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Sinusitus is short term inflammation of the sinuses.  Sinuses are hollow spaces in the bones around the nose that connect to the nose through small, narrow channels. The sinuses stay healthy when the channels are open, which allows air from the nose to enter the sinuses and mucus made in the sinuses to drain into the nose.

Sinusitis, also called rhinosinusitis, affects about 1 in 8 adults annually and generally occurs when viruses or bacteria infect the sinuses (often during a cold) and begin to multiply. Part of the body’s reaction to the infection causes the sinus lining to swell, blocking the channels that drain the sinuses. This causes mucus and pus to fill up the nose and sinus cavities.

Learn more about sinus evaluations...


Chronic sinusitis is an inflammation of the sinus lining lasting three months or more, and is one of the most commonly diagnosed chronic illnesses.


It is most commonly caused by bacterial, viral, and/or fungal infections. Structural issues such as blockage of the sinus opening.  If the opening is closed, normal mucus drainage and ventilation may not occur. This condition may lead to chronic infection of the sinuses.

Common signs and symptoms:

  • Facial pain, pressure, congestion or fullness

  • Difficulty breathing through the nose

  • Discharge of yellow or green mucus from the nose

  • Teeth pain

  • Loss of the sense of smell or taste

  • Headache

  • Fatigue

  • Sore throat

  • Bad breath

  • Recurrence of symptoms after antibiotic, steroid and antihistamine treatment

Getting Evaluated for Sinusitus and Treatment Options...



If the results of your sinus evaluation give you an option for sinus surgery, Dr. Gadlage has extensive experience in all forms of traditional sinus surgery as well as the latest techniques in Balloon Sinus Surgery, including in operating room as well as in office procedures.


Dr. Gadlage was one of the first sinus surgeons in the South who learned and practiced balloon sinus surgery, now over 10 years experience and over many thousand balloon sinus surgery procedures done.


He has also been honored in being asked as faculty and instructor teaching his medical and surgical colleagues latest techniques as even newer equipment and developments have evolved, and he has taught at national meetings in Dallas, TX and Palo Alto, CA, as well as one of only a few invited faculty at the FIERO International Sinus Surgery Symposium in NYC, NY, attended by over 800 sinus surgeons from around the world. Dr. Gadlage's practice has been recognized as a “Sinus Center of Excellence” by Acclarent, maker of the original balloon sinuplasty device.

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