Head & Neck Cancers

Head & Neck Cancers

Dr. Namzie provides expert diagnosis and treatment of benign and malignant tumors of the head and neck.

Head & Neck Cancers

Head and neck cancers can prove difficult to diagnose because many of the symptoms can be very similar to the symptoms of other common illnesses. It is recommended that you should seek out expert medical advice if your symptoms last for more than a few weeks. Some of these symptoms include but are not limited to: a numb feeling in the mouth, bleeding in the mouth or throat, pain or difficulty swallowing or chewing, difficulty breathing, and nosebleeds.

Dr. Namzie provides expert diagnosis and treatment of benign and malignant tumors of the head and neck. Whether your condition is complex or common, Dr. Namazie will provide advanced treatment for a variety of head and neck cancers, including:

  • Oral cavity (mouth, lips, gums, cheeks, tongue, palate and mouth floor)
  • Pharynx or throat, including the oropharynx (behind the mouth), nasopharynx (behind the nasal passage) and hypopharynx (behind the voice box)
  • Nasal cavity and paranasal sinuses
  • Thyroid and parathyroid
  • Skin of the head and neck, including melanoma
  • Skull base
  • Ear and temporal bone
  • Salivary glands
  • Eyes
  • Neck
  • Larynx


Salivary Gland Problems

Salivary Gland Problems

The parotid glands are the largest salivary glands and are located on either side of the mouth and in the front of both ears. The submandibular glands are under the jaw.

Salivary Gland Problems

Common symptoms of blocked salivary glands include: a sore or painful lump under the tongue, pain or swelling below the jaw or ears, pain that increases when eating.

The parotid glands are the largest salivary glands and are located on either side of the mouth and in the front of both ears. These glands produce saliva, which help moisten the mouth, initiate food digestion, and protect teeth from decaying.

There are a number of ailments and diseases that can affect your salivary glands which may be related to various factors. These factors include infections, obstructions, and in the most severe cases, tumors.

Symptoms of parotid problems include but are not limited to blocked saliva flow, pain in the glands, swelling in the glands, difficulty eating, and growths inside of the glands or neck. Some conditions may go away with time or with antibiotics while others may require more serious treatment, such as surgery.

Depending on the underlying cause and progression of the parotid problem, Dr. Namazie will take either a medical or surgical approach for treatment.


Thyroid Problems

What is the Thyroid?

The thyroid is a gland in the neck that secretes hormones regulating growth and development through the rate of metabolism.

Thyroid Problems

Through the hormones it produces, the thyroid gland influences almost all of the metabolic processes in your body. Thyroid disorders can range from a small, harmless goiter (enlarged gland) that needs no treatment to life-threatening cancer. The most common thyroid problems involve abnormal production of thyroid hormones. Too much thyroid hormone results in a condition known as hyperthyroidism. Insufficient hormone production leads to hypothyroidism.

These hormones affect the entire body. The thyroid also affects your temperature regulation as well as keeping your muscles and organs working properly. When individuals develop a thyroid issue, it can severely affect their lifestyle. Although the effects can be unpleasant or uncomfortable, most thyroid problems can be managed well if properly diagnosed and treated.

Thyroid disorders are very common ailments. The most common issues are:

  • Hypothyroidism – Hyperthyroidism refers to overactivity of the thyroid gland which results in a rapid heartbeat and an increased rate of metabolism
  • Thyroiditis- Thyroiditis is the swelling, or inflammation, of the thyroid gland and can lead to over- or under-production of thyroid hormone
  • Thyroid nodules- Thyroid nodules are solid or fluid-filled lumps that form within your thyroid. Most thyroid nodules are benign and do not indicate a severe medical ailment. Only a small percentage of thyroid nodules are cancerous.

As an experienced ENT, Dr. Namazie can help treat thyroid issues and help patients get back to feeling healthy and well. Treatment options for thyroid issues vary based on what type of thyroid issue the patient has. Some thyroid issues can be treated with medication while some may require surgery. Dr. Namazie treats thyroid issues that require surgery.


