We’re Excited to Announce Our New Partnership with Puro Sound Labs

ENT & Audiology Associates is proud to announce that we are officially one of the first ENT & Audiology groups in the United States to partner with Puro Sound Labs.

Puro’s Bluetooth headphones feature studio-grade audio quality, plus advanced volume monitoring and interactive reporting to guide users to safer listening. These headphones are packed with technology.

With the Volume Monitoring Bluetooth headphones, we put you in control of protecting one of your most valuable senses – hearing. These headphones are uniquely engineered to continuously monitor volume levels as you listen, and deliver that information to you through the LED indicator on the ear cup. No more wondering, “How loud is too loud?” To boot, the 82% noise-isolation and studio grade audio quality ensure that your listening experience is never compromised, even in noisy environments.

If you are interested in purchasing a pair for yourself or a loved one, visit: http://bit.ly/BuyPuroSound

Are Your Headaches Normal?

With so many types of headaches out there and the information overload Google provides, identifying what type of headache you have can be a challenge.
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Are Sinus Infections Contagious?

If It looks like a cold, it feels like a cold, and it sounds like a cold, then you should avoid it like a cold, right?
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Quick Read: Babies Don’t Need Smartphones

Since May is Better Speech and Hearing month, we’ll be posting interesting articles and relevant facts throughout the month. Although the story is a year old, the USA Today article written by The American Speech-Language-Hearing Association 2015 President, Judith L. Page is even more relevant in 2016.

With an increase in technology use being observed at younger and younger ages, children are beginning to show signs of suffering from delayed speech and social development. Click here to read more

Top 3 Tips for Surviving Allergy Season

Congested noses, sore throats, and itchy eyes are some of the telltale signs you may be suffering from seasonal allergies.
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What Causes People to Snore?

Weak muscles in the throat and/or enlarged tongue base

When muscles are too relaxed the tongue may fall back into the airway and pull in air from the sides of the throat. This can also happen if you are sedated by alcohol or medications.
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Patient, Kay D. Discusses Her Experience with Balloon Sinuplasty

Patient Kay D. discusses her experience with In-Office Balloon Sinuplasty performed by Dr. Douglas K. Holmes. Dr. Douglas K. Holmes is a prominent Otolaryngologist (Ear, Nose & Throat) located in the Raleigh, North Carolina area.

Bob & Sharon C.

Audiology patient Bob C. and his wife Sharon discuss their audiology experience with Dr. Jenny Davies Head at ENT & Audiology Associates. Dr. Jenny Davies Head  is a prominent audiologist at ENT & Audiology Associates located in the Raleigh, North Carolina area.

2015 – A Year In Review


The end of December is a natural time for reflection.

2015 has been such a great year at ENT & Audiology Associates.  Our practice has grown in size, and we have grown together as a team.

Dr. Holmes began performing in-office balloon sinuplasty surgeries, effectively turning our office into a fully functional operating room with his expert nurses, Andrea, Cheryl, and Amanda.  This has meant collaborating with new clinicians (mobile anesthesiologists and nurses), in addition to reformatting how our office runs on those days.  The audiology team has started working with new technologies, and we completely restructured our billing procedures for hearing aids gearing up for 2016.  We are looking forward to working in an “unbundled” pricing model, offering our patients instrument pricing and service transparency and lower cost hearing aids, with the hope of improving the lives of more people.

On a personal level, 2015 has brought great happiness to our employees.  Amanda had her third child, a beautiful baby girl named Elliotte Grace.  Julayne’s daughter, Natalie, finished her first year in college and returned as a very helpful summer intern for the office.  Our medical assistant, Marla, added a new puppy, Mazy, to her family.  Dr. Kyman was selected by the American Academy of Audiology Foundation to travel to Brazil to spend two weeks at a rural clinic fitting donated hearing aids.  And just a week ago, Carrie got engaged and will officially be the third Gee in our office.  Dr. Holmes’ mother moved up to North Carolina from her home in Florida, and his RN daughter, who is enrolled in a nurse practitioner program in TN, has been observing Dr. Holmes in the ENT clinic during her winter break.

The family connections are so strong in our office.  Randi and Dr. Holmes are so amazing to work for and with, and they really set the tone for a family environment.  Laura, her daughter Stacy, and future daughter-in-law, Carrie, always bring fun and flare to the office.  Tanya’s daughter, Dejah, has recently been providing much appreciated help at our front desk on her winter break from her senior year at Barton College.  Marcia, Dr. Quiller’s mother, has been a lovely addition to the front desk team.  Dr. Head’s daughter, Jessica, came in to help us out a few times last summer, and Dr. Kyman’s partner, Navarre, did some photography work for a dinner presentation Dr. Holmes gave.  We are all so blessed to work in such a friendly, family-oriented environment.

