Sunday, October 17, 2021

South Florida’s Medical Experts 2021: Nathan E. Nachals, MD & Melyssa Hancock, MD



Nose and Sinus Institute of Boca Raton

1601 Clint Moore Road, Suite 170, Boca Raton; (561) 939-0909

Dr. Nachlas was the Chief Resident and Assistant Chief of Service of the Department of Otolaryngology/Head and Neck Surgery at the Johns Hopkins Hospital when minimally invasive sinus surgery was introduced in the United States at that institution in 1985. He then completed a fellowship in facial plastic and reconstructive surgery in Beverly Hills, California. Dr. Melyssa Hancock trained at Georgetown University, and like Dr. Nachlas, is double board-certified in Otolaryngology as well as Facial Plastic Surgery.

Q. What makes the Nose and Sinus Institute of Boca Raton special?

A. Focusing on the care of the inside and outside of the nose has enabled the providers at the Institute to remain at the forefront of innovation in their specialty. Procedures such as computer assisted balloon sinuplasty and balloon septoplasty have transformed the patient experience from a somewhat challenging inpatient stay to the current paradigm of minimal downtime, no packing, in office setting.

Q. What exactly is Computer Assisted Balloon Sinuplasty and who is the ideal patient?

A. Balloon sinuplasty is an in office procedure where blocked sinuses (leading to headaches, congestion, pressure, obstruction, etc) are unblocked by guiding a balloon into the obstructed area, inflating the balloon, deflating the balloon and then removing it. The first Computer Assisted Balloon Sinuplasty performed in the United States was done in our Institute by Dr. Nachlas over 7 years ago. The ideal patient is someone suffering from chronic sinus symptoms and has not responded to conservative management.

Q. Can other procedures be performed at the same time as Computer Assisted Balloon Sinuplasty?

A. We now use the balloon to repair deviated nasal septums and to reposition turbinates to allow better nasal air flow. For cosmetic improvement to the nose, the Institute’s double board-certified surgeons (otolaryngology and facial plastic and reconstructive surgery) can perform the Total Nose Approach, a procedure combining internal and external nasal correction. This procedure was developed at the Institute 30 years ago.

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