Conditions

Conditions of the noseand sinuses.

What the practice assesses and treats, written for patients: what each condition is, how it is diagnosed, and the options with their trade-offs. Start with whichever describes your situation. If none of them quite fits, the last section is for you.

The conditions, by symptom

Nasal obstruction Deviated septum One side always worse, breathing that worsens lying down, mouth breathing, snoring, infections on the same side. Sprays help only partly. Blocked despite a straight septum? Nasal valve collapse The airway’s narrowest point can fall inward on breathing in — the overlooked cause, assessed on examination and treated from dilator trials to surgical support. Sinus disease Chronic sinusitis Congestion, thick discharge or postnasal drip, facial pressure and a dulled sense of smell for twelve weeks or more, through antibiotic after antibiotic. CRSwNP Nasal polyps Smell fading first, then a nose blocked from the top down, often with asthma. Medical therapy, surgery and biologic medicines, side by side. Anosmia & hyposmia Loss of smell Smell reduced, absent or distorted, after a virus, an injury, or alongside a blocked nose. What is treatable in the nose, and what honestly is not. Not sure this is the right kind of ENT? What is seen here, and what is not The practice centres on the nose and sinuses, and also sees hearing loss and tinnitus. The scope page says plainly what is seen here, what is not, and the route for the rest.
Also assessed Something else? Turbinate enlargement, septal perforation, recurrent acute sinusitis, allergic and non-allergic rhinitis, nosebleeds, and masses of the nose and sinuses are all assessed here. The pathway is the same: a referral from your physician. How to get seen

These cards are organised by what you notice, because that is how noses present: blockage, pressure, a lost sense of smell, a break. Underneath them the anatomy overlaps — a septum that deviates, turbinates that swell, sinuses that will not drain — and one assessment frequently finds two of them sharing the blame. That is why every page here ends the same way: with the options and their trade-offs rather than a single prescription, and with the same referral pathway in. And if your question is broader — whether this practice is the right kind of ENT for your problem at all — the scope page answers it plainly: what is seen here, what is not, and where the rest should go.

How Care Is Organised

Assessment first. Then the options are yours.

Every condition on this page can be caused by more than one thing, and several of them mimic each other. A blocked nose may be the septum, the turbinates, the nasal valve, the lining, or polyps; facial pressure may be sinusitis or migraine; smell loss may be conductive or nerve-related. The first visit therefore exists to establish the diagnosis, with a history, an internal examination and nasal endoscopy where indicated, before any treatment is discussed.

From there the options are laid out side by side: what each involves, what it can offer, and what it asks of you. Leaving things alone is always on the list where it is reasonable. Surgery is offered when examination, imaging and a genuine trial of medical therapy say it is the right tool, not as a first resort. You are under no obligation to decide anything at the first visit, and independent national resources are there for anyone who would like to read further before deciding.

Dr. Justin Khetani with two members of the Burlington office team
Fig. Dr. Khetani and the office team, Burlington.

Getting Seen

One pathway for medical concerns.

Patients

Ask your family physician, walk-in physician or nurse practitioner to fax a referral to (905) 639-2253. The office contacts you to arrange the consultation. Assessment is insured when medically necessary. The two pathways.

Referring physicians

What to include so the referral can be triaged on the day it arrives, how urgency is handled for one-sided findings and CT-confirmed polyps, and a one-page referral form. Referral information.

Not sure it fits?

Call the office at (905) 639-2244. Calls are answered at any hour by the practice's AI phone assistant, which takes your details and passes anything it cannot settle to the office team. How calls are handled.

Start with the diagnosis.

The procedures the practice performs are described on their own pages. The conditions above explain when, and whether, each one is the right tool.

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