Center for Minimally-invasive Surgery of the Nose, the Sinuses and the anterior Skull Base

  • Diagnosis


    Symptoms and history
    are important.

    Individualized counselling and diagnostic management
    ensure an adequate treatment policy for each patient
    on an individual basis

  • Allergy


    25-30% of the population in western industrial
    societies suffer from allergies.

    Our long experience with allergy diseases enable us
    to provide you with dhe adequate diagnostic
    measures and treatment.

  • Nasal Airway Obstruction

    Nasal Airway Obstruction

    Nasal airway obstruction has a significant
    negative impact on patient's lives

    We have been involved with diseases of the nose and
    paranasal sinuses for almost 30 years and can therefore
    recommend the adequate therapeutic approach for diseases.

  • About the operation

    About the operation

    About 1/3 of the population
    suffers from snoring

    Our experience with different aspects of sleep medicine
    lasts more than 15 years. Our goals are making an exact diagnosis
    with screening and - if necessary - sleep laboratory evaluation and
    then advise you on legitimate therapeutic approaches.

  • Chronic rhinosinusitis

    Chronic rhinosinusitis

    Surgical procedures in the head are regarded
    as particularly dangerous by many patients.

    After thousands of pre-operative counselling sessions we know
    that operations in the head and neck area are considered as extremly
    dangerous by the patients. Therefore trust and safety are the top priorities of our work

  • Snoring


    About 1/3 of inflammatory sinus
    diseases become chronic.

    We have been involved in research and diagnostic management
    of nasal and paranasal sinus diseases for more than 25 years.
    This long experience enables us to give you adequate advice
    on how to treat those kinds of diseases.

Monday - Friday:
08.00 – 12.00h
14.00 – 16.30h

Prinzenweg 1
82319 Starnberg

How to find us


The nasal sinuses (Fig. 1) are air-filled cavities which are connected to the main nasal passage. There are several sets of paired sinuses including the maxillary, ethmoid, frontal and sphenoid sinuses. The maxillary, ethmoid, and frontal sinuses all drain into the main nasal cavity through the middle meatus just beneath the middle turbinate. In addition, this passage must be open to allow equalization of air pressure in the sinuses. The area where they drain is also known as the infundibulum.

Fig. 1 – View of the location of the sinuses in front and side projection of skull. 
Courtesy of Georg Thieme Verlag, Stuttgart R. Probst / G. Grevers / H. Iro Basic Otorhinolaryngology 2006

This area plays a key role in the development of chronic inflammation of the sinuses (rhinosinusitis, nasal polyps), since inflammation and swelling of the nasal mucosa not only leads to nasal airway obstruction, but also blocks the infundibulum leading to impaired air exchange and drainage of the sinuses.

Rhinosinusitis, especially chronic rhinosinusitis, has become much more common in recent decades and is one of the most common medical problems in Western industrialized countries. Typical symptoms include increased infections, post-nasal drip (secretions dripping into throat), persistent clearing of throat, and morning cough. There may also be a sense of swelling in the nose as well as of pressure or pain in the sinuses. Many patients complain of chronic fatigue or other signs of reduced general well-being.

The negative effect of chronic rhinosinusitis on the patient’s quality of life is often underestimated, even by physicians who regard it as a minor problem. Many scientific studies show that the impairment in quality of life for individuals with chronic rhinosinusitis is comparable to that of those with diabetes mellitus or chronic heart disease.

Both conservative and surgical treatment methods have been greatly improved in the past two decades. Nonetheless, one must always remember that chronic rhinosinusitis has many causes and that some cases are most difficult to treat. An exact diagnosis is crucial; then an individual treatment plan must be designed for each person; when surgical measures are considered, this approach should be entrusted to an experienced nasal surgeon (therapeutic concept for chronic rhinosinusitis).


Do you have any further questions?

Our team will be happy to answer your questions.

Phone: +49 8151 – 3013


Publications by Prof. Grevers

  • Basic Otorhinolaryngology: A Step-by-Step Learning Guide

    Basic Otorhinolaryngology: A Step-by-Step Learning Guide, Second Edition, is an accessible introduction to the core concepts and potentially complex interrelationships in otorhinolaryngology and head and neck surgery. The fully revised new edition includes latest developments and up-to-date terminology, up-to-date diagnostic and treatment methods, and succinct overviews of important international consensus documents and position papers in the field. The book presents material in an engaging and user-friendly format, with chapters divided into study units that follow a consistent structure. Readers will also find a wealth of figures, tables, and flowcharts to facilitate quick comprehension of topics.

    Basic Otorhinolaryngology: A Step-by-Step Learning Guide
    G.Grevers, M.Röcken: Taschenatlas Allergologie. Thieme Verlag, 2. Auflage 2008
  • Taschenatlas Allergologie: Grundlagen - Diagnostik - Klinik

    Komprimiert und doch verständlich: Allergologie auf aktuellem Stand
    Fachübergreifende Komplettdarstellung - Kompetenz in allen Fachgebieten
    Optimale Visualisierung komplexer Zusammenhänge
    Bewährtes Schema: kompakter Textteil - übersichtliche Farbtafeln
    Handbuchwissen im Taschenbuch-Format
    ausführlicher Anhang mit wichtigen Testsubstanzen, Allergenen, Reizstoffen, Glossar u.v.m.

    Taschenatlas Allergologie: Grundlagen - Diagnostik - Klinik
    G.Grevers, M.Röcken: Taschenatlas Allergologie. Thieme Verlag, 2. Auflage 2008
  • VIdeo 2

    Interview mit Springer Medizin
    Datum: Frühjahr 2014