Considered by his patients and his peers to be one of Los Angeles’ best sinus surgeons, Dr. Alen Cohen, has performed countless in-office balloon sinuplasty procedures and has often combined it with in-office endoscopic sinus surgery to address scar tissue or disease within the sinuses or along the drainage pathways of the sinuses. As such in these hybrid cases under local anesthesia, Dr. Cohen will begin by ballooning open the frontal, sphenoid and maxillary sinus ostia and then he will use a microdebrider to remove polyps, scar tissue or infection along the ethmoid sinuses or osteomeatal complex regions for permanent relief from chronic sinusitis. This may be done under Fiagon image guidance or not depending on the complexity and severity of the case. This makes Dr. Cohen unique among nose and sinus surgeons in the country to combine techniques used in the OR in the office setting for permanent relief in nose and sinus conditions. The recovery in these cases may be 48 hrs instead of the typical 24 hrs but is worth a lifetime of improvement. Patients routinely state the Tylenol or Advil takes the discomfort associated with these procedures away. They also state they love the fact that there is no packing, just some dissolvable gel in their nose after the procedure and they leave the office with just mild congestion.
As such Dr. Cohen will determine if scar tissue, bacterial or fungal infection, polyps or simply allergies are the cause of your problems and then decide if you would benefit from In-Office Balloon Sinuplasty, Minimally Invasive Image-Guided Endoscopic Sinus Surgery (MIGSS™) or simply medical management for sinusitis.