ENT PROCEDURES

The most common ENT Procedures performed by our staff are described here. If you would like more information on any procedure, please contact our office.

EAR

EAR TUBES / MYRINGOTOMY TUBES:

The surgical procedure for placing tubes in the ears has become one of the most commonly performed operations of any kind. A tiny tube with a collar on both ends is slipped through a tiny incision in the eardrum. This pressure equalization (PE) tube provides a temporary, extra Eustachian tube to allow bacteria and fluid to drain from the middle ear.

TYMPANOPLASTY:

The tympanic membrane, or eardrum, is made of tissue similar to skin. In most cases, perforations of the ear drum by trauma, such as a puncture by a cotton-tipped applicator, or a slap injury, will heal spontaneously, in much the same way as a cut on an arm would heal.

When a tympanic membrane perforation persists, the middle ear is unprotected and is vulnerable to infection. When a perforation is present, the ear canal must be kept dry. Repair of the tympanic membrane perforation reinstates the protective barrier to the middle ear, and in some cases can also improve hearing.

MASTOIDECTOMY:

Mastoid air cells are open, air-containing spaces in the skull behind the ear. A mastoidectomy is the surgical removal of these mastoid air cells. The surgery may extend into the middle ear.

The surgery used to be a common way to treat an infection in the mastoid air cells, which usually came from infection that spread to the nearby bone in the skull. Mastoidectomy is now seldom needed, as the infection is commonly treated with antibiotics. However, this surgery may be used to treat other problems.

NOSE AND SINUS

SEPTOPLASTY:

Septoplasty is an operation that corrects any defects or deformities of the nasal septum, which is the wall of the two nostrils. The goal of the surgery is to straighten out the nasal septum or to relieve obstructions or other problems related to deviation of the septum. An incision is made internally on one side of the nasal septum. Afterwards, the mucous membrane is elevated away from the cartilage and bone, obstructive parts are removed, and plastic surgery is performed as necessary. Then the mucous membrane is returned to its original position. The tissues covering the septum are maintained in the midline by sutures and splints/packing.

TURBINATE REDUCTION SURGERY:

Enlarged inferior turbinates are often the cause of chronic nasal congestion. Even if the underlying problem is addressed, such as chronic nasal congestion or allergy, the enlargement may remain. There are varying ways to reduce the size of the turbinates from radio frequency ablation done under local anesthesia, to submucous resection done in the operating room as an outpatient. The best approach for each patient would be discussed at the time of the office visit.

ENDOSCOPIC SINUS SURGERY:

Endoscopic sinus surgery is used to increase the amount of air flowing through the sinuses and allow mucus to drain properly out of the nose. The operation can relieve nasal blockages, improve breathing, improve the sense of smell and taste and relieve facial pain. The endoscope, which utilizes fiber optic technology allows doctors to see inside the sinuses without cutting the face and makes it possible to see parts of the sinuses that were formerly difficult to reach.

HEAD AND NECK

TONSILLECTOMY:

One of the most common ENT procedures, tonsillectomy is the surgical removal of the tonsils, masses of lymph tissue in the back of the throat. They are often removed because of repeated infections (tonsillitis) or repeated sore throats. They may also be removed because they are so enlarged that breathing or swallowing problems occur. Dr. Fewins currently uses the technique called coblation to remove tonsils.

ADENOIDECTOMY:

This is the operation performed to surgically remove the adenoids. Adenoids are two small masses of lymph tissue that are located on either side of the throat at the very back, where the throat meets the back of the nose (nasopharynx). Adenoids are often removed if they block the tube that connects the middle ear to the back of the throat (Eustachian Tube), or if they are enlarged and block the nasal passage. Adenoidectomy is frequently done in conjunction with a tonsillectomy.

NECK MASS EXCISION:

Description needed!

THYROID SURGERY:

Description needed!

SNORING AND SLEEP APNEA

INJECTION SNOREPLASTY:

A nonsurgical treatment for snoring that involves the injection of a hardening agent into the upper palate. The procedure is performed on an outpatient basis under local anesthesia. After numbing the upper palate with a topical anesthetic, a small amount of the 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. In some patients the treatment needs to be repeated for optimum benefits.

PILLAR PROCEDURE:

The new, minimally invasive Pillar® Procedure addresses the problem of sleep apnea by placing three small (less than 2 cm) woven inserts into the soft palate to reduce vibration and provide support to the tissues. The inserts are made of a material that has been used in implanted medical devices for over 50 years. They can’t be seen or felt, and do not affect speech or swallowing. The Pillar Procedure can offer relief from snoring, helping patients and their loved ones sleep more soundly. Talk to Dr. Fewins to see if the procedure is right for you.

OSA SURGERY:

Description needed?

VOICE DISORDERS

INJECTION SNOREPLASTY:

PROFESSIONAL VOICE SURGERY:

VOCAL FOLD PARALYSIS SURGERY:

VOICE LIFT – SURGERY FOR THE AGING VOICE:

MICROLARYNGOSCOPY:

VOCAL CORD INJECTION MEDIALIZATION:

DIGITAL VIDEO – STROBOSCOPY: