Capo Nose and Sinus Center

11/26/2025

Classic silent sinus of right maxillary sinus. This condition occurs from blockage of the sinus resulting in negative pressure and lowering of the inferior orbital wall causing facial pain, pressure and in severe cases, enopthalmos (lowering of the eye) leading to vision changes.

Treatment is typically surgical and requires removal of the uncinate process which is typically plastered to the lateral orbital wall. Since the natural opening is low in these patients, it’s crucial to stay inferior to avoid entering into the orbit. Often times, as in this case, 70 degree angled scopes are required for proper visualization, making them technically challenging.

Example below performed in my office under local anesthesia. This patient had no pain and was out of the office in 30 minutes.

Image 1: CT

Image 2: pre surgical endoscopy

Image 3: immediate post surgical endoscopy revealing patent maxillary sinus

11/24/2025

Classic bilateral co**ha bullosa of the middle turbinates contributing to nasal congestion and sinus outflow obstruction. While typically asymptomatic, these anatomical variants can contribute to both chronic and recurrent sinus symptoms. Along with opening the sinus, they can be resected to improve airflow and sinus drainage. Often performed in an operating room under general anesthesia, I perform this procedure in the office under local anesthesia, typically only taking 20 minutes. This approach significantly reduced patient recovery time and cost.

Classic example below

Image 1: CT imaging

Image 2: Pre procedure - note general obstruction of the middle meatus (the region of the maxillary, frontal and ethmoid sinus drainage pathways)

Image 3: Post procedure - note resection of co**ha bullosa, maxillary sinus opening to the left, and anterior ethmoidectomy

11/14/2025

Great day with Dr. Burkhalter who came up from South Carolina to learn more about office-based sinus approaches. These visits allow us to expand our reach outside of Long Island improve patient care across the country!

10/18/2025

Wrapped up another American Academy of Otolaryngology - Head and Neck Surgery meeting in Indianapolis. Best part, being there with my Dad who has taught me so much about life and medicine. It was a busy few days catching up with some old friends and meeting some new ones. Next year we take on LA!

09/16/2025

Busy, but super fun time at Stryker ENT HQ in Minnesota working with their product development, engineering and upstream marketing teams. A lot of excited tech in the pipeline that will be a major benefit to our patients!

09/13/2025

Having an amazing couple of days here in Dallas with discussing minimally invasive approaches to treat chronic rhinitis and nasal obstruction. Honored to be chosen to be in the company of such esteemed surgeons to discuss this innovative technology and to teach other Otolaryngologists from across the country who are in Dallas this weekend for the summit.

02/27/2025

Sinusitis or allergies got you down? We can help you take the load off!

02/25/2025

Let's make your Sinusitis a distant memory!

02/20/2025

We use all the latest technology to ensure the care we provide is the most comprehensive around!

02/19/2025

Did you know your ears and sinuses are closely connected? 👂👃 Sinuses drain into the nose, and your ears also drain into the nose through the Eustachian tube. When sinus inflammation blocks this pathway, mucus can build up behind the eardrum, leading to ear infections.

02/18/2025

Poor air quality in Levittown can worsen sinus issues, causing congestion, headaches, and chronic inflammation.

[Learn how air pollution impacts your sinuses and what you can do to protect your health on our blog - linked here! 🔗](Learn how air pollution impacts your sinuses and what you can do to protect your health on our blog - linked here! 🔗)

Discover how bad air quality worsens sinus and allergy pain. Discover the connection between air pollution and sinusitis, and find an expert treatment.

02/18/2025

According to Mayo Clinic, when an airplane climbs or descends, the air pressure changes rapidly. The eustachian tube often can't react fast enough, which causes the symptoms of airplane ear. Swallowing or yawning opens the eustachian tube and allows the middle ear to get more air, equalizing the air pressure.