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By Children's Ear, Nose and Throat Associates
January 15, 2019
Category: ENT Care
Tags: Sleep Apnea   Snoring   Fatigue  

Sleep Apnea symptoms can be treatedSleep apnea is one of the most common sleep disorders and yet it’s one that isn’t as often diagnosed since most people don’t even know that they have it. When someone has sleep apnea the airways collapse multiple times throughout the night. As a result, this causes interrupted breathing. Since not enough oxygen is getting to the brain you can imagine the many health issues this problem could cause if left untreated.

So, what are some telltale signs that you have sleep apnea?

One of the most common symptoms of sleep apnea is loud snoring. While not everyone who snores has sleep apnea, most sleep apnea sufferers are also frequent snorers. Along with snoring, your partner may also notice that you might gasp for air in the middle of the night or that your breathing is paused.

The sleep apnea sufferer will complain of extreme fatigue throughout the day. Even if you get enough sleep you may still find it difficult to get out of bed (or you may experience headaches in the morning). While most people feel tired at some point during the day, a true sleep apnea sufferer has intense exhaustion that doesn’t seem to let up.

Sleep apnea can make it more difficult for you to concentrate. You may find that you aren’t able to complete work as efficiently as you should. You may nod off at your desk or while driving home from work. Sleep apnea can be dangerous because it can increase your risk of injury.

How is sleep apnea treated?

It’s important to seek treatment as soon as possible to prevent health complications and other issues from happening. The most common treatment for sleep apnea is CPAP therapy. By placing this facemask over your nose and mouth as you sleep, it provides enough air pressure to keep the airways open and to prevent them from collapsing. This is the number one treatment option for obstructive sleep apnea.

Of course, sometimes an oral appliance device is all that you need if you only have minor or moderate sleep apnea. This device is custom-made to fit your mouth and can be used on its own or along with CPAP therapy to help you enjoy a better night’s sleep.

If you think you might have sleep apnea it’s important that you get this evaluated as soon as possible. Talk to our ENT doctor about how we can help you.

By Children's Ear, Nose and Throat Associates
January 07, 2019
Category: ENT Care
Tags: Tonsillectomy  

What is a Tonsillectomy?


Need a tonsillectomy? Tonsillectomies have been practiced for over 2,000 years. A tonsillectomy is a surgical operation to remove the palatine tonsils. Tonsils are two glands located at the rear of the throat. Ear, Nose, and Throat Doctors, also known as an otolaryngologists, are highly experienced in tonsillectomies. Here's everything you need to know about tonsillectomies.

Why it's Done

A tonsillectomy is used to treat chronic or recurring tonsilitis, complications of enlarged tonsils, and bleeding of the tonsils. A tonsillectomy is also a treatment for sleep-disordered breathing and other rare diseases of the tonsils. The need for tonsillectomies are more common in kids than adults. However, people of any age can experience trouble with their tonsils and require a tonsillectomy.

The Procedure

Tonsillectomy is an operation in which both tonsils are removed from a recess in the side of the pharynx called the tonsillar fossa. Once the patient is asleep, the surgery begins. An instrument is used to hold the patient's mouth open. The tonsils are then cut away with a laser, scalpel, or a heated instrument. Once the tonsils are removed and the bleeding is controlled, the surgery is over. The procedure is performed under general anesthesia, which is usually completed in 20 to 30 minutes.

Complications

A tonsillectomy is a common procedure. However, like with other operations, there are some risks with this procedure. These can include bleeding, infection, swelling, prolonged pain, or a reaction to anesthetics. Be sure to discuss your concerns with your physician before the procedure. Anyone who is contemplating surgery must weigh the potential risks against the benefits of the surgery.

Recovery Process

Tonsillectomies are usually performed on an outpatient basis, which allows the patients to go home once they are awake from surgery. Recovery time for a tonsillectomy is usually at least 10 days to 2 weeks. You may experience some pain as as recover from a tonsillectomy. You might have a sore throat after the procedure. Pain relief medication can help you feel better during recovery. Many people are ready to go back to work or school within two weeks after a tonsillectomy.

