Dr. Kevin Smith, MD - Ear, Nose & Throat

Your face is the first thing people see when they meet you; by taking cues from your eyes, smile, and expression, others will make assumptions about your feelings and personality. If you feel that the appearance of your face doesn’t accurately reflect who you are on the inside, cosmetic surgery can enhance your best features and correct imperfections. Dr. Kevin Smith offers such cosmetic surgery procedures as rhinoplasty, facelift, and brow lift, all designed to give you the youthful, proportionate face you’ve always wanted.
• Balloon Sinuplasty Procedure

• Migraine-type Headache Relief

• Sinus Surgery
• Septoplasty
• Turbinectomy
• Tonsillectomy/Adenoidectomy
• Sleep Apnea Surgery

• Allergy Treatment

Balloon Sinuplasty Procedure
This procedure came to the United States in 2006 and has revolutionized the approach to sinus surgery. Instead of removing tissue this is a tissue sparing technique where the frontal, maxillary and sphenoid sinuses can be cannulated with a guide wire. A balloon is threaded over the wire and expanded to dilate the openings of the sinuses. This allows the sinuses to drain and relieves pressure and congestion.

Click here to watch the Balloon Sinuplasty technology by Acclarent.

Sinus Surgery
Patients with recurrent sinus infections or chronic sinusitis may benefit from Endoscopic Sinus Surgery. This procedure involves the use of telescopes placed through the nose to visualize the sinuses as biting forceps are used to remove the bony septations of bone and mucosa to make one large cavity. The goal is to eliminate the swollen tissues and reduce the chance of trapping mucus that can become infected. The result is reduction in pressure sensation, congestion, drainage and the number of sinus infections.

Septoplasty
A deviated septum can cause nasal obstruction, headaches, runny nose and nose bleeds. This procedure involves removal of the crooked cartilage and bone of the septum and results in improved breathing and relief of headaches in some cases. It is an outpatient procedure and does not require nasal packing.

Turbinectomy
The turbinates are erectile tissue in the nose that can swell in response to colds, flu, allergies, menstrual cycles, etc. When the swelling causes persistent nasal obstruction they can be reduced by removing a portion of them. For intermittent nasal obstruction they can be out fractured and/or cauterized to reduce their size. Packing is only used if excessive bleeding is encountered during surgery.

Tonsillectomy/Adenoidectomy
Recurrent adenotonsillitis can cause these structures to swell and cause snoring, runny nose and nasal obstruction. They are removed as an outpatient procedure and require 1-2 weeks to recover.

Sleep Apnea Surgery
Snoring and sleep apnea are commonly caused by a combination of abnormal structures in the throat and nose, namely large turbinates, a deviated septum and an elongated uvula/soft palate. The throat surgery, uvulopalatopharyngoplasty(UP3), involves the removal of the uvula and a portion of the soft palate and redundant pharyngeal tissues. The result is a larger opening in the back of the throat which reduces or eliminates the snoring /apnea.

Allergy Treatment
The scope of allergy treatment includes the evaluation and treatment with the appropriate combination of steroid or antihistamine nasal sprays, oral antihistamines or oral steroids. Difficult or refractory patients are referred to an allergist for additional testing and treatment.