Epistaxis, the medical term for nosebleed, can be disruptive and common in dry environments. Our diagnosis and treatment of nosebleeds focuses on ruling out serious underlying problems and tailoring a solution to the patient’s specific needs, including hydration, humidification and various types of cauterization.
Ear infections, also known as Otitis Media, can be very painful! Eustachian Tube Dysfunction may cause chronic ear fluid that can impact hearing and affect speech and learning development. Our office is unique for offering customized surgical and non-surgical solutions to your child's chronic Otitis Media, Eustachian Tube Dysfunction and Conductive Hearing Loss
COVID19, Anosmia and Jellybeans
Anosmia, or lack of smell is identified as a significant symptom associated with the COVID-19 pandemic and many patients have no symptoms other than anosmia and/or hypogeusia, (diminished taste). Anosmia can last even after the patient no longer tests positive for Coronavirus and in some cases, may be permanent.
Respiratory viruses may impact smell and taste. The virus can cause swelling in the nose, which may block the smelling particles from reaching the olfactory nerve located at the top of the nose. Of most concern, neurotoxic viruses like COVID19 may damage the olfactory nerve, causing long-term or even permanent anosmia.
The "Jellybean Test", using sweet and sour jellybeans, has been found to be helpful in testing for anosmia. Short-course "blast" steroid therapy and olfactory training using strong smells like coffee, citrus, and cloves have been shown to be helpful, as well.
Audiology and Hearing Loss
Since early detection of hearing loss is critical for speech and language development, we offer audiological testing in our hearing center conveniently located within our office. Vicki, our licensed audiologist with over 30 years of experience, offers our patients kid-friendly diagnostic and middle ear evaluations as well as recommendation and fitting of affordable hearing aids.
Sinus disease can affect all ages, from infants to the elderly. Nasal congestion and drainage, bad breath, recurrent fevers, cough and facial pain or pressure may be symptoms of sinusitis. We provide a wide spectrum of surgical and non-surgical treatment for nasal and sinus disease and inflammation. Our approach is conservative, aimed at restoring normal sinus function. We employ the latest surgical technologies including endoscopic, CT-guided, sinus-balloon and stent technologies.
Tonsils and Adenoids
Enlarged tonsils and adenoids and other anatomical variations can cause obstructive breathing. Snoring, mouth breathing and restless sleep may have serious health consequences. We offer a variety of medical and surgical reatments for recurrent tonsillitis, snoring and sleep disturbances. Intracapsular partial tonsillectomy and coblation are customized surgical techniques that we use for preserving the tonsil capsule while minimizing post-operative difficulties for our patients.
Tongue and Lip Tie
Akyloglossia (tongue tie) is a congenital condition where a short, thick or tight frenulum does not allow full tongue mobility. A lip tie is a condition where a very tight labial frenulum keeps the upper lip attached to the gum line.
Often, these conditions are identified before the infant leaves the hospital due to feeding and thriving issues. Difficult or painful breast-feeding and latching issues can be symptoms of significant tongue tie. In older kids, tongue tie may affect eating, swallowing and speech. Diagnosis of tongue tie, severity assessment and treatment is best performed by a Pediatric ENT.
Mild tongue-tie may not require intervention, while more severe tongue tie in infants may require a short surgical procedure that can be performed in our office with topical anesthesia. Dr. Respler is an expert at evaluating and treating tongue tie and has masterfully performed hundreds of frenulectomies. He will determine if a procedure is necessary for your child, correcting tongue tie,only if necessary.