Chronic Sinusitis Specialist

Paul Schalch Lepe, MD, FACS -  - Ear, Nose & Throat Specialist

Silenso Clinic

Paul Schalch Lepe, MD, FACS

Ear, Nose & Throat Specialist & Sleep Medicine Specialist located in San Diego, CA

Chronic sinusitis might start out feeling like an ongoing cold, but the long-term symptoms can make it difficult to breathe and cause exhaustion. In San Diego, California, ear, nose, and throat specialist Paul Schalch Lepe, MD, FACS, at Silenso Clinic offers high-end minimally invasive treatments for chronic sinusitis and advanced imaging procedures to monitor your condition. With a proper diagnosis and treatment, you can breathe easier. For more information on treatments for chronic sinusitis, call Silenso Clinic, or book an appointment online today.

Chronic Sinusitis Q&A

What is chronic sinusitis?

Chronic sinusitis is a condition characterized by three or more months of sinus inflammation. Your sinuses are open cavities inside your nose and face and help filter and humidify the air you breathe. 

Chronic sinusitis makes it difficult for your sinuses to drain mucus. You can develop the condition at any age and for a number of different reasons. You might develop an infection that turns into chronic sinusitis, have growths in your sinuses, or allergies that contribute to your condition. 

Acute sinusitis often occurs before it turns into a chronic condition. It doesn’t last as long but has similar symptoms. It often comes alongside a cold and can cause a fever. 

What are the signs and symptoms of chronic sinusitis?

The symptoms of chronic sinusitis are similar to the symptoms of acute sinusitis, but they last for much longer and require ongoing care. Common symptoms of chronic sinusitis are:

  • Nasal congestion
  • Thick nasal discharge
  • Mucus drainage down the throat
  • Loss of smell and taste
  • Facial tenderness
  • Headaches
  • Ear pain
  • Throat soreness
  • Jaw soreness
  • Bad breath

Living with these symptoms for a long time with no relief can be very difficult even though further complications are exceedingly rare. Silenso Clinic offers several advanced treatment options to improve your quality of life with chronic sinusitis. 

How can I manage chronic sinusitis?

Silenso Clinic provides imaging tests and in-office, minimally invasive procedures to diagnose and manage chronic sinusitis. Your provider might use in-office computed tomography (CT) scanning to view your sinuses in a noninvasive way. You may need to try more than one of the following treatments before you find one that works for you:


The Celon treatment uses radiofrequency to shrink structures called turbinates within your sinuses. Turbinates regulate your airflow by helping clean and humidify the air you breathe in.


VivAer is a non-surgical procedure to reshape your nasal tissues and improve airflow. The treatment uses a handheld device that emits radiofrequency to gently remodel your sinuses without any incisions. 

Balloon sinuplasty

Balloon sinuplasty is a minimally invasive endoscopic surgery to drain your sinuses. It widens your nasal passages using a small balloon at the end of a slender tube with a camera and light. Then, your provider removes excess debris from the cavities with a saline rinse.

If you have long-lasting symptoms of chronic sinusitis and want a minimally invasive solution, call Silenso Clinic for an appointment or book online today.

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