Facial pain. Nasal blockage. Drainage. The symptoms of sinus disease can be debilitating. Many people suffering from this condition received suboptimal care. Fortunately, we can help.

Sinus Care Institute for Sinus Infection Symptoms

Located within Alliance ENT & Hearing Center
For an appointment call 414-727-1822

Focusing on nasal and sinus care, The Sinus Care Institute offers a broad range of solutions to your sinus problems.  We are board-certified ear, nose & throat physicians dedicated to diagnosing and treating patients with breathing difficulties, sinus headaches, allergies, chronic sinusitis, nasal congestion, and other sino-nasal problems.


Since there are many different causes of sinus symptoms, it is important to receive comprehensive treatment that addresses your specific underlying problem.  At the Sinus Care Institute, we offer a multidisciplinary approach to sinus and nasal problems.  Our team of professionals includes specialists in Neurology, Allergy, and Otolaryngology (ENT).

Our single most important goal at The Sinus Care Institute is to relieve your sinus suffering.  Because our doctors focus on nasal and sinus disorders, we are able to utilize multiple modalities to alleviate your symptoms. We utilize the latest technology and treatment options available to treat sinus and nasal disease, including:  functional endoscopic sinus surgery (FESS), Balloon Sinuplasty, stereotactic image guidance,immunotherapy, septoplasty and turbinate reduction procedures.

With a long history of nasal and sinus care in southeastern Wisconsin, we have pioneered and refined many innovative techniques and have helped thousands of patients end their nasal and sinus suffering.  We are the first Sinus Center of Excellence in Wisconsin dedicated to the treatment of sinus disease utilizing a coordinated multidisciplinary approach.  Each patient we treat is evaluated by our team of professionals and a unique customized plan of treatment is developed to address each patient’s symptoms and specific sinus or nasal problem.

We work with each patient to ensure that they always know what to expect — and understand each option available to them.  In most cases, we attempt to treat patients non-surgically.  For those who fail medical therapy, however, our surgeons are known for their skills in balloon sinuplasty, endoscopic sinus surgery, septoplasty, and turbinoplasty. Prior to surgery, every patient’s case will be reviewed by our sinus board of professionals to ensure that the most appropriate surgical option and technique is utilized.

At the Sinus Care Institute, we are committed to educating our patients and other healthcare professionals.  We offer opportunities for other professionals to learn from our experience by being involved with the institute or sharing their complex patient cases with the sinus board.

If you suffer from sinus or nasal problems, let our specialized team help you develop a customized plan of treatment. Our offices are conveniently located in Wauwatosa, Waukesha, Delafield, Oconomowoc, and Watertown,  Wisconsin.

Sinus Treatment Options

Functional endoscopic sinus surgery (FESS) is a minimally invasive technique used to restore sinus ventilation and normal function.  The most suitable candidates for this procedure have recurrent acute or chronic infective sinusitis.  Fiber optic telescopes are used for diagnosis and during the procedure, and computed tomography is used to assess the anatomy and identify diseased areas.  Functional endoscopic sinus surgery should be reserved for use in patients in whom medical treatment has failed.  The procedure can be performed under general or local anesthesia on an outpatient basis, and patients usually experience minimal discomfort.

The reasoning and concepts supporting the use of FESS are widely accepted.  (The term “functional” was introduced to distinguish this type of endoscopic surgery from non-endoscopic, “conventional” procedures.) The goal of FESS is to return the mucociliary drainage of the sinuses to normal function.  The paranasal sinuses are maintained in a healthy state by ventilation through the individual ostia and by a mucociliary transport mechanism that keeps a continuous protective layer of mucus flowing out of the sinuses.

Stereostactic sinus surgery, also called image guidance, utilizes preoperative computed tomography (CT) images that are converted to three-dimensional (3D) digital maps of a patient’s anatomy and the sinuses that require surgery, this allows the surgeon to correlate the real-time operative findings with structures.  The system then tracks the actual movements of the surgical instruments and displays these movements in relationship to the converted 3D images of the patients anatomy.  This allows more precise, complete, and safe sinus surgery.

