Procedures

Our practice includes general ear, nose, and throat, head and neck diseases and surgeries, cosmetic surgery, robotic procedures, in-office balloon sinuplasty, allergy treatment, and hearing solutions. We concentrate our training and experience in these areas to provide the best possible medical care for our patients.

Ear:

Allergy Tests and Shots

Allergy is diagnosed by history and physical examination and confirmed by allergy testing. We do this allergy testing by skin testing on the arms or by tests done on blood drawn from your arm. Inhalant allergies can cause multiple symptoms but will mainly affect the respiratory system. Persistent and recurrent “colds”. “hay fever”, and “sinus” are examples of allergic symptoms. Any substance that can be inhaled or absorbed into the body may provoke allergic reactions. The most common inhalant allergens that trigger symptoms are pollens, molds and environmental agents such as animal dander and dust mites.

Allergy treatment is based on avoidance of offending allergens through environmental control, medications to control symptoms, and immunotherapy (allergy shots). If immunotherapy is recommended, a solution is mixed specifically for you based on your allergy testing results and will be administered in your arm. The need for allergy medication may decrease or disappear as immunotherapy is advanced. Allergy injections are usually given three to five years, but some patients require immunotherapy indefinitely


Baha

Bone-anchored hearing aids use a surgically implanted abutment to transmit sound by direct conduction through bone to the inner ear, bypassing the external auditory canal and middle ear. A titanium prosthesis is surgically embedded into the skull with a small abutment exposed outside the skin. A sound processor sits on this abutment and transmits sound vibrations to the titanium implant. The implant vibrates the skull and inner ear, which stimulate the nerve fibers of the inner ear, allowing hearing. The surgery is often performed under local anesthesia and as an outpatient procedure.

Blepharoplasty

Blepharoplasty is the removal of excess skin and tissue from the eye lids. This procedure results in a more youthful appearance to the eyes and in cases where upper lid skin is particularly excessive, can improve peripheral vision.

Botox & Fillers

Botox is a purified protein which has safely been used to weaken facial muscles responsible for wrinkles. The most commonly treated areas are frown lines, forehead lines, and crow’s feet. The effects usually last three to five months and treatments should be repeated for maximum effectiveness. Fillers are injection gels used to fill and correct moderate to severe wrinkles and folds.

COCHLEAR IMPLANTS

A cochlear implant is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing in both ears. Cochlear implants bypass the normal hearing process; they have a sound processor that resides on the outside of the skin (and generally worn behind the ear) which contains microphones, electronics, battery, and a coil which transmits a signal to the implant. The implant has a coil to receive signals, electronics, and an array of electrodes which is placed into the cochlea, which stimulate the cochlear nerve. The procedure is done under general anesthesia.

Inner Ear Perfusion

A relatively new approach to inner ear disease which allows the exposure of either cortisone or an antibiotic to the inner ear by placing the substance in the middle ear space and allowing it to diffuse to the inner ear through the natural membrane called the round window. This is done in refractory cases of Meniere’s disease and in some cases of sudden or progressive hearing loss or in refractory vertigo, which is a spinning type of dizziness.

Mastoidectomy

An operation that requires drilling out the bone just behind and above the ear canal for exposure and removal of disease in the mastoid cavity. In some cases, the ear canal wall is removed resulting in a larger than normal ear canal for the sake of prevention of further mastoid disease. In most cases, however, the canal wall can be preserved and the surgery done through incision behind the ear.

Microdermabrasion

This is a new procedure using a Delphia II System from Edge Systems Corporation. The Microdermabrasion is performed in the office and only takes 15-20 minutes. A few treatments will dramatically improve appearance of the skin. It is now a widely accepted skin care technique and has the ability to improve imperfections on the skin caused by aging and sun exposure.

Myringotomy Tubes

Myringotomy tubes are placed in the ears of children who either have recurring ear infections, or persistent fluid build-up behind the eardrums. The procedure is done in the operating room with the child asleep. The child can resume normal activities the next day. The amount of time the tube stays in varies depending on the type of tube used, and the patient.

Ossicular Reconstruction

Most typically, this is done in conjunction with tympanoplasty for the treatment of chronic ear disease. One or more bones of hearing may have become eroded or stiffened. The faulty portion of the hearing mechanism is replaced with a prosthesis with or without additional tissue from the patient’s own body.

Removal of Tumors of the Temporal Bone

Rarely benign and malignant tumors can develop in the bone housing the ear and require removal and repair of the defect the tumor has caused. In some cases, a neoplasm is found just beyond the temporal bone between the brain and the bone, such as an acoustic neuroma, which requires removal by the joint effort of the neurosurgeon and the otologist.