Neck Masses

Neck Masses

Neck masses are fairly common in adults and they may also be referred to as growths, lumps, bumps, and tumors. Though most neck masses are benign, or noncancerous, it might be a good idea to visit a qualified ENT like Dr. Namazie for a proper diagnosis.

Neck Masses

A neck mass is an abnormal lump in the neck. Neck lumps or masses may be any size. They can be large enough to see or feel or very small. They can be a sign of an infection or something more serious, such as cancer. They may also be referred to as growths, lumps, bumps, and tumors. While the development of neck masses may not always indicate a severe medical issue, it is always recommended to have any abnormal neck swelling evaluated by a medical professional.

There are many various causes of neck masses. These causes include enlargement of lymph nodes, benign lesions, and caners. Upon evaluation of the mass, Dr. Namazie will be able to determine the cause of the mass based on location, size, and consistency.

After providing a diagnosis, Dr. Namazie will determine the ideal treatment options in the management of the neck mass based on the cause. Benign neck cysts and masses are often removed by surgery. Other causes, including cancers, may be treated by chemotherapy, surgery, or both.

Call our office for an appointment. 818.986.5500


Balloon Sinuplasty

Balloon Sinuplasty (Balloon Sinus Procedure)

Balloon sinuplasty is typically used to treat cases of severe rhinosinusitis or sinus inflammation and blockage in the nose. A type of endoscopic nasal procedure, it uses small balloon catheters that inflate to drain the large nasal sinuses.

What is balloon sinuplasty?

Balloon sinuplasty is a special procedure that may offer relief to patients suffering from sinusitis. It is an endoscopic procedure, which means it does not require surgical injury to the tissues. It is done in the office under local anesthesia with some mild sedation if required.

The procedure usually takes under 30 minutes and the patient can return to most normal activities generally within 2–3 hours.

Do I need this procedure?

Patients with the following symptoms are good candidates for balloon sinuplasty:

  • Recurrent sinus infections not responding to drug therapy
  • Pain over and around the eyes
  • Nasal blockage and snoring
  • Chronic cough and chronic headaches
  • Persistent halitosis (bad breath)
  • Breathing problems

What are the benefits of balloon sinuplasty?

Some benefits of balloon sinuplasty include:

  • Less invasive compared to other surgical procedures, meaning there is minimal trauma to the patient
  • Relief of facial pain and pressure
  • Resolution of sinus infections, snoring and nasal blockage
  • Improvement in cough and asthma symptoms
  • Much less pain and minimal bleeding
  • More convenient, as it can be done in an outpatient setting
  • Faster recovery periods

How does it work?

A wire catheter with a tiny balloon is inserted in the affected nostril up to the part of the nose where there is a blockage. The balloon is then inflated, opening the nostril and widening the passageway. The balloon is then removed after the procedure.

Step 1. A balloon catheter is inserted into the inflamed sinus.

Step 2. The balloon is inflated to expand the sinus opening.

Step 3. Saline is sprayed into the inflamed sinus to flush out the pus and mucus.

Step 4. The system is removed, leaving the sinuses open.

Step 1. A balloon catheter is inserted into the inflamed sinus.

Step 2. The balloon is inflated to expand the sinus opening.

Step 3. Saline is sprayed into the inflamed sinus to flush out the pus and mucus.

Step 4. The system is removed, leaving the sinuses open.

When the sinus balloon is inflated, it restructures and widens the walls of the sinus passageway while maintaining the integrity of the sinus lining.


Sleep Apnea Treatments and Surgery

What is Sleep Apnea?

Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. If you snore loudly and feel tired even after a full night’s sleep, you might have sleep apnea. Contact Dr. Namazie’s office for an appointment to learn about your options.

Sleep Apnea Treatments and Surgery

Treatment often includes lifestyle changes, such as weight loss, and the use of a breathing assistance device at night, such as a continuous positive airway pressure (CPAP) machine.

Sleep Apnea Surgery

Over time, sleep apnea can increase your risk of developing high blood pressure, metabolic issues, and other health problems, so it’s important to treat it. If nonsurgical treatments don’t help, you may need surgery. There are many surgical options for treating sleep apnea, depending on how severe your sleep apnea is and your overall health.

