Sinusitis Books
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Muchos ImportanteReview Date: 2008-08-28
Review from ENS SuffererReview Date: 2008-03-05
In this book, Chris does an excellent job of covering what your turbinates do, the problems he has experienced, ways to cope, surgical techniques to consider, home remedies and more. I think it should be required reading for all ENT's and Plastic Surgeons that perform turbinectomies.
Aside from the medical information, the book is also well written, and Chris's story is inspirational. Again, I would highly recommend reading this book before considering any nasal surgeries.
Suffer in Silence No MoreReview Date: 2007-11-25
Thank you for this most telling account of your journey through the maze of ENS; your efforts in providing comprehensive information about ENS and your personal account of the roads that have lead to finding hope is inspiring. It has been a companion when I have felt alone and has been the platform through which I find the strength to advocate strongly for informed consent and knowledge of ENS for any person who is entering into nasal surgery.
Warmest wishes to you.
Jackie G.
Patient of Reconstructive Nasal Surgery
Excellent Book!Review Date: 2008-01-18
If it has been suggested to you that sinus surgery can correct your problems you absolutely need to read this book and do your research! Complications to sinus surgery can be life-altering and the damage permanent. As a victim of aggressive sinus surgery I can attest that these symptoms are very much real and can alter your reality in ways that I never imagined. I believe a great many ENT's do not fully understand the extreme importance the nose and sinuses play in the quality of life. With good intentions they can often remove too much tissue and bone in effect leaving the nose with the inability to function normally with regards to nasal cycles,moisture control,airflow and the health of the lungs. Chris does a wonderful job in explaining the importance of a healthy nose and sinus and the roles each structure plays in nasal health. If you do not know what a Turbinate is or what it does READ THIS BOOK!
Chris has put alot of time and effort in detailing everything a sinus suffer should consider before having surgery. Thankfully the ENT field is slowly beginning to understand that a very conservative approach should be applied when doing surgery. Chris explains each option a patient should discuss with the doctor performing the surgery. Each method is reviewed and rated for the possible outcomes and the conservation of important nasal tissue and structures.
If you have had sinus surgery done and are having problems Chris has outlined things you can do to help relieve some of the symptoms. For those having ENS type symptoms there are things you can do to help improve your sinus health. Chris describes things that he has personally tried that work and what others have used to find relief. Those that suffer from ENS type symptoms can find some comfort in the new methods Chris discusses in his book, to help rebuild important turbinate structures that have been removed in previous surgeries. Chris has first hand knowledge of how Alloderm implants may help improve the quality of life of ENS patients. With research into stem cell therapy and tissue regeneration the future is brighter. The important point that Chris makes is that ENS can be prevented if a conservative approach is used. Once removed, turbinates do not grow back. Conservation of nasal tissue is essential!
I can't recommend this book enough. I think it should be required reading for all those practicing ENT's that perform sinus surgery. Anyone suffering from sinus problems can find solutions that may make surgery unnecessary. Those that have had surgery and find their problems even worse than before surgery can also benefit from therapies and techniques Chris has outlined in the book. If you are considering having sinus surgery and have spoken to others around you that have had surgery it's important that you ask what was actually performed. Chances are they can't go any further than to say hey had a deviated septum corrected. It's of utmost importance that you go into surgery knowing EXACTLY what will be preformed and by what method. I went in for deviated septum and came out with an EMPTY NOSE!
Bravo to Christopher Martin for bringing the devastating problem upfront for discussion and sharing his personal story so that we can learn and hopefully prevent this devastating problem.
Tom
Be informed! This book is so helpful for people considering nasal surgeryReview Date: 2007-12-16

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A Must for Sinus Sufferers!!Review Date: 2008-03-18
After following Dr. Josephson's program and suggestions, my sinus problems improved significantly and I enjoy a new found breath of fresh air! Highly recommended it to my family and friends.