Septoplasty and turbinate reduction procedures are frequently used to correct anatomic issues that cause nasal obstruction.  The nasal septum is the partition that divides one side of the nose from the other.  It is rarely perfectly straight–it is slightly crooked in over 80% of people.  When the septum is so crooked or deviated that it blocks the nasal passage, then a surgical operation called a septoplasty may restore clear breathing.

If your nose is congested on one side during part of the day and later congested on the other side, then it is not just the septum that is causing the nasal obstruction.  In this instance, an abnormal turbinate–a structure that projects from the lateral wall of the nose into the nasal cavity–may be the cause. Usually medical treatment (such as a nasal steroid spray) is recommended before considering surgery. If the medical treatments fail to bring relief, then your doctor may also recommend a procedure known as a turbinate reduction.  Turbinate reductions can be done in the office or in the operating room.  A septoplasty may be combined with a turbinate reduction so the normal nasal airway can be restored.

Balloon Sinuplasty


Balloon Sinuplasty (BSP) is a safe and effective procedure for chronic sinusitis patients who are not responding well to medications and are seeking relief from uncomfortable and painful sinusitis symptoms. Dr. Rieder and Dr. Hertler are the leading experts in Wisconsin for providing this procedure.

Learn more about Balloon Sinuplasty

Sinus Pressure

Nasal congestion and sinus pressure have many causes: colds, flu, allergies, to name a few. Whatever is triggering them, the symptoms can be a pain — literally. These tips may help make congestion and sinus pressure a bit more bearable — and help you breathe a little easier.

Learn more about Sinus Pressure & Surgery

Sinusitis / Sinus Infection

What is sinusitis?
Sinus infections often follow a cold and cause pain and pressure in your head and face.

Sinusitis can be either acute (sudden) or chronic (long-term). With chronic sinusitis, the infection or inflammation does not completely go away for 12 weeks or more.

Learn more about Sinusitis

Septoplasty & Turbinate Reduction

A stuffy nose, also known as nasal obstruction, is a fairly common problem. Patients with nasal obstruction have trouble breathing through their nose. This can force them to breathe through their mouth, leading to a sensation of a dry mouth. In many patients, these symptoms get worse at night when they are lying flat. This can cause them to have less restful sleep.

Learn about Septoplasty

Stereotactic Sinus Surgery

The ear, nose, and throat specialist will prescribe many medications (antibiotics, decongestants, nasal steroid sprays, antihistamines) and procedures (flushing) for treating acute sinusitis. There are occasions when physician and patient find that the infections are recurrent and/or non-responsive to the medication. When this occurs, surgery to enlarge the openings that drain the sinuses is an option.

Learn about Stereotactic Sinus Surgery

Sinus Headache

Sinus headaches are headaches that may accompany sinusitis, a condition in which the membranes lining your sinuses become swollen and inflamed. You may feel pressure around your eyes, cheeks and forehead. Perhaps your head throbs.

Many people who assume they have sinus headaches, including many who have received a diagnosis of sinus headaches, actually have migraines or tension headaches.

When sinus headaches caused by sinusitis do occur, proper diagnosis and treatment are the keys to relief.

Learn more about Sinus Headache

Epistaxis/Nosebleeds

Most nosebleeds are not usually serious and can be stopped with home treatment. Most nosebleeds occur in the front of the nose (anterior epistaxis) and involve only one nostril. Some blood may drain down the back of the nose into the throat. Many things may make a nosebleed more likely.

Learn more about Epistaxis/Nosebleeds


The Physicians and Practitioners at Alliance ENT are the top experts in Otolaryngology in Southeastern Wisconsin, including Milwaukee, Waukesha, Franklin, Brookfield, and Wauwatosa. Call today to get all of your questions answered!

Board Certified in Otolaryngology & Sleep Medicine
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