In conclusion, we want to wrap up 2015 with a huge thank you to our patients, our staff, our families, and our friends.  There is something special about our practice that is hard to put into words, but it keeps getting better and better; and we are looking forward to a great 2016!  Things to keep an eye out for: increased expansion of in-office sinus surgeries, unbundled hearing aid prices, HyperSound demo set up in our waiting room, and continuously evolving technology and improvements in patient care.

Danielle S.

Patient Danielle S. discusses her experience with In-Office Balloon Sinuplasty performed by Dr. Douglas K. Holmes. Dr. Douglas K. Holmes is a prominent Otolaryngologist (Ear, Nose & Throat) located in the Raleigh, North Carolina area.

America must confront hearing loss: Column

Hearing loss is a larger problem than one may think. It’s not just about not being able to hear noise at certain levels but how it impacts the daily life of an individual. Hearing loss is associated with depression, lower incomes for adults, and learning difficulties for children, yet the Center for Disease Control doesn’t recognize it as a disability with the hardship it causes someone. Read the article from USA Today to learn more about how Americans must confront this issue.

The United States is approaching a tipping point in terms of hearing loss and how it is treated under current policy.

10 Tips to Preserve Your Child’s Hearing during the Holidays

Children’s ears are very sensitive to loud noises and even the most innocent toy can cause hearing loss. Monitor the level of noise that occurs during the holidays around children and how closely they hold toys and devices to their ears. Following these ten easy steps can keep your children’s little ears safe from harm.


Holiday Hearing Loss Gift Guide

From baby to adults with hearing loss, we have a holiday gift guide with some clever gift ideas to bring a smile to their face. They’ll be filled with joy, knowing you thought of their needs.

Holiday Hearing Loss Gift Guide

Kay D.

Patient Kay D. discusses her experience with In-Office Balloon Sinuplasty performed by Dr. Douglas K. Holmes. Dr. Douglas K. Holmes is a prominent Otolaryngologist (Ear, Nose & Throat) located in the Raleigh, North Carolina area.

What is Sleep Apnea?


Over the past decade, Obstructive Sleep Apnea (OSA) has become more well-known due to the associated health risks and deaths associated with untreated sleep apnea. Almost fifty percent of healthy adults snore occasionally, while half of them are habitual snorers. Many times, the problem afflicts individuals who are overweight. If the problem is not treated it typically gets worse with age. Douglas Holmes, MD, founder and medical director of ENT and Audiology Associates in Raleigh has been helping treat patients who suffer from snoring and sleep apnea for the past 15 years.

Sleep apnea is a common disorder that causes affected individuals to stop breathing for short periods of time while asleep. While the effects are the same, there are two primary varieties of the condition: obstructive sleep apnea (OSA) and central sleep apnea (CSA), which differentiate in their root causes. Regardless of the type of sleep apnea from which you suffer, it is important to be professionally diagnosed and treated to avoid further complications.

What happens when you fall asleep?

When you fall asleep your body undergoes many physiological changes during your sleep cycle including changes that affect your breathing. Obstructive sleep apnea (OSA) occurs when the soft palate sags and the tongue relaxes while sliding back, which can partially obstruct the upper airway. When the obstruction is severe enough to decrease the amount of air obstructing the lungs, it is called hypopnea. If the upper airway collapses, blocking the airflow by 80% or more, it is called an apnea. Hypopnea and apneas last 10 seconds or more and can greatly reduce the amount of oxygen in your blood despite your continued efforts to breath.

What are some symptoms of sleep apnea?

The most noticeable symptom of OSA is loud, chronic snoring. During an apneic episode, there is an increase in the level of carbon dioxide in the blood. This build up triggers a defense mechanism in the brain which jolts the body into resuming normal breathing. In mild sleep apnea, the number of apneas is 10 per hour on average. In severe sleep apnea, it can be 40 or more per hour.

Are there any risks to not treating sleep apnea?

Sleep disorders, like sleep apnea, have become a significant health issue in the United States. It is estimated that 22 million Americans suffer from sleep apnea, with 80 percent of the cases of moderate and severe obstructive sleep apnea undiagnosed.

If left untreated, sleep apnea can lead to a higher risk of life-threatening conditions such as high blood pressure, heart disease, stroke and type 2 diabetes. and is a factor in many traffic accidents and accidents with heavy machinery, owing to the persistent drowsiness suffered by many sleep apnea patients before the disease is recognized and treated.

What treatment options are available for snoring and sleep apnea sufferers?

Until recently, treatment options have been limited to painful and invasive nose and throat surgeries and bulky CPAP and oral appliances which require patients to wear every time they sleep. At ENT and Audiology Associates, Douglas Holmes, MD will meet with you to individualize a treatment plan that is right for you and your condition. At ENT and Audiology Associates, we believe in finding the least invasive ways to help improve a patient’s quality of life. One procedure, Radiofrequency Ablation of the Tongue Base, has been found to be superior to any other treatment for sleep apnea. The procedure was developed 10 years ago and continues to be performed with great success.