Lakeside ENT & Allergy is proud to announce that Dr Susan Fulmer has joined our practice. She is currently scheduling patient appointments in all three office locations. Dr Fulmer also performs surgeries at F.F.Thompson Hospital, Clifton Springs Hospital, and United Memorial Medical Center.
Lakeside ENT & Allergy adds a GE ultrasound to our Batavia office to meet the needs of our Western NY patient population. Again, the US will allow us to perform point of service diagnostic imaging and US guided biopsies of thyroid tumors, goiters, and other neck masses.
Lakeside ENT & Allergy is pleased to announce the grand opening of our third practice location in Batavia. Located at 215 Summit St, the new office is across the street from UMMC. The completely renovated 3600 sq ft space has full ENT clinical services, allergy testing, in-house hearing testing, and eventually audiology services. Click here for pictures of the new office.
Lakeside ENT & Allergy adds a GE ultrasound to our main CDGA office to meet the needs of our patient population. Because we provide care to a large number of patient with thyroid diseases, the US will allow us to perform point of service diagnostic imaging and US guided biopsies of thyroid tumors, goiters, and other neck masses
229 Parrish St., Suite 250
Canandaigua, NY 14424
4 Coulter Road
Clifton Springs, NY 14432
A recommendation for sinus surgery in the early 20th century would easily alarm the patient. In that era, the surgeon would have to perform an invasive procedure, reaching the sinuses by entering through the cheek area, often resulting in scarring and possible disfigurement. Today, these concerns have been eradicated with the latest advances in medicine. A trained surgeon can now treat sinusitis with minimal discomfort, a brief convalescence, and few complications.
A clinical history of the patient will be created before any surgery is performed. A careful diagnostic workup is necessary to identify the underlying cause of acute or chronic sinusitis, which is often found in the anterior ethmoid area, where the maxillary and frontal sinuses connect with the nose. This may necessitate a sinus computed tomography (CT) scan (without contrast), nasal physiology (rhinomanometry and nasal cytology), smell testing, and selected blood tests to determine an operative strategy. Note: Sinus X–rays have limited utility in the diagnosis of acute sinusitis and are of no value in the evaluation of chronic sinusitis.
Functional endoscopic sinus surgery (FESS):
FESS involves the insertion of the endoscope, a very thin fiber-optic tube, into the nose for a direct visual examination of the openings into the sinuses. With state of the art micro-telescopes and instruments, abnormal and obstructive tissues are then removed. In the majority of cases, the surgical procedure is performed entirely through the nostrils, leaving no external scars. There is little swelling and only mild discomfort.
The advantage of the procedure is that the surgery is less extensive, there is often less removal of normal tissues, and can frequently be performed on an outpatient basis. After the operation, the patient will sometimes have nasal packing. Ten days after the procedure, nasal irrigation may be recommended to prevent crusting.
Image guided surgery:
Image guidance is a near-three-dimensional mapping system that combines computed tomography (CT) scans and real-time information about the exact position of surgical instruments using infrared signals. In this way, surgeons can navigate their surgical instruments through complex sinus passages and provide surgical relief more precisely. Image guidance uses some of the same stealth principles used by the United States armed forces to guide bombs to their target.
Caldwell Luc operation: