Endoscopic Sinus Surgery
Endoscopic sinus surgery is done entirely through the nose with no need for incisions. Endoscopes (tiny cameras) and special instruments are used to remove tissue that is obstructing the nasal sinuses. This surgery is done to treat conditions like chronic sinusitis and polyps.
Endoscopic Balloon Sinus Dilation (Balloon Sinuplasty)
Endoscopic balloon sinus dilation (balloon sinuplasty) is a very minimally invasive procedure that can be performed in clinic to dilate the natural sinus openings. Balloon dilation of the sinuses can be performed to treat chronic sinusitis and recurrent sinusitis.
Nasal endoscopy is a quick, safe, and painless procedure that evaluates the inside of nose. Nasal endoscopy is performed in a comfortable clinic setting and does not require general anesthesia or sedation of any kind. A tiny endoscope (camera lens) is used to visualize the nasal passages.
Nasal endoscopy is often the first step in diagnosing inflammation of the nose (rhinitis), inflammation of the sinuses (sinusitis), mucous drainage down the throat (post nasal drip), sinus polyps, and sinus masses. Nasal endoscopy also allows for improved evaluation for causes of nasal blockage and nasal obstruction such as a deviated nasal septum and enlarged inferior turbinates (inferior turbinate hypertrophy).
Dr. Flavill has outfitted his clinic with operating room quality equipment and endoscopes. High quality monitors are available in clinic that will allow you to see and understand what is going on inside your nose and sinuses. You will also be able to see the benefits and effectiveness of medications and surgeries in real time during your appointments.
Normal Nasal Endoscopy Showing Middle Turbinate
Nasal Endoscopy Showing Abnormal Severe Mucous Collecting In Nose
Nasal Endoscopy Showing Crusting & Pus From Chronic Sinusitis
Laryngoscopy allows evaluation of the throat and larynx (voice box). This procedure can be done to evaluate hoarseness, weak voice, throat pain, cough, problems breathing, or swallowing problems.
Exam with mirror allows some visualization of the larynx (voice box)
This very low risk, in clinic procedure can be done in just a few minutes and allows evaluation of your throat and larynx (voice box).
Direct laryngoscopy provides the clearest view of the larynx (voice box)
This surgery is performed to straighten the nasal septum. The nasal septum is made of bone, cartilage, and soft tissue. If it is crooked or deviated it can cause nasal obstruction and worsened nasal air flow. Septoplasty is performed to correct this.
Deviated Septum Before Septoplasty
Straight Septum After Septoplasty
Septal Perforation Repair
This challenging & intricate surgery is performed to repair holes in the nasal septum. These holes (perforations) can be caused by injury, prior surgeries, or medication use. Septal perforations can cause nasal pain, nasal discomfort, crusting (large boogers), whistling, nose bleeds, & nasal obstruction. Eric Flavill, MD & Jim Gilmore, MD, FACS, FICS researched & developed the Tension Free Septal Perforation Repair Technique (Flavill-Gilmore Procedure) at UT Southwestern Medical Center.
Inferior Turbinate Reduction
The inferior turbinates are made of bone and soft tissue. They are found in your nasal cavity. In some people, the inferior turbinates are very large and can block nasal air flow. This can make nasal breathing difficult. Reducing the size of the inferior turbinates can be a quick and low risk way to relieve nasal obstruction.
Large inferior turbinate obstructing airflow at nasal cavity.
Inferior turbinate after reduction with improved nasal airflow and larger nasal passage.
Treatment Of Nasal Bone Fracture
Nasal bones can be fractured due to trauma & blows to the nose. Fractured nasal bones can cause deformity of the nose & nasal obstruction. Nasal bone fractures can be treated with procedures & surgeries that move these bones back into the normal position.
Nasal trauma or injury can result in deformity of the nose and nasal obstruction. Surgeries & procedures can be performed to repair & reconstruct the nose.
The palatine tonsil are found at the back of the throat. Tonsillectomy can be done to remove these structures if they are becoming chronically infected or if they are causing other problems due to large size.
Large Tonsils Before Tonsillectomy
Throat After Tonsillectomy
The adnoid is a collection of tonsil tissue that exists behind the nose and above the throat. This tissue can become chronically infected or can cause problems due to large size. Adenoidectomy is a surgery to remove or reduce the adnoid tissue.
