Category Archives: Blog

Salivary Swelling & Duct Blockage

Location of Parotid Gland

We have 3 sets of major salivary glands, the parotid gland, the submandibular or submaxillary glands, and the sublingual glands.  In addition to these glands there are thousands of other small microscopic glands that line the mucous membranes of the mouth and throat.  The major salivary glands each have a sizable duct or channel that […]

Can You Remove Too Much Turbinate?

Nasal Breathing Clarity

Some patients who undergo aggressive nasal surgery have the persisting complaint of nasal blockage.  I see these people in consultation every week.  It will feel like they are still stuffy or blocked up.  However when the sniffing in, there is actually a hollow sound heard, and is quite clear that the patient is actually moving […]

Respironics CPAP BIPAP APAP machine recall

June 14th 2021 Philips Respironics announced a recall of ALL of their CPAP, BIPAP and APAP respiratory devices manufactured in the past several years.  The problem had to do with microscopic breakdown of certain components within the air circuit apparatus and respiratory problems that some patients have developed. Fortunately our practice has always used ResMed […]

Post COVID Sinus Infections

Now amidst the Delta-wave of infections amongst the unvaccinated in Georgia, it is clear in our practice we are seeing a lot of exacerbations of sinus infections. COVID-19 often causes sinus and upper respiratory symptoms such as loss of smell, congestion, and a severe headache. However this leaves the susceptible person open to sinus infections […]

Specific Bacterial & Fungal ID with PCR

Wild enough, now “PCR test” or “rtPCR” is almost a household name thanks to the COVID-19 pandemic.  PCR testing is a highly specific and sensitive way to test for genetic material from all sorts of living things.  It is used in forensics, microbiology research and most importantly in healthcare. Not only are we testing nasal […]

Antihistamines and Your Heart Risk

Runny Nose / Vasomotor rhinitis

Every week I see allergic patients who are avoiding antihistamine medications because of a concern about their heart or blood pressure. But Most of this worry is outdated and unneeded. Firstly, let’s discuss the antihistamines themselves: (a) older generation antihistamines like diphenhydramine (Benadryl), hydroxyzine (Ararat, Vistaril) or chlorpheneramine (Chlor-Trimeton) are messier chemicals with more side […]

Salivary Tumors – that lump by your jaw!

Nodules or masses of the salivary glands are some of the more common “lumps and bumps” we see.  The major salivary glands include the parotid, submandibular and sublingual glands and may produce abnormal salivary tumors.  These glands are responsible for creating saliva to keep the mouth lubricated and help keep the teeth healthy.  The glands […]

Ear Pressure Injury & Scuba Diving

Hemotyympanum

Ear problems are some of the most common medical issues affecting scuba divers, swimmers and freedivers.  Scuba diving is an awesome sport with “professionals and amateurs but no competition”.  However as every diver knows, the issues affecting ear pressure is amongst the toughest challenges for enjoyable and successful scuba diving. When diving under water the […]

When is Sleep Apnea Surgery Right for Me?

Overall, surgery for sleep apnea is usually reserved for either people who have failed a trial of a positive airway pressure device (CPAP or BiPAP or APAP) or who have just a single anatomic factor causing their blockage.  In most large studies and scientific reviews, we find surgery for sleep apnea is successful at reducing […]

Smell Something? Smell Nothing? Changes in Smell Sense

Smell loss is certainly in the news lately with the Coronavirus Pandemic, but in reality ENT’s see loss of smell (“anosmia“), reduced smell (“hyposmia“), and smelling false smells (“phantosmia“) all the time.  The sense of smell also contributes to the overall flavor of the food we eat.  And we know that when someone “loses their taste” […]