The sinus and nasal disorders program at Keck Medicine of USC in Los Angeles is a leader in treating the broad spectrum of nasal disease from allergies and deviated septums to more severe cases of chronic rhinosinusitis, polyps, nasal tumors and allergic fungal sinusitis. We often treat patients who have not been able to find relief elsewhere, need difficult, advanced surgery or whose polyps keep returning.
Our program has access to all the latest technology, including image-guided systems and balloon sinuplasty, which can be performed in an office setting with local anesthesia for patients with chronic sinusitis. This helps our patients find significant relief with minimal recovery or side effects.
We provide targeted, appropriate care for each patient with allergies of the ear, nose and throat, including home immunotherapy treatment for eligible patients. We also provide comprehensive services for patients who have lost their sense of smell.
As leaders in the endoscopic removal of sinus tumors, either benign or malignant, Keck Medicine of USC neurosurgeons and rhinologists team up to perform minimally invasive endoscopic treatment for sinus tumors, which allows for tumor removal without any incisions to the patient’s face.
Patients suffering from nasal disorders generally seek improved quality of life and the ability to breathe. Many of our procedures are minimally invasive and allow our patients to return to activities of daily life the following day. Using a collaborative, multidisciplinary approach, we offer tailored, conservative and minimally invasive treatments for a range of conditions of the nasal region. Additionally, patients are presented with all treatment options and are involved in making treatment decisions with guidance from our rhinologists.
As pioneers in the field of treating sinus and nasal disorders, surgeons at Keck Medical Center of USC were the first on the west coast to use a microdebrider, a tiny, high-speed tool designed to remove tissue, allowing for faster healing. Our surgeons can reduce the number of surgeries for patients with severe chronic sinusitis and are among the most experienced in the Lothrop procedure, a complex procedure reserved for the most severe cases of chronic rhinosinusitis.
We are also among the first academic medical centers to gain approval for the use of intranasal steroid stents (post-surgical implants that provide localized, controlled drug delivery to the sinus tissue), which reduce recovery time and eliminate the need for patients to take oral steroids.
Symptoms include bad breath or loss of smell, cough, fatigue, fever, headache, pressure-like pain, pain behind the eyes, nasal stuffiness, discharge and postnasal drip.
In addition to an infection, nasal polyps or a deviated septum can cause chronic sinusitis. Symptoms include drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat, nasal obstruction or congestion, pain, tenderness and swelling a round the eyes or reduced sense of smell and taste.
Pituitary adenoma and inverting papilloma are the most common type of benign tumors that can be removed endoscopically through the nose. Malignant tumors in the nose include esthesioneuroblastoma (olfactory neuroblastoma), squamous cell carcinoma, lymphoma, adenoid cystic carcinoma, adenocarcinoma, juvenile angiofibroma and mucosal melanoma. These tumors may be approached endoscopically through the nasal passageway. Intracranial tumors such as meningiomas, chordomas, plasmocytomas, craniopharyngiomas can be addressed endoscopically, as well. Our head and neck surgeons collaborate with neurosurgeons in the Minimally Invasive Neurosurgery and Endoscopic Skull Base Center in the treatment of intracranial tumors.
Extended endoscopic approaches can be also used for drainage of the petrous apex granulomas.
Treatments and Services
Our surgeons create “open highways” in the nasal passages and then treat the disease on a systemic level with topical anti-inflammatories or intranasal steroid stents to keep the disease from recurring.
Practicing LocationsKeck Medicine of USC - La Cañada Flintridge
Keck Medicine of USC – Glendale
Sinus and skull base disorders
Practicing LocationsUSC Healthcare Center 4
Extended Midface Lift for Facial Paralysis; Botulinum Toxin for Facial Spasm, Synkinesis and Contralateral Hyperkinesis; Brow Lift and Eyelid Surgery for Facial Dysfunction
Practicing LocationsKeck Hospital of USC
USC Healthcare Center 4
USC Outpatient Surgery Center