Repair of Inner Ear Fistula

In some cases of head injury, significant strain or more rarely, with relatively simple stresses to the ear, if there is some type of congenital weakness of the ear, a leak of fluid can develop coming from the inner ear into the middle ear. These lesions can be repaired by exploring the middle ear and sealing the leaks.

Stapedectomy

In this procedure, the third bone of hearing called the stapes which has become stiffened by either hereditary, congenital or inflammatory processes is removed and replaced by a prosthesis to restore the hearing mechanism.

Tonsillectomy

Tonsillectomy is done for problems such as chronic infection, tonsil enlargement causing symptoms, and obstructive sleep apnea. The tonsils are removed under general anesthesia, and this is usually done as outpatient surgery. The patient can generally return to school or work after one week. In children, the adenoids are frequently removed as well.

Nose:

Adenoidectomy

The adenoids are removed due to chronic infection. Adenoidectomy is commonly done in conjunction with Myringotomy Tube placement and tonsillectomy, and is done as an outpatient procedure.

Allergy Tests and Shots

Allergy is diagnosed by history and physical examination and confirmed by allergy testing. We do this allergy testing by skin testing on the arms or by tests done on blood drawn from your arm. Inhalant allergies can cause multiple symptoms but will mainly affect the respiratory system. Persistent and recurrent “colds”. “hay fever”, and “sinus” are examples of allergic symptoms. Any substance that can be inhaled or absorbed into the body may provoke allergic reactions. The most common inhalant allergens that trigger symptoms are pollens, molds and environmental agents such as animal dander and dust mites.

Allergy treatment is based on avoidance of offending allergens through environmental control, medications to control symptoms, and immunotherapy (allergy shots). If immunotherapy is recommended, a solution is mixed specifically for you based on your allergy testing results and will be administered in your arm. The need for allergy medication may decrease or disappear as immunotherapy is advanced. Allergy injections are usually given three to five years, but some patients require immunotherapy indefinitely


Balloon Sinuplasty

To learn more about Balloon Sinus Dilation, a new sinusitis treatment option, visit SinusSurgeryOptions.com.


Blepharoplasty

Blepharoplasty is the removal of excess skin and tissue from the eye lids. This procedure results in a more youthful appearance to the eyes and in cases where upper lid skin is particularly excessive, can improve peripheral vision.

Botox & Fillers

Botox is a purified protein which has safely been used to weaken facial muscles responsible for wrinkles. The most commonly treated areas are frown lines, forehead lines, and crow’s feet. The effects usually last three to five months and treatments should be repeated for maximum effectiveness. Fillers are injection gels used to fill and correct moderate to severe wrinkles and folds.

Endoscopic Sinus Surgery

This is a way of doing sinus surgery using telescopes to aid the visualization of the sinuses. This makes sinus surgery safer, more precise, and less invasive. Sinus surgery is indicated for patients with chronic sinus infection that has not responded to intensive antibiotic therapy. This is generally done as outpatient surgery, and the patient may return to work after four or five days.

Microdermabrasion

This is a new procedure using a Delphia II System from Edge Systems Corporation. The Microdermabrasion is performed in the office and only takes 15-20 minutes. A few treatments will dramatically improve appearance of the skin. It is now a widely accepted skin care technique and has the ability to improve imperfections on the skin caused by aging and sun exposure.

Rhinoplasty

Rhinoplasty is the surgical re-shaping of the nasal bones and cartilage to achieve an improvement in external appearance. It may be performed in conjunction with other nasal procedures including septoplasty to improve the nasal air passages.

Septoplasty

Also called nasoseptal reconstruction. This is a procedure to straighten the nasal septum (the midline partition of the nose) in patients who are having chronic nasal congestion due to a deviated septum. The procedure is done in the operating room with the patient asleep, and generally does not cause any bruising, or change the appearance of the nose. The patient can return to work in four or five days.

Injection Snoreplasty

Injection snoreplasty is a nonsurgical treatment for snoring that involves the injection of a hardening agent into the upper palate. Injection snoreplasty is performed on an outpatient basis under local anesthesia. After numbing the upper palate with topical anesthetic, a hardening agent is injected just under the skin on the top of the mouth in front of the uvula (upper palate), creating a small blister. Within a couple of days the blister hardens, forms scar tissue, and pulls the floppy uvula forward to eliminate or reduce the palatal flutter that causes snoring.

