Allergies and Sinusitis



Allergic rhinitis can be triggered by environmental irritants as well as foods. Symptoms usually include post-nasal drip, itchy eyes, sneezing or even hives. For more severe cases of allergies we offer both skin and blood testing. Allergy testing allows further treatment with immunotherapy. This type of treatment can be done in the form of allergy shots or allergy drops.

Allergy skin testing and allergy shots are provided in our office by Med-Allergy. Please see the link below for further information.

RAST Testing – blood is drawn in the office and sent to a lab with results in one week. This is a good option for patients who are not candidates for skin testing.

Subcutaneous therapy – we offer full treatment of allergies with allergy injection treatment protocol provided by Med-Allergy as described below. Treatment is given by highly trained staff under the direct supervision of ENT physicians at all times.

Sublingual Therapy – for those patients that are not candidates for allergy injections and qualify for more in-depth allergy treatment we offer under the tongue drops which can be taken at home. These drops are safe and effective therapy in treating allergies. Click here to learn more

Allergy Choise

Med Allergy gives our allergy shots:

Click Here for more information



Coastal Carolina Ent, one of the first ENT practices in North Carolina to obtain the Xoran MiniCAT™ CT Scanner. The MiniCAT™ is a unique high-quality point-of-care volume CT scanner for imaging of the sinuses, skull base and temporal bones and provides several benefits to both patients and physicians.

Being located at your point-of-care, the MiniCAT™ volume CT scanner speeds up diagnosis and treatment while reducing travel requirements and time away from work.

Point-of-care CT scanning eliminates the hassle of external imaging and does not delay the diagnosis. There is no longer a need for several appointments between our office and a hospital or imaging center. Your physician can make quick, accurate diagnoses while having complete control of the imaging process. With MiniCAT™, your doctor has immediate access to your CT scan. On-site CT eliminates wasted time and resources tracking down hospital CT films allowing your doctor to access your MiniCAT™ studies at any time.

The Xoran MiniCAT™ offers peace of mind with a lower radiation dose. A MiniCAT™ scan has much lower radiation then scans by a full-body CT scanner. For a sinus scan, the MiniCAT™ exposes you to .17 mSv. The same sinus scan on a conventional CT scanner would expose you to .96 mSv., more than five times the radiation.

Not only does the MiniCAT™ have a much lower radiation dose, it also uses much less energy meaning that it is energy conserving.

MiniCAT’s innovative technology optimizes X-ray efficiency, minimizing the radiation dose to the patient while providing unprecedented, high-resolution images of the sinuses, skull base and temporal bones.

With the MiniCAT™, you sit comfortably upright plus this is an open design so there is no anxiety or claustrophobia that many people feel with a conventional whole body CT scanner.

Having your CT exam conducted at Coastal Carolina ENT with the Xoran MiniCAT™ is covered by most insurance companies.




Sinusitis affects more than 35 million people per year. We offer state of the art therapy including tailored medical therapy and surgical care for each patient.

Medical Therapy– Culture directed antibiotic therapy combined with antihistamines, nasal steroids, and nasal rinses to open the sinuses naturally.

Surgical Therapy– We offer the latest technology to open the sinuses precisely for relief.

Image-Guided Surgery– CT scan technology allows us to perform a minimally invasive procedure with the use of your CT scan to map surgery. You’ll experience a fast recovery with less pain.

Safely open the sinuses with the use of balloons with less bleeding, minimal packing, and faster recovery time.
Balloon Sinuplasty
balloon sinuplasty

Septoplasty and Turbinate Reduction– straighten the midline of the nose and shrink tissue for improved breathing and sinus drainage.

Eustachian Tube Dysfunction


Click here and get the Patient Questionnaire for Eustachian Tube Dysfunction

Latera Implant

A polylactic acid copolymer implant safely and effectively supported lateral cartilage in patients with nasal valve collapse, according to a study by German researchers.

The product is the LATERA absorbable nasal implant (Spirox).

Researchers studied 30 adults with extreme or severe nasal valve collapse symptoms. They placed a total 56 LATERA implants in the study subjects (26 received implants on both sides of the nose). They assessed patients at one week and one, three, six and 12 months postop.

They found that while the mean preoperative Nasal Obstruction Symptom Evaluation (NOSE) instrument score was 76.7, the mean NOSE score at 12 months postop was 35.2. The average NOSE score reduction was 48.4 at three months; 43.3 at six months and 40.9 at one year. All were statistically significant reductions.

More than three-quarters of patients reported having at least one NOSE class improvement or a NOSE score reduction of at least 20%, according to the abstract results.

The researchers found no adverse changes in cosmetic appearance at one year postop. Three implants in three patients needed to be taken out within 30 days after the procedure, but resulted in no clinical consequences, according to the study.

“These results are very promising, as they demonstrate the safety and efficacy of the LATERA implant and provide an optimal approach for correcting a common cause of nasal obstruction,” Marion San Nicoló, MD, University Clinic of Munich, Ludwig Maximilian University of Munich, and principal investigator in the study said in a Spirox press release. “I believe that the LATERA implant is an important advance that has the potential to transform the treatment of [nasal valve collapse].”