Post-Op Instructions

An appointment for a checkup should be made two weeks after the procedure. The most important thing one can do after surgery to prevent dehydration is to drink plenty of fluids. Try to drink non-acidic drinks. Soft foods such as gelatin, puddings, and mashed foods are helpful to maintain adequate nutrition. Spicy, hot, and coarse foods should be avoided because they may scratch the throat and cause bleeding. Bed rest is important for several days after the procedure. Strenous activities should be avoided for two weeks after surgery.


You don't have to suffer anymore. If you think you may need a tonsillectomy, talk it over with a board certified ENT specialist. Find an ENT specialist in your area and schedule an appointment today. A tonsillectomy can ease your symptoms and help you get back to a happy and healthy life!

By Children's Ear, Nose and Throat Associates
December 14, 2018
Category: ENT Health
Tags: cancer  

Head and neck cancers aren’t as often talked about or publicized as much as other types of cancer, but it doesn’t make these any less serious. Regardless of whether a member of your family has been diagnosed with head and neck cancer or you are experiencing some worrisome symptoms of your own, it’s important that you have an ENT specialist on your side to provide you with the care you need.

Head and neck cancer is an umbrella term that encompasses five different kinds of cancers that affect the pharynx (throat), sinuses, larynx (voice box), mouth, and the salivary glands.

Oral Cancer

Cancer can develop anywhere on the lips or inside the mouth. You may notice a red or white patch, or a lump, in your mouth that doesn’t go away. You may notice facial swelling, particularly around the jaw. You may also have difficulty swallowing or chewing. While a dentist can often pinpoint these early warning signs during a routine dental exam, if they suspect that it might be cancerous they may also turn to an ENT doctor for further medical care.

Pharyngeal Cancer

The pharynx runs from your nose to the esophagus and cancer of the throat can cause difficulty breathing or swallowing, persistent or severe throat pain, ringing in the ears, or difficulty hearing.

Cancer of the Larynx

The voice box (this includes your vocal chords and a structure known as the epiglottis) can also develop cancer. Symptoms are similar to pharyngeal cancer, as you may experience difficulty or painful swallowing or ear pain. You may also notice changes to your voice include chronic hoarseness. It may also feel as if a lump is constantly in your throat.

Cancer of the Salivary Glands

The salivary glands, as you may have already guessed, are responsible for the production of saliva. These glands are found in the mouth close to the jawbone. Signs of salivary gland cancer include persistent or severe jawbone and facial pain, muscle numbness, or weakness in the face, as well as swelling near the jawbone.

Paranasal Sinus and Nasal Cavity Cancer

It’s important to recognize that the symptoms of nasal cavity cancer are similar to a lot of other less serious condition; however, it’s important to seek medical attention from an ENT specialist if you notice these symptoms:

  • Chronic or recurring nosebleeds
  • Chronic or severe nasal blockages or sinus infections
  • Facial swelling, particularly around the nose and eyes
  • Headaches
  • Recurring pain in the upper teeth

Do you have questions about head and neck cancer? Are you experiencing any symptoms that give you pause? If so, this is the perfect time to turn to an otolaryngologist who can provide you with the diagnostic care and treatment you need.

By Children's Ear, Nose and Throat Associates
December 07, 2018
Category: ENT
Tags: Auricular Hematoma  

If you’ve ever watched a boxing or MMA fight on television then chances are good that you may have noticed something a bit odd and maybe a bit disturbing aboutCauliflower ear, or Auricular Hematoma some of the fighters—their ears. Some fights have what is called “cauliflower ear” in which the outer ears have become deformed due to blunt-force trauma. This is most common in athletes who wrestle, box or are involved in contact sports (e.g. rugby). When someone develops auricular hematoma the goal is to always treat the problem right away to prevent cauliflower ear from happening in the future.

