Nose Treatments


Otherwise known as a sinus infection, sinusitis affects millions of people every year and causes many missed days of work and school. It is usually caused by a viral or bacterial infection and can worsen due to allergies. It is rarely of fungal etiology. Acute sinusitis is with inflammation of the sinus (es) lining and may have fluid present within the sinus cavity/ies. It becomes chronic sinusitis if symptoms are present for more than 3 months. At Andros ENT & Sleep Center, we can help detect and treat sinusitis as well as difficulty breathing through the nose, nasal polyps, deviated septum, allergic rhinitis, nasal fracture or abnormality, and epistaxis.

Dr. Rosario is excited to be on the cutting edge of nasal polyp treatment by offering the SINUVA (mometasone furoate) Sinus Implant! It is FDA- approved for adults who have had previous sinus surgery and have recurrent nasal polyps. SINUVA is a non-surgical option that is placed during a routine physician office visit and is clinically proven to reduce nasal congestion and polyps. Patients with a known hypersensitivity to the mometasone furoate drug or any of the ingredients in SINUVA should not use SINUVA. The area around SINUVA should be monitored by a physician for any signs of bleeding, irritation, infection, or perforation. For more information, CLICK HERE.

Symptoms of sinusitis include:

  • Facial pain or pressure
  • Pain in the upper teeth
  • Headache
  • Swelling or redness around the eyes
  • Decreased smell and/or taste
  • Bad breath
  • Fatigue/ irritability
  • Fever
  • Watery/itchy eyes
  • Post Nasal Drip
  • Head congestion, aggravated when bending
  • Runny nose, difficulty breathing through the nose
  • Difficulty sleeping

Very rarely, when sinusitis is left untreated and progresses, it can cause brain abscess, meningitis, Cerebrospinal fluid leak, orbital abscess, vision loss and potentially death.

Fungal sinusitis when noninvasive is caused by a ball of fungus located most often in the maxillary sinus. This often occurs in people with diabetes, allergies or reduced immunity, and it usually requires surgery. Invasive fungal sinusitis is rare but threatening to organs such as the eyes and brain and requires immediate medical and surgical intervention. If is often life threatening.


Usually, sinusitis is treated with antibiotics, steroids,saline nasal sprays or nasal steroid sprays, antihistamines and decongestants, . If these treatments don’t work, we take a sinus culture to determine which bacteria is causing the infection and what would be the best antibiotic to use. For chronic sinusitis, we perform a CT scan of the sinuses. Our Xoran MiniCT emits the lowest dose of xray beam needed, works with image guided navigation systems, and we are CT certified by IACTL. The scan is done with you seated and takes about 1 minute to perform which makes it an excellent tool for imaging kids and older adults.

If indicated, we will perform surgery based on your CT scan. This can be performed in a hospital, at an outpatient center, or potentially in the office. Recovery is generally one week but often less when done in office. Postop bloody nose and facial pain are the main side effects.

Balloon Sinuplasty

Balloon Sinuplasty is a treatment for chronic sinusitis and is often done in office.

When medication isn’t enough to solve the problem, we perform an in-office Balloon Sinuplasty, a minimally invasive treatment used for both adults and children to dilate the opening to the sinuses. It is less painful and requires less recovery than traditional sinus surgeries with comparable benefits.


Andros ENT and Sleep Center offers a non-surgical procedure for patients who suffer from repeat nasal polyps with SINUVA™ Sinus Implant. SINUVA is proven to reduce polyps and nasal congestion and obstruction.

What is SINUVA?

SINUVA is a sinus implant that treats nasal polyps without surgery. During a routine office visit, Dr. Rosario will use topical and/or local anesthesia to numb the patient’s nose and sinuses. SINUVA is then placed in the sinus cavity through the nasal opening.

How SINUVA works?

Its innovative design provides a 2-in-1 approcat. It is designed to open in the sinus cavity and release anti-inflammatory medicine to treat nasal polyps up to 90 days.

SINUVA benefits (At Day 90)

Significantly reduces nasal obstruction, congestion, and improves impaired sense of smell.

Call Dr. Rosario and the Andros ENT and Sleep Center team or click below to see if a SINUVA implant is a good option for you!


In-Office Procedure for Nasal Obstruction/Collapse!

Many people with nasal obstruction experience difficulty breathing through their nose, habitual snoring, interrupted sleep and fatigue. Nasal obstruction is often caused by anatomical blockage in the nose, hindering airflow. As a result, you may feel congested or “stuffy”. If you regularly experience these symptoms, you may have nasal obstruction.

Breathe better. Live better. The VivAer® procedure is clinically proven to provide high satisfaction and lasting relief. Patients typically return to normal daily activity the same day. Non-invasive solution: Minimal discomfort, no incisions, and can be performed in our office.

• 97% of patients experienced significant improvement in nasal breathing
• 94% of patients improved their ability to get enough air through their nose during exercise or exertion
• 89% of patients reported getting a better night’s sleep

How it works:

The VivAer procedure uses temperature-controlled radiofrequency (RF) technology for the treatment of nasal obstruction. By treating the narrowest parts of your nasal airway,the VivAer procedure opens up the nasal passage to allow more air in.


In-Office Procedure for Chronic Rhinitis

Symptoms of chronic rhinitis include:

• Persistently runny nose
• Post-nasal drip
• Nasal congestion
• Itching and sneezing

While some symptoms may be related to allergies, symptoms from chronic rhinitis may occur all year. This challenging condition can negatively impact your life in countless ways. And trying to find an effective treatment can be frustrating. Like many, you may manage your symptoms using medications and sprays. Unfortunately, these treatments only provide temporary relief. It’s only when the root cause of your rhinitis is addressed that you can expect to find real, lasting relief. With the RhinAer® procedure lasting relief is possible without surgery.

How it Works:

The RhinAer procedure uses temperature-controlled radiofrequency (RF) technology for the treatment of chronic rhinitis. For many patients, their chronic rhinitis symptoms may be caused by abnormal signals in the nose. The RhinAer procedure disrupts these signals to improve your symptoms and your overall quality of life.