Adenoid tissue at nasopharynx (area of throat behind the nose)
Nasopharynx (area of throat behind the nose) after Adenoidectomy
Uvulopalatopharyngoplasty is also known as UP3, UPPP, and Palatopharyngoplasty. This is a surgery done on the throat to help reduce the severity of obstructive sleep apnea (OSA). Reducing the amount of OSA present can result in better more restful sleep with improved alertness and energy during the day. UP3 can also reduce or resolve snoring symptoms in patients suffering from OSA.
Throat Before Uvulopalatopharyngoplasty (UP3)
Throat After Uvulopalatopharyngoplasty (UP3)
Nasal valve collapse is a common cause of nasal obstruction. It results from week lateral cartilage collapsing inward during breathing. LATERA is a self absorbing nasal implant that provides support to the lateral nasal cartilage. It is very minimally invasive & can be placed without external skin incisions.
Eustachian Tube Balloon Dilation
Eustachian tube dysfunction can cause ear pain, ear pressure, & even collection of fluid in the middle ear. Eustachian tube balloon dilation is an FDA approved procedure for the treatment of Eustachian tube dysfunction.
The torus tubarius are the part of the Eustachian tube that open into the throat
The Eustachian tube equalizes pressure in the middle ear by connecting it to the throat.
Skin lesions can be evaluated and sometimes removed with this in clinic procedure. The top layers of the skin lesion are shaved off and sent for pathology evaluation.
Skin Neoplasm Before Shave Biopsy
Healed Skin After Shave Biopsy
Otoendoscopy is an advanced technique for evaluating and treating conditions of the ear. Ear pain (otalgia), ear pressure, ear popping, ear fullness, ear drainage (otorrhea), and sense of hearing loss can all be assessed using otoendoscopy in clinic. A tiny camera is used to examine your ear and obtain images of your ear canal (external auditory canal) and ear drum (tympanic membrane).
Dr. Flavill has outfitted his clinic with operating room quality equipment and top quality optics that will allow you to see and understand what his happening inside your ear. This improved diagnostic information, can help resolve your ear symptoms faster and more effectively.
This normal healthy tympanic membrane is translucent (partially see through). The ossicles (tiny ear bones) can be partially visualized.
Serous effusion (clear sterile fluid) has collected in the middle ear. This fluid is often golden yellow in color. Air bubbles are sometimes seen in the fluid. Swelling or dysfunction of the Eustachian tube can cause this fluid to collect in the middle ear (behind the ear drum).
Serous effusion (clear sterile fluid) has collected in the middle ear. This fluid is often golden yellow in color. Swelling or dysfunction of the Eustachian tube can cause this fluid to collect in the middle ear (behind the ear drum).
Negative pressure can build up in the middle ear due to Eustachian tube dysfunction. This negative pressure can cause the tympanic membrane (ear drum) to retract into the middle ear space.
An attic retraction pocket can form in the top part of the tympanic membrane (ear drum) due to negative pressure. Retraction pockets can allow skin cells into the middle ear which can cause an aggressive skin cyst known as cholesteatoma. Otoendoscopy can allow for early detection and treatment.
An attic perforation can form in the top part of the tympanic membrane (ear drum) due to negative pressure. Attic perforations can allow skin cells into the middle ear which can cause an aggressive skin cyst known as cholesteatoma. Otoendoscopy can allow for early detection and treatment.
Cerumen (ear wax) can become impacted against the tympanic membrane (ear drum) due to use of cotton swabs (Q-tips).
Cerumen (ear) wax completely coating the tympanic membrane (ear drum).
Fungus growing on impacted cerumen in the ear canal. Fungus in the ear canal is known as otomycosis
Fungal otitis externa (fungal ear infection)
Perforation in the tympanic membrane (hole in the ear drum). Middle ear contents
Perforation in the tympanic membrane (hole in the ear drum)
Early tympanic membrane perforation (hole in ear drum). Myringosclerosis (calcifications) are also present.
Healed tympanic membrane perforation (hole in ear drum). Myringosclerosis (calcifications) are also present.
Myringosclerosis is a white patch or plaque on the tympanic membrane (ear drum) caused by calcium deposits. Myringosclerosis usually does not effect hearing but can be a sign of past inflammation or infection.
Myringosclerosis is a white patch or plaque on the tympanic membrane (ear drum) caused by calcium deposits. Tympanosclerosis is a similar term but is often used to describe calcification that extends into the middle ear space.