While wearing the proper headgear and protection can often prevent an auricular hematoma, sometimes injuries to the outer ear can still occur. When this hematoma surfaces the blood starts to collect, causing the cartilage and the connective tissue around it (perichondrium) to separate. If left untreated, the cartilage of the outer ear no longer gets the blood flow it needs, which leads to cartilage death (necrosis).

If this happens to you or someone you know it’s important that you seek treatment right away so that the ear can be properly drained and to prevent blood from collecting inside the ear. By coming in right away for medical care, an ENT doctor can prevent complications such as cartilage necrosis, infection, tympanic membrane rupture and cauliflower ear.

In order to properly drain the hematoma, this minor procedure is performed with a local anesthesia. Once the ear is numb, a small incision is made to the outer ear to drain the blood that has collected. Once the procedure is finished, there are several methods for which to bandage the ear.

Of course, one of the most common ways is to use thermoplastic splints, which prevent blood from re-accumulating within the ear. In other instances, a simple mattress suture is placed, which also prevents blood from collecting but doesn’t need to be removed (unlike splints). Once the sutures or splints have been placed, the ear will be covered with clean gauze. Finally, the head is wrapped in order to hold the gauze in place.

Before you leave, your ENT doctor will provide you with all the information you will need for how to keep the ear clean and protected as it heals. Just know that this kind of damage to the ear can be serious if left untreated. If you experienced this kind of trauma it’s important that you seek the guidance of an otolaryngologist right away so that we can tend to this traumatic injury and prevent complications.

By Children's Ear, Nose and Throat Associates
December 06, 2018
Category: Medical Condition
Tags: Hearing Loss:  

Hearing loss in children can lead to complications like delayed speech and language development. However, your child’s pediatrician can ensure that they are on the best track to on-track development with early intervention and careful monitoring. Read below to learn more about childhood hearing loss and its treatments, and if you are interested in pursuing treatment, contact Drs. Cheryl Cotter, Joshua Gottschall, Eric Jaryszak, or James Kosko at Children’s Ear, Nose, and Throat Associates with locations in Southwest Orlando, Southeast Orlando, Maitland, and Southeast Orlando, FL.

What causes childhood hearing loss? 
Hearing loss in children can originate from a number of different causes. Some children are born with conditions that affect hearing, such as disorders in the nervous system or brain, a premature birth, genetic conditions, or certain situations with the mother such as drug or alcohol abuse. In other cases, children may develop hearing loss due to outside factors such as certain medications, a perforated eardrum, exposure to loud noises, head injury, untreated ear infections, or serious infections such as meningitis or whooping cough.

Does my child have hearing loss? 
Children who do not meet their regular developmental markers for hearing may suffer from hearing loss. If you notice that your infant does not startle at loud sounds or respond when spoken to, they may have hearing issues. Older children may have delayed speech, often demonstrated through a lack of babbling or not understanding basic requests. If you suspect that your child has hearing loss, consult with their doctor to ensure that they get the treatment they need.

Hearing Loss Treatments in Southwest Orlando, FL, Maitland, FL, and Southeast Orlando, FL
Treating your child’s hearing loss will begin with a hearing test to measure the severity of the loss. Depending on the severity, your child’s doctor will suggest different treatments. Some children may need hearing aids, while milder cases may require speech therapy or an assistive listening device. Children with full hearing loss may qualify for a cochlear implant, which bypasses the ear and sends sound straight into the brain itself.

If you suspect your child may suffer from hearing loss, be sure to check in with their pediatrician first for a referral to a pediatric audiologist. Some cases of hearing loss may be due to an earwax build up, while others may require further testing to determine the best course of action.

For more information on hearing loss in children, please contact Drs. Cheryl Cotter, Joshua Gottschall, Eric Jaryszak, or James Kosko at Children’s Ear, Nose, and Throat Associates with locations in Southwest Orlando, FL, Maitland, FL, and Southeast Orlando, FL. Call (407) 253-1000 to schedule your appointment at the Hiawassee location in Orlando, (407) 253-1000 to schedule your appointment in Maitland, or (407) 253-1000 to schedule your appointment at the Lake Nona location in Orlando.





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