Ear, Nose & Throat
Providing Comprehensive ENT Care for The Triangle Area
Otolaryngology is a division of medicine that specializes in the diagnosis and treatment of conditions and disorders of the ear, nose, and throat, and disorders of the head and neck. In fact, it is the oldest medical specialty in the United States!
ENT (ear, nose & throat) specialists are trained in the medical and surgical management and treatment of patients suffering from conditions or disorders of the ear, nose, throat, sinuses, larynx (voice box), oral cavity and upper pharynx, as well as related structures of head and neck.
Dr. Holmes is also a Pediactric ENT specialist.
Treatment for Ear Infections
The goal of treatment for most doctors is to rid the middle ear of infection before more serious complications set in. Treatment usually involves eliminating the causes of the ear infection and killing any invading bacteria in the Eustachian tube.
Ear tubes are tiny cylinders placed through the eardrum (tympanic membrane) to allow air into the middle ear. They also may be called tympanostomy tubes, myringotomy tubes, ventilation tubes, or PE (pressure equalization) tubes.
A hole in the eardrum (tympanic membrane perforation) is a common consequence of ear injury or infections. They can be repaired surgically to improve hearing and to prevent complications.
Tinnitus Evaluation and Treatments
Tinnitus is a medical condition characterized by persistent noises in one or both ears that can only be heard by the affected individual. It can take the form of ringing, buzzing, hissing, whooshing, or pulsing in the ear. It can occur periodically or constantly, and the effects range from slight annoyance to severe disruptions of daily life.
Balloon Sinuplasty (BSP) is a safe and effective procedure for patients seeking relief from uncomfortable and painful sinusitis symptoms. If you’ve been diagnosed with chronic sinusitis and are not responding well to medication, or if you have recurrent acute rhinosinusitis, you may be a candidate for sinus surgery.
Allergy Testing and Treatment
An allergy test is used to determine if your body has an allergic reaction to a known substance. The exam can be in the form of a blood test, a skin test, or an elimination diet.
Allergies occur when your immune system, which is your body’s natural defense, overreacts to something in your environment.
Septoplasty is a surgical procedure to correct a deviated nasal septum. A deviated septum occurs when the cartilage that separates your nostrils is out of position. The surgical procedure takes anywhere from 30 to 90 minutes to complete, depending on the complexity of your deviated septum.
The turbinate reduction procedure is performed to decrease the size of the inferior nasal turbinates. The goal of the procedure is to improve the symptomatic nasal airway obstruction due to the size or positioning of the turbinates. Turbinate reduction is often performed in conjunction with septoplasty, but they are not always performed together.
Endoscopic Sinus Surgery
Endoscopic sinus surgery is a surgical procedure used to remove blockages in the sinuses. These blockages can cause sinusitis, in which the sinus mucous membranes swell and become blocked, causing pain, drainage and impaired breathing. Endoscopic sinus surgery is designed to improve the drainage of the sinuses and to improve airflow through the nose.
PROPEL™ Sinus Implant
When placed in the sinus following surgery, PROPEL decreases scarring and inflammation, reducing the need for additional surgical procedures and oral steroids that can have serious side effects. The spring-like PROPEL implant props open the sinus to maintain the opening, delivers an anti-inflammatory medication directly to the sinus lining, and then dissolves, avoiding the need for removal.
Tonsillectomy and Adenoidectomy
he tonsils are two clusters of tissue located on both sides of the back of the throat. Adenoids sit high in the throat behind the nose and the roof of the mouth. Tonsils and adenoids are often removed when they become enlarged and block the upper airway, leading to breathing difficulty
Thyroidectomy is the removal of all or part of your thyroid gland. It produces hormones that regulate every aspect of your metabolism, from your heart rate to how quickly you burn calories. Thyroidectomy is used to treat thyroid disorders, such as cancer, noncancerous enlargement of the thyroid (goiter) and overactive thyroid (hyperthyroidism).
Head and Neck Masses
Masses of the head and neck may represent a variety of conditions such as infections, congenital lesions, benign growths, or malignant tumors. To learn more about the mass a CT scan is recommended prior to a biopsy. It is important to have all head and neck masses evaluated. In some patients, a delay in diagnosis may have life threatening consequences.
Radiofrequency Ablation of the Tongue Base
Snoring and sleep apnea sufferers can now be treated and potentially cured of sleep apnea with a minimally invasive, in-office procedure, called Radiofrequency Ablation of the Tongue Base. Radiofrequency Ablation of the Tongue Base works by directing small amounts of targeted energy to the base of the tongue.
This surgery involves the removal of the uvula, part of the soft palate, and the tonsils from the throat. UPPP is often successful in stopping the throat structures from rattling and causing snoring. However, it may not successfully treat sleep apnea, because tissues farther back in the throat could still block the air passage.
Continuous Positive Airway Pressure
Continuous Positive Airway Pressure (CPAP) is the first therapy for sleep apnea. Patients wear a face or nasal mask during sleep. The mask, connected to a pump, provides a positive flow of air into the nasal passages in order to keep the airway open.
Worn only during sleep, an oral appliance fits like a sports mouth guard or an orthodontic retainer. It supports the jaw in a forward position to help maintain an open upper airway.