Nasolacrimal Duct Obstruction Evaluation and Management

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Nasolacrimal Duct Obstruction Evaluation and Management

Indication Nasolacrimal duct obstruction (NLDO) typically presents as tearing and can be congenital or acquired. A variety of etiologies other than NLDO can produce excessive tearing, or epiphora, including punctal…

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Botulinum Toxin

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Botulinum Toxin

INDICATIONS Botulinum toxin (BTX) is a natural endotoxin produced by the bacteria Clostridium botulinum . The variant known as C. botulinum toxin A (BTX-A), discovered in 1946, has gained popularity…

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Allergy Testing and Immunotherapy

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Allergy Testing and Immunotherapy

Introduction Allergic rhinitis (AR) is a common disease with 10% to 40% of adults affected. , In a sensitized individual, exposure to one or more allergens leads to a type…

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Inferior Turbinate Procedures

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Inferior Turbinate Procedures

Introduction Inferior turbinate hypertrophy is one of the most common causes of nasal obstruction, and in most cases results from allergic rhinitis or nonallergic rhinitis. While common, the exact prevalence…

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Nasal Valve Treatment: Vivaer/Latera

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Nasal Valve Treatment: Vivaer/Latera

Etiology of Nasal Airway Obstruction Nasal airway obstruction (NAO) is a common complaint among patients visiting otolaryngology clinics. The differential diagnosis for NAO is extensive and includes both reversible and…

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In-Office Tympanostomy Tube Placement in Children

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on In-Office Tympanostomy Tube Placement in Children

Introduction Tympanostomy tube insertion is one of the most common ambulatory surgical procedures performed in children in the United States. It is commonly used in the treatment of recurrent or…

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In-Office Management of the Deviated Nasal Septum

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on In-Office Management of the Deviated Nasal Septum

Introduction Nasal obstruction is a common presenting complaint for patients in an otolaryngology office. Up to one-third of the population complains of nasal obstruction severe enough to seek treatment from…

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Drug-Eluting Stents and Steroid Injections

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Drug-Eluting Stents and Steroid Injections

Introduction Chronic rhinosinusitis (CRS) is an inflammatory syndrome affecting more than 10% of Western populations and is characterized by persistent nasal obstruction, drainage, facial pressure, and loss of smell. CRS…

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Treatment of the Posterior Nasal Nerve (Cryoablation and Radiofrequency Neurolysis)

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Treatment of the Posterior Nasal Nerve (Cryoablation and Radiofrequency Neurolysis)

Indications Background Chronic rhinitis affects up to an estimated 30% of the US population alone. Marked by symptoms of nasal congestion, rhinorrhea, postnasal drip, sneezing, and itching, chronic rhinitis can…

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Endoscopic Sinus Surgery in the Office

Apr 21, 2026 by drzezo in OTOLARYNGOLOGY Comments Off on Endoscopic Sinus Surgery in the Office

Introduction and Patient Selection Endoscopic sinus surgery (ESS) can be safely and effectively performed in the office setting in select patients. The advantages of office-based surgery include increased efficiency, avoidance…

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