Good- But....Review Date: 2007-04-02
Followup Q&A with JosephsonReview Date: 2007-03-07
I'm a patient of Dr. Josephson and he strongly encourages patients to read this book so I read it. Before reading my review, I recommend you first read the best review I could find, written by Walt Ballenberger who is founder of PostNasalDrip, "a resource web site for sinusitis sufferers like himself". You can find the review at the following links: [..] Ballenberger's review identified a number of questions which were unanswered in his book. By talking with Josephson in person, I was able to get answers for some of them.
LASER
The book doesn't explain the tradeoffs of laser vs. traditional cutting instruments. Before Josephson, I saw an ENT who recommended laser to lightly cauterize the turbinates in order to reduce their tendency to swell when inflamed (the scarification reduces the membrane's elasticity). Dr Josephson is not a proponent of laser except in certain cases. Although a laser is self-cauterizing and therefore reduces bleeding, it causes heat damage to surrounding tissue (more than the damage caused by a cutting instrument) and instrument setup adds time/cost to the procedure. Only where the decrease in bleeding outweighs these costs is use of a laser justified (e.g. when the patient has many small polyps). I didn't ask him but I'd imagine that the thermal heat injury would likely cause more damage to mucus-producing goblet cells and mucus-transporting cilia cells than cutting tools.
SINUPLASTY
This book doesn't explain the tradeoffs of sinuplasty® vs. traditional cutting instruments. Sinuplasty® is a proprietary tool made by Acclarent which uses a thin balloon similar to an angioplasty balloon to open the sinus passages. As in heart vessels, the balloon is placed into position and inflated, then deflated and removed. According to Acclarent's description, this results in permanent widening of the critical areas leading into the sinuses while leaving the nose lining unharmed rather than destructing this lining as occurs in typical sinus surgery. I would have to imagine that if the pressure applied expands bone than it certainly will crush the membranes and must do some damage to them and the cilia which are so necessary to remove the infection and mucus (mucociliary clearance) which is the whole basis by which the sinuses protect you. When I asked Dr. Josephson about what the pressure does to the membranes he said that he knew of no studies that showed what the effect of the balloons on the membranes and cilia were. It turns out that Dr. Josephson is trained in sinuplasty but relies almost exclusively on FESS (endoscopic cutting instruments, as described in his book). He pointed out that unlike angioplasty, which operates on only soft tissue and requires a stent to hold open the expanded tissue, sinuplasty expands a passageway or sinus by dilating bony openings and pathways--widening one passageway by crushing an adjacent sinus cavity. He speculates that such pressure fractured cells could result in a problem later such as mucocele formation--the procedure was too recently developed and long term studies were not available. In addition, while sinuplasty can open up a closed frontal, maxillary, or sphenoid sinus, it cannot open up the labyrinth of the ethmoid sinus. If the ethmoids are closed, functional FESS may be required in conjunction.
FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)
Josephson doesn't much describe his surgical techniques in this book, which makes it difficult to compare FESS with alternative approaches. Dr Josephson says Functional Endoscopic Sinus Surgery (FESS) uses microcutting instruments to remove bony partitions and to widen openings into the frontal, maxillary and sphenoid sinus when necessary. I asked how he expands the passages to closed sinus cavities. He explained that, in my case, he would remove the wall between the passage to a frontal sinus and an adjacent ethmoid sinus cell (rather than crushing the ethmoid cell as in sinuplasty). This would be more controlled than expanding a balloon (as in sinuplasty) and avoid creating a new closed cell which could become a cyst. While FESS changes the connectivity of the cavities, it avoids potentially closing off the adjacent cells. He claims that research shows that mucus transport from the now-opened frontal sinus to the ostiomeatal complex is preserved with this method. This book should include and expand on these descriptions. I also asked in what cases the membranes grow back which seems important when polyps are removed from sinus cells, leaving bare bone walls. He replied that they quickly grow back. This book should include pointers to research validating this claim.
SINUS ANATOMY
This book describes the sinuses as cavities which clean and humidify inhaled air. However, the diagrams show the sinuses as dead-end spaces off the primary airway connected only by tiny passages. Why does air travel through them except a small amt via turbulence? Although I suspect they do indeed clean and humidify inhaled air, it would be helpful to me if the book resolved this seeming contradiction.
CAT SCANS
The book includes a series of diagrams showing an idealized representation of the sinuses and other organs. I found it very difficult to relate my CT scans to these idealized diagrams even though I'm quite good at 3D visualization. It would be helpful if this book included a link to an online series of example CAT scans with annotation explaining what's what, how the structures relate to disease symptoms, and (assuming some patents get post-operative CT scans) what the structures look like after surgery. Josephson told me that he had a CT review in a draft of the book and Penguin Publishers needed to make the book shorter and insisted that he cut it out. Eventually he plans to put it on line.
Overall, an excellent book and highly recommended.
finnally a book that worksReview Date: 2007-03-07
Wonderful adviceReview Date: 2007-03-04
It needs to be noted that Dr. Josephson practices what he preaches. Before we arrived at the decision to perform the surgery, I followed each of his recommendations, including a long use of antibiotics, smoking cessation, the use of an air purifier and a humidifier, etc., etc. Only after these actions failed to result in a "cure" for my sinus problems did he recommend surgery. True to his word in the book, post-surgery did not require packing and I hope that the procedure will result in long-term improvement. In the meantime, I constantly refer to Dr. Josephson's clear and coherent book to guide my treatment.

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there is hope!Review Date: 2001-07-30
Turned around my son's chronic conditonReview Date: 2000-02-05
This book does the trickReview Date: 2001-07-05
Excellent book with a deceptive titleReview Date: 2006-05-26
there is hope!Review Date: 2001-07-30
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The Sinusitis Help Book changed and saved my life.Review Date: 2000-09-25
Gift for a polyp sufferer.Review Date: 2007-10-27
Well written book.
All I ever wanted to know about sinusitisReview Date: 1999-03-07

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A MUST HAVE for neti pot usersReview Date: 2008-08-21
GREAT insights on some of the other things that you can put into your neti pot besides salt and water in order to minimize your symptoms.
All thats left for the neti cup to do is raise the dead!!!!!!Review Date: 2007-11-29

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Good source for basic informationReview Date: 2006-10-17
This book is well written, and is written with accurate information. Kennedy does a fabulous job of describing the solutions that are used through drug therapy, the benefits of using saline irrigation, saline sprays, and finally surgery if needed.
If you are about to undergo sinus surgery this book gives an accurate view of what you can expect in your recovery. I would highly recommend this book if you suffer from chronic sinusitis, as you will learn the options that you have for treatment and what you can do to get relief.
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The Sinus Handbook: A Self-Help GuideReview Date: 2000-04-24
The only criticism I have for the book is that at times it is redundant. But this shouldn't deter anyone from ordering this book which has a wealth of information on the subject of sinus infections.

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SOME Good AdviceReview Date: 2008-07-10
I wish I had this info 25 years ago!Review Date: 2008-03-31
Started feeling better, and continuingReview Date: 2008-01-11
Thrilled to know about other solutions besides antibiotics!Review Date: 2007-10-18
Comprehensive review for the laymanReview Date: 2007-09-17
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Can you tell I really like this book!Review Date: 2006-09-22
Cheap ReliefReview Date: 2008-02-13
Stop suffering right now.Review Date: 2007-08-16
This book is, hands down, the best way to get over even the WORST sinusitis. OK, granted, its purchase is just the beginning of a journey. It is not a magic pill that you wad up and swallow. You'll have to read it and probably change your lifestyle (I'm talking dramatically), but this book holds all the information you need to get you on your feet again. I carry it around with me all the time, consulting it like a monk doth his bible. It is the best compendium of sinusitis information on the market.
I know you think your case is unique. That you've already tried everything. That you are worse off than everyone else, and that NOBODY could possible BEGIN to understand what you go through every day with your nose. Believe me, I was there. But, I promise you're not alone, and that there's a way to get better. This book and Dr. Ivker can help.
If you're suffering, do yourself a favor and just stop. Get this book, right now and start getting better.
