and cleans the nasal 
membranes,  humidifies air, traps and clears inhaled foreign 
matter, and fights  infection. Although it is normally swallowed 
unconsciously, the  feeling of it accumulating in the throat or 
dripping from the back of  your nose is called post-nasal drip. This 
sensation can be caused by  excessively thick secretions or by 
throat muscle and swallowing  disorders.
Insight into sinus problems in adults  
and children
How are sinusitis symptoms different than a cold or allergy?  
When does acute sinusitis become chronic?
What treatments are available?
Have you ever had a cold or allergy attack that wouldn’t go  
away? If so, there’s a good chance you actually had sinusitis. 
 Experts estimate that 37 million people are afflicted with  
sinusitis each year, making it one of the most common 
health  conditions in America. That number may be 
significantly  higher, since the symptoms of bacterial 
sinusitis often mimic  those of colds or allergies, and many 
sufferers never see a  doctor for proper diagnosis and 
treatment.
Minimally Invasive Office Procedures
A balloon sinuplasty is a minimally invasive endoscopic procedure used to treat chronic sinusitis. Sinusitis 
is  an inflammation of the lining within the paranasal sinuses. Once inflamed, the sinus cavities become a 
fertile  ground for viruses, bacteria, and occasionally fungi to grow, resulting in infection. If it becomes 
chronic there  may be a structural problem in the nose or sinuses. In those cases, a balloon sinuplasty may 
be recommended
1.Patients with out-of-balance  2. ClariFix 3. The treatment is performed in 4. After the procedure,  
nasal nerves suffer from chronic  interrupts the nerve the office with only topical and there is only slight  
runny nose and post-nasal drip.  lsoigcnalals that tell the anesthesia. The ClariFix device and  discomfort and a cooling  
If symptoms are refractory to   nose to drip, run,  nasal camera is placed in the back  sensation which resolves  
allergy medications and  and swell which  of the nose where the out of balance quickly. Most patients  
ipratropium bromide spray,  then leads to decreased   nerves are located. The cold (80%) have an  
cryotherapy can be a great  stuffy and runny  therapy  is applied using a cooling improvement in between  
option. nose symptoms. probe and  only takes a few 2-6 weeks from treatment.
minutes.
Tearing And Eye 
Grave’s disease is an autoimSmuunre gdiesorrdyer that causes the thyroid  
gland to produce an excessive amount of thyroid hormone within the  
body. This overproduction creates more hormones than the body  
needs and causes many important bodily functions to speed up. The  
thyroid is a butterfly-shaped gland located in the front of the neck  
and controls metabolism, heart and nervous system functions as well  
as other metabolic functions. An overproduction of the thyroid  
hormone can lead to hypertension, weight loss, irregular heartbeat  
and eye problems.
In addition to other symptoms, Grave’s disease may also cause a  
condition known as Grave’s ophthalmopathy in which the immune  
system attacks the muscles and other tissue around the eyes. This  
causes an inflammation and a build-up of tissue around the eye,  
which in turn, may cause the eyeballs to bulge out. Additional eye-  
related symptoms caused by Grave’s ophthalmopathy may include:
Contact Us
Coastal ENT – Neptune Coastal ENT – Manahawkin Coastal ENT - Holmdel
Address: 3700 Route Address: 1301 Route 72 Address: 100 Commons Way 
33 Unit 340  #210
Neptune, NJ 07753 Manahawkin, NJ 08050 Holmdel, NJ 07733
(732) 280-7855 (main) (609) 978-0590 (732) 280-7855
(732) 280-7815 (732) 280-7815 (732)-280-7815
For More Details Visit Us:
https://coastalearnoseandthroat.com/