580-421-6470
Scope of Practice
 
Acid