Life changingReview Date: 2007-03-12
Impressed with Sinus SurvivalReview Date: 2007-09-17
Dr. Ivker was the past present of the American Holistic Medical Association and it shows! That said, what I appreciate about Dr. Ivker's Sinus Survival book is the holistic treatment focus in it and the extensiveness with which he explores the treatments. Using the Sinus Survival Treatment Program as a basis, Dr. Ivker goes into great depth regarding a number of different holistic treatments, be it nasal irrigation, candida or fungi treatments, treatments for anxiety and stress, a proper diet, cleaning up the environment, vitamins and herbs. Similar to my own experiences, I believe the very best approach to remediate sinusitis and allergies is to utilize a holistic approach. You cannot treat your sinuses any other way - or you miss an interdependent piece of the puzzle.
Antibiotic treatment cannot and should not be the sole focus for treating a sinus infection; you need to treat the whole body. I can tell you affirmatively that as an empty nose syndrome (ENS) sufferer - who also suffers from sinusitis and allergies - my nose is far worse if I do not exercise during the day. My nose and sinuses feel worse if my diet is off, if my sleep is poor, or if I do not irrigate my nose with pulsatile saline irrigation. I am grateful Dr. Ivker recommends nasal irrigation for healthy sinuses in preventative fashion, as I find that to be beneficial in my own situation. If I do not irrigate, I find myself much more susceptible to sinus infections. Pulsatile irrigation is literally like my lifeline for sleeping better and breathing somewhat better, too.
Like Dr. Ivker, my brother-in-law is a GP, and I will share this book with him. It is wonderful to see a GP promote a program that can treat the sinuses very effectively and offer so many helpful tips. Kudos, Dr. Ivker, for this tremendous book!
Chris Martin, author of Having Nasal Surgery? Don't You Become An Empty Nose Victim!


Excellent resourceReview Date: 2006-10-06
Of note:
The recommended salt usage for nasal wash is a bit high. Some prefer it that high, I recommend doing Internet research and trying less salt at first, ESPECIALLY if you notice a stinging sensation. Never, ever try to force water through a clogged nose!!
The explanation of Zicam in the book is not quite correct. Zicam is *marketed* as homeopathy, but it is not really homeopathic; it actually contains Zinc. Homeopathy is just water.
Also, I was told Atrovent (in that form) was taken off the market.
No real revelations...Review Date: 2006-05-16
Don't botherReview Date: 2007-08-16
Great Reference Book for Sinus SufferersReview Date: 2007-09-15
I appreciate how, on pages 162-163, Dr. Metson and Mr. Mardon cite empty nose syndrome (ENS) as a "troubling phenomenon," which results from an overly aggressive surgery of the turbinates (inner nasal mucus-producing tissue that performs many critical functions). The description of ENS is accurate, and I am grateful it is noted as a complication of surgery, as not all sinus self-help books acknowledge ENS.
When discussing treatments, The Harvard Guide to Healing Your Sinuses mentions zicam, which is the oral spray form of zinc. The authors note while zinc has been shown to reduce the duration of a cold, particularly when used at the onset of symptoms, it must be sprayed into the nose every four hours for one to two weeks to be effective. A word of caution, though, which also should be highlighted, is that spraying high concentrations of zicam in the nose can lead to burning and destruction of olfactory epithelium, the nerve cells responsible for smell. Consequently, some users of zicam have permanently lost their sense of smell.
This book definitely has much useful information on sinusitis from a highly reputable source. It is a great reference book for sinus sufferers.
Chris Martin, author of Having Nasal Surgery? Don't You Become An Empty Nose Victim!
Excellent bookReview Date: 2007-01-13
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Point of fact: I just spoke to an Australian ENT, returned from training with the ex-president of the US Facial and Cosmetic Surgery Association who now agrees with the basic principals behind this book and "would not perform a partial inferior turbinate resection on a member of my family." And I was about to let my regular ENT perfom an 80% resection!... until I saw this book.
Get that. There's no denying this. It's real, and I pray for all the poor souls who will be inadvertantly butchered between now and when the new standard finally filters down into the offices of ENTs the world over.
Good luck Chris, and keep up the good work. Don't worry, by 2030 you'll probably have a bionic nose that can shoot lasers so you can go around zapping irresponsible ENTs.
They will call you: The Turbinator.
Bard
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