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ENT and Rhinosinus Surgery

Solutions and treatments for Chronic Rhinosinusitis

Chronic rhinosinusitis is a persistent inflammation of the nasal mucosa and sinuses, affecting patients’ quality of life. The main important things to know are:

Definition of Chronic Rhinosinusitis

A condition characterized by persistent inflammation, causing symptoms such as nasal congestion, discharge and facial pain.

Causes and Factors

Identify recurrent infections, allergies, deviated septum or polyps as contributing factors to chronic rhinosinusitis.

Symptoms and Impact

Recognising symptoms such as shortness of breath, facial pain and impact on daily life.

Diagnosis and Treatment

The importance of accurate diagnosis through clinical assessment and medical imaging. Treatment options may include drug therapy, minimally invasive procedures and sometimes surgery.

A thorough understanding of this condition is essential to select the most effective treatment options.

Rhino-Sinus diseases have a variety of causes, and understanding them is fundamental to adopting an effective treatment plan. Here is a brief overview of the main factors that contribute to the onset and progression of this condition:

Recurrent Infections: Repeated respiratory infections can trigger and maintain chronic inflammation of the nasal mucosa and sinuses.

Allergies: Allergic reactions can worsen the symptoms of rhinosinusitis, contributing to inflammation and congestion.

Deviation of Sept: Septum deviation, a deviation of the nasal wall, can obstruct the nasal passages and contribute to stagnation of secretions.

Nasal Polyps: Abnormal tissue growth inside the sinuses, known as nasal polyps, can block drainage pathways and cause persistent symptoms.

Anatomical Factors: Certain anatomical features, such as an enlarged nasal concha, can contribute to shortness of breath and congestion.

Dental Infections: Infections in the dental area can expand upper airway inflammation, contributing to chronic rhinosinusitis.

Functional rhinosinusplasty is an innovative surgical procedure that brings many benefits to patients with chronic rhinosinusitis.

Functional rhinosurgery in VenArt clinic celebrates 10 years, the operation performed by the team of surgeons Dr. Iuliu V. Catana and Dr. Claudiu I. Filip. A case history containing hundreds of such operations.

Improved Breathing: Correcting deviated septum and other anatomical problems allows easier and freer breathing.

Reducing Nasal Congestion: Removing obstructions helps to reduce nasal congestion, facilitating airflow.

Restoring Sinus Function: Opening the sinus drainage channel prevents the buildup of secretions and reduces the risk of recurrent infections.

Improving Symptoms: Patients report a significant decrease in symptoms such as facial pain, headache and fatigue.

Improved Quality of Life: By correcting functional and aesthetic issues, rhinosplasty contributes to a significant improvement in the patient’s overall quality of life.

Choosing the right treatment for chronic rhinosinusitis is a personalised approach and close collaboration with our specialists in the field. Here are the key steps to choosing the right treatment:

Specialist Medical Consultation: scheduling a consultation with specialists such as Dr. Iuliu Cătană or Dr. Claudiu Filip is the first essential step. Detailed assessment will determine the specific causes and guide the choice of treatment.

Accurate diagnosis: Laboratory tests and medical imaging help to make an accurate diagnosis. Knowing the exact causes is crucial to establishing effective treatment.

Personalising Treatment: Each patient has individual needs. A personalised treatment plan may include drug therapy, minimally invasive procedures or surgery, depending on the specifics of the case.

Open Communication: Open discussion and collaboration with the medical team is essential to understanding treatment options and making an informed decision.

Ongoing Monitoring: Treatment may involve multiple stages and requires continuous monitoring. Adjustments can be made according to the individual patient’s response.

Conservative Options: Before considering surgery, conservative options such as drug therapy and corticosteroid therapy may be evaluated for symptom control.

Choosing the right treatment depends on careful assessment and close collaboration with the medical team. Consult specialists to determine the most effective treatment plan based on your individual needs.

Procedurile chirurgicale pentru rinosinusita cronică implică anumite etape în timpul și după intervenție. Iată la ce să te aștepți:

During surgery: anaesthesia and monitoring: the patient is anaesthetised to ensure comfort and safety. The medical team constantly monitors the patient’s condition during the procedure.