Throat:

Adenoidectomy

The adenoids are removed due to chronic infection. Adenoidectomy is commonly done in conjunction with Myringotomy Tube placement and tonsillectomy, and is done as an outpatient procedure.

Allergy Tests and Shots

Allergy is diagnosed by history and physical examination and confirmed by allergy testing. We do this allergy testing by skin testing on the arms or by tests done on blood drawn from your arm. Inhalant allergies can cause multiple symptoms but will mainly affect the respiratory system. Persistent and recurrent “colds”. “hay fever”, and “sinus” are examples of allergic symptoms. Any substance that can be inhaled or absorbed into the body may provoke allergic reactions. The most common inhalant allergens that trigger symptoms are pollens, molds and environmental agents such as animal dander and dust mites.

Allergy treatment is based on avoidance of offending allergens through environmental control, medications to control symptoms, and immunotherapy (allergy shots). If immunotherapy is recommended, a solution is mixed specifically for you based on your allergy testing results and will be administered in your arm. The need for allergy medication may decrease or disappear as immunotherapy is advanced. Allergy injections are usually given three to five years, but some patients require immunotherapy indefinitely


Blepharoplasty

Blepharoplasty is the removal of excess skin and tissue from the eye lids. This procedure results in a more youthful appearance to the eyes and in cases where upper lid skin is particularly excessive, can improve peripheral vision.

Botox & Fillers

Botox is a purified protein which has safely been used to weaken facial muscles responsible for wrinkles. The most commonly treated areas are frown lines, forehead lines, and crow’s feet. The effects usually last three to five months and treatments should be repeated for maximum effectiveness. Fillers are injection gels used to fill and correct moderate to severe wrinkles and folds.

Direct Laryngoscopy

With this procedure, the larynx (voice box) is visualized directly through a lighted tube, so that various lesions and disorders of the larynx can be diagnosed and treated. This is done in the operating room, under local or general anesthesia, and the patient can usually be discharged on the day of surgery, or the first postoperative day. After some laryngoscopies, the patient may be required to rest his voice for several days.

Microdermabrasion

This is a new procedure using a Delphia II System from Edge Systems Corporation. The Microdermabrasion is performed in the office and only takes 15-20 minutes. A few treatments will dramatically improve appearance of the skin. It is now a widely accepted skin care technique and has the ability to improve imperfections on the skin caused by aging and sun exposure.

Robotic Head and Neck Surgery

The da Vinci® Surgical System enables surgeons to perform delicate and complex operations through a few small incisions. The da Vinci System consists of several key components, including: an ergonomically designed console where the surgeon sits while operating, a patient-side cart where the patient is positioned during surgery, interactive robotic arms, a 3D HD vision system, and proprietary EndoWrist® instruments. Read more

Salivary Gland Surgery

The Parotid Gland The parotid gland is the large salivary gland on both sides of the face. Tumors of the parotid gland require surgical removal. While this is a major surgery with some risk to the facial nerve, it may often require no more than an overnight stay in the hospital. The doctors of ENT Associates of Alabama are skilled at removal of these tumors with preservation of the facial nerve and avoidance of injury to it. These tumors are frequently benign and surgery is usually corrective.
Submandibular Gland The submandibular gland is the large salivary gland located just below the mandible or jaw on each side of the neck. Most commonly this gland requires surgery only when it becomes irreversibly swollen from persisting infection resulting from a stone within the gland. Less frequently a tumor may arise in the gland and require surgical removal. The doctors of ENT Associates of Alabama are very experienced in surgery of the submandibular gland.

Injection Snoreplasty

Injection snoreplasty is a nonsurgical treatment for snoring that involves the injection of a hardening agent into the upper palate. Injection snoreplasty is performed on an outpatient basis under local anesthesia. After numbing the upper palate with topical anesthetic, a hardening agent is injected just under the skin on the top of the mouth in front of the uvula (upper palate), creating a small blister. Within a couple of days the blister hardens, forms scar tissue, and pulls the floppy uvula forward to eliminate or reduce the palatal flutter that causes snoring.

Tonsillectomy

Tonsillectomy is done for problems such as chronic infection, tonsil enlargement causing symptoms, and obstructive sleep apnea. The tonsils are removed under general anesthesia, and this is usually done as outpatient surgery. The patient can generally return to school or work after one week. In children, the adenoids are frequently removed as well.

Voice Restoration

ENT Associates of Alabama offers prosthetic voice restoration for those patients who have undergone laryngectomy or removal of the voice box because of cancer. Using the Blom-Singer and/or Bivona prosthetic voice restoration systems, a nearly normal voice with normal fluency can be achieved for the patient by the voice restoration team.

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