Uvulopalatopharyngoplasty

UPPP is one of the most common surgeries for treating obstructive sleep apnea. It involves removing extra tissue from the top of your throat and the back of your mouth. It tightens flabby tissues in the throat and palate and expands air passages. It’s usually only done if you can’t use a CPAP machine or other device, and tends to be used as a snoring treatment.

Septoplasty and Turbinate Reduction

The nasal septum is a mix of bone and cartilage that separates your nostrils. If your nasal septum is bent, it can affect your breathing. Septoplasty involves straightening your nasal septum, which can help to straighten out your nasal cavities and make it easier to breath.

The curved bones along the walls of your nasal passage, called turbinates, can sometimes interfere with breathing. A turbinate reduction involves reducing the size of these bones to help open up your airway.

Thermal ablation palatoplasty (TAP) refers to procedures and techniques that treat snoring and various severities of obstructive sleep apnea. Different types of TAP include bipolar cautery, laser and radiofrequency.

Coblation treats snoring and mild obstructive sleep apnea by removing the obstruction in the airway.

Base of tongue ablation, also known as Radiofrequency ablation, uses a needle electrode to shrink excess tissue in the upper airway, including the palate and uvula (for snoring), base of the tongue (for obstructive sleep apnea), and nasal turbinates (for chronic nasal obstruction).

Nasal CPAP, an alternative to surgery, delivers air into your airway through a specially designed nasal mask or pillows. The mask does not breathe for you; the flow of air creates enough pressure when you inhale to keep your airway open. CPAP is considered an effective nonsurgical treatment for the alleviation of snoring and obstructive sleep apnea.

To learn more about treatment for snoring and sleep apnea, call our office at 818.986.5500 or request an appointment to see Dr. Namazie.


Sinus Surgery

Sinus Surgery

Sinus surgery is a procedure that aims to open the pathways of the sinuses and clear blockages. This is an option for people with ongoing and recurrent sinus infections, abnormal sinus structure, or abnormal growths in the sinus.

When Would I Need Sinus Surgery?

A doctor will often attempt other treatments and procedures before resorting to surgery. If these don’t work, surgery may be carried out.

Sinus surgery can be done with little discomfort. It is a brief procedure that has few complications. The goal of the surgery is to remove whatever is blocking the drainage pathways of the sinuses.

This may include removing:

  • Thin pieces of bone
  • Mucous membranes
  • Nasal polyps
  • Swollen or damaged tissue
  • Tumors or growths blocking the nasal or sinus passage

Overview of sinus surgery:

Sinus surgery is conducted in the operating room under general anesthesia. Dr. Namazie uses an endoscope through the patient’s nostril to remove whatever is blocking the drainage pathways of the sinuses. In sinus surgery, the patient returns home the same day and becomes an outpatient. There is minimal nasal packing, pain, or risks associated with sinus surgery. The patient should experience a speedy recovery of 3-4 days.


Rhinoplasty

Rhinoplasty

Rhinoplasty, which may be better known as a “nose job,” is one of the most popular cosmetic procedures available. A nose job can create a new shape for a person’s nose or correct breathing problems. There are many different methods of rhinoplasty.

Nose Job (Rhinoplasty) Overview

Rhinoplasty is a plastic surgery procedure for altering and reconstructing the nose. The goal could be to correct an injury or birth defect, improve the patient’s breathing, enhance the appearance of the nose, or a combination of similar reasons.

There are two types of plastic surgery used – reconstructive surgery that restores the form and functions of the nose, and cosmetic surgery that changes the appearance of the nose.

Reconstructive surgery seeks to resolve nasal injuries caused by various traumas including blunt or penetrating trauma, and trauma caused by blast injury. Reconstructive surgery also treats birth defects, breathing problems, and failed primary rhinoplasties. Rhinoplasty may remove a bump, narrow nostril width, change the angle between the nose and the mouth, or address injuries, birth defects, or other problems that affect breathing, such as a deviated nasal septum or a sinus condition.

In closed rhinoplasty and open rhinoplasty surgeries, an ENT and plastic surgeon like Dr. Ali Namazie creates a functional, aesthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the nasal framework, altering them as required, suturing the incisions, using tissue glue and applying either a cast or a stent, or both, to immobilize the altered nose to ensure the proper healing of the surgical incision.

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ClariFix Procedure

ClariFix Procedure for Postnasal Drip

What is postnasal drip? 

Postnasal drip, or catarrh, is a condition where large amounts of mucus from the nose drip into the back of the throat. 

A “runny nose” occurs when mucus inside the nose drips out of the nostrils. Postnasal drip is similar to when you have a runny nose, except that the mucus runs into the throat instead and irritates it. This can make it harder to breathe. 

What are the causes of postnasal drip? 

The inside lining of the nose produces large amounts of mucus in response to an irritation or infection. The common cold typically causes a runny nose, but it can also be a symptom of allergic rhinitis, which is caused by allergies. Most allergens (substances that cause an allergic reaction) are airborne and therefore are inhaled. These can also cause nasal congestion and drip. 

A nose that runs continuously is usually a sign of an inflammation, irritation, or infection that hasn’t yet been treated. 

What are the symptoms and complications of postnasal drip? 

Acute rhinitis (the technical term for runny nose) refers to an irritation of the nose that produces sneezing, a burning sensation and a lot of nasal discharge. The nasal passages may also become blocked or congested, making breathing and sleeping difficult. A person may want to constantly “spit up” the mucus to try to clear it. 

How can postnasal drip be treated and prevented? 

Postnasal drip can be relieved with medication that helps to reduce swelling in the nose by constricting its blood vessels. Pseudoephedrine, a main ingredient in many over-the-counter cold medications taken by mouth, relieves stuffiness and runny nose. Other medications include antihistamines, and nasal sprays. 

The newest technique in the management of postnasal drip and mucus in the throat is ClariFix.

How does ClariFix Cryotherapy work? 

The ClariFix Cryotherapy device goes straight to the source of the symptoms – the out-of-balance nerves. 

Using a minimally invasive treatment called ‘cryotherapy’, the ClariFix device interrupts the signals from these nerves to reduce your runny, stuffy nose symptoms. The procedure is done in the office under topical numbing medication. The device is introduced into the nose and activated for 30 seconds. 

When the cold temperature hits the out-of-balance nerves, the nerve signals are temporarily interrupted. The nerves are no longer telling the nose to drip, run and swell. The patient can return to normal activity the same day with hardly any restrictions.

Before ClariFix

During ClariFix

After ClariFix


Office LATERA® Procedure

LATERA® procedure for nasal obstruction

The LATERA® nasal implant is used to support upper and lower lateral cartilage in the nose, reinforcing the nasal wall like traditional cartilage. Supporting the cartilage in this manner may reduce nasal airway obstruction symptoms and help patients breathe better.

LATERA® is implanted during a minimally invasive in-office procedure. This involves the doctor inserting a cannula (small medical insertion tube) gently into the nasal wall and then injecting a small, clear implant. Once the implant is correctly positioned, the cannula is removed and the implant remains securely inside the nasal wall.

The LATERA® implant is made of a special material, which naturally absorbs into the body within about 18 months of the procedure. It continues to provide support and increase airflow through the nasal cavity even after the implant has fully absorbed.

Some patients experience mild bruising, pain, inflammation, or irritation near the implant after the procedure. This generally subsides quickly and without complication.

LATERA® Effectiveness

The LATERA® implant has been proven to significantly improve quality of life for nasal obstruction patients with lateral wall or nasal valve collapse.

While individual results may vary, LATERA® implant patients saw the following improvements:

  • Reduced nasal congestion or stuffiness
  • Less trouble breathing through the nose
  • Improved ability to get enough air through the nose during exercise or exertion
  • Reduced nasal blockage or obstruction
  • Less trouble sleeping

Is LATERA® right for me?

If you experiencing the following symptoms:

  • Nasal congestion
  • Nasal blockage or obstruction
  • Trouble sleeping
  • Blockage of your nose during exercise or exertion

then the LATERA® procedure may be appropriate for you.