Advanced techniques: Surgeons such as Dr. Iuliu Cătană and Dr. Claudiu Filip use advanced techniques, such as endoscopy, to ensure precision and optimal results.

After surgery: Recovery period: Recovery can vary, but is often rapid for minimally invasive procedures. The medical team provides clear instructions for the postoperative period.

Medical Monitoring: The patient is monitored by the medical team to ensure proper progress and to manage any complications.

Symptom relief: Significant improvements can be seen, including easier breathing and reduced symptoms.

Minimal marks: Many procedures have minimal visible marks, and postoperative pain is carefully managed for patient comfort.

Home care instructions: The medical team provides specific home care instructions and schedules follow-up appointments to ensure optimal progress.

Understanding the process and working closely with the medical team is key to an effective recovery after chronic rhinosinusitis surgery.

Our team of specialists dedicated to rhinosinusual surgery brings expertise and passion to providing the best solutions for our patients.

Dr. Iuliu Cătană

With a rich career in ENT Surgery and a special focus on sinus surgery, Dr. Iuliu Cătană offers personalized solutions and advanced treatments.

Find out more.

Dr. Claudiu Filip

With extensive experience in Plastic and Reconstructive Surgery and a special focus on rhinoplasty and rhinosurgery, Dr. Claudiu Filip brings innovative approaches and outstanding results.

Find out more.

Rhinosinusual surgery, guided by VenArt’s multidisciplinary team, Dr. Iuliu Cătană and Dr. Claudiu Filip, represents a significant advancement in the management of rhinosinusitis cornice, and our team is committed to providing the highest quality care, and their experience and expertise contribute to exceptional outcomes for our patients.

ENT surgery

Background image for VenArt ENT and Rhinosinus Surgery Surgery page

ENT (Ear, Nose and Throat) surgery is a type of minimally invasive treatment used to address structural deformities or disorders in the ears, nose, and throat.

This type of surgery is performed by a multidisciplinary team of specialist ENT surgeons and plastic-aesthetic surgeons in order to ensure optimum results.

Through ENT surgery, doctors can address a variety of conditions including congenital or acquired ear deformities, obstructive sleep apnea, otosclerosis, chronic sinusitis, deviated septum, rhinoplasty for nose reshaping or reconstruction, as well as thyroid nodules or tumors.

The main goal of ENT surgery is to improve patient’s comfort and quality of life. For this reason, minimally invasive ENT surgeries are preferred by medical professionals as they involve less tissue damage compared to traditional procedures and therefore bring faster recovery times with fewer risks and complications. In addition to addressing existing issues such as those mentioned above; ENT surgery can also be used for aesthetic purposes. This includes correcting deformities such as large nostrils or droopy nasal tip that may affect a person’s appearance.

We ensure excellent results in performing the following ENT surgeries:

At our ENT department, we ensure excellent results in performing the following surgeries: turbinate reduction with radiofrequency, endoscopic septoplasty, rhinoseptoplasty, rhinoplasty, treatment of sleep apnea and nasal polyps, and treatment of nasal obstruction.

At VenArt Clinic we strive for excellence when it comes to providing the highest quality care for our patients. We understand that each patient is unique and requires individualized care. Therefore, our procedures are always tailored to meet each patient’s needs while ensuring safety and excellent results. Our team works tirelessly to provide the best possible experience before during and after any procedure done at our clinic.

Turbinate reduction
An effective procedure to reduce swelling of the tissue in the nose and can be done with a CO2 laser or radiofrequency ablation.
Endoscopic septoplasty
An operation used to straighten a deviated septum which is blocking one side of the nasal passage. It involves removal of small pieces of bone and cartilage from the nasal septum.
Rhinoseptoplasty combines endoscopic septoplasty with rhinoplasty which reshapes the nose to improve symmetry and appearance.
Treatment for sleep apnea
Treatment for sleep apnea can also involve minimally invasive surgery such as uvulopalatopharyngolplasty (UPPP) combined with various other procedures like tongue base resection or tonsillectomy to remove extra tissues blocking the airway.
Treatment for Polyps
Treatment for Polyps may involve removal via endoscopy using special instruments and medications to shrink the size of these structures.
Nasal obstruction
Nasal obstruction can also be treated surgically by improving breathing through implantation of stents in the airways or by removing tissue that blocks air flow in some cases depending on severity.


Rhinoseptoplasty is a surgical procedure that corrects the deviation of the nasal septum and reshapes the external appearance of the nasal pyramid. It can be used to improve both the functional and aesthetic aspects of the nose. The operation is performed under general anaesthesia in a hospital setting and usually requires a short stay of 1-2 days. Postoperatively, modern materials are used to aid in recovery, such as internally placed silicone nasal splints for easy cleaning and help reduce bleeding. This makes recovery quicker than traditional methods allowing patients to quickly return home from hospital.

Benefits of Rhinoseptoplasty
The benefits of rhinoseptoplasty can include improved breathing through free-flowing airways, a more aesthetically pleasing appearance, and better balance among facial features. Depending on the patient’s needs and wants, several procedures may be combined into one surgery such as correcting any structural issues with bone or cartilage, narrowing or augmenting certain parts of the nose, refining or reshaping nostrils, or reducing or increasing overall size or height.
Is Rhinoseptoplasty right for you?
Before surgery begins an experienced ENT surgeon will evaluate you and determine if rhinoseptoplasty is right for you. The doctor will take detailed measurements of your face including photographs which are then used to create a digital 3D model so they can plan out their strategy before entering the operating room. During surgery itself tissue manipulation techniques are used on both inside (septoplasty) and outside (rhinoseptoplastyy) while careful attention is paid to all details in order to achieve maximum results with minimal downtime afterwards.

More about Rhinoseptoplasty

For those interested in learning more about Rhinoplasty please contact our clinic for appointments located in Cluj-Napoca. Our team of experienced ENT surgeons is dedicated to providing outstanding results with minimal risk involved for every patient who undergoes this procedure.

Turbinate reduction (Radiofrequency)

Turbinate reduction, done with Radiofrequency, is a minimally invasive surgical procedure that is performed under endoscopic control to reduce the size of the lower nasal turbinates. This type of surgery can be completed under general anaesthesia or local anaesthesia, depending on the patient’s sensitivity and comfort level. The advantage of opting for this procedure over traditional methods such as coblation or outfracture is that it carries minimal risk of bleeding due to its precision and accuracy. Additionally, the recovery time from turbinate reduction is much faster than more traditional methods since a nasal swab may not even be necessary following the procedure. When compared to other options available for those dealing with blocked airways due to nasal congestion caused by enlarged turbinates, this minimally invasive operation offers a better solution for both long-term relief and faster recovery times.

Endoscopic Septoplasty

Endoscopic Septoplasty is an extremely successful surgery to correct nasal obstruction, a common problem in adult patients. It helps to improve the patient’s breathing ability by opening the respiratory passages of both nostrils. During the operation, the deviated portions of the septum are removed, and it is re-shaped so that it regains its normal shape, with no damage to the surrounding tissue.

About the procedure:
The procedure is performed under general anesthesia, and typically takes about 1-2 hours for completion. The patient may stay in hospital for a maximum of 2 days following the procedure. Recovery from this type of surgery generally takes several weeks but may vary from person to person depending on their own individual healing process.
In some cases:
If Endoscopic Septoplasty alone isn't sufficient to correct nasal obstruction, then other methods such as turbinectomy or septal perforation repair may be recommended in conjunction with this procedure. This can help to further open the airways and improve breathing ability even more efficiently.
Aftercare following Endoscopic Septoplasty is important in order to ensure that everything has healed effectively and that any infections have been eradicated completely. This includes regular follow up visits with your doctor, as well as monitoring your progress through self-management techniques such as keeping a diary of symptoms or using peak flow meters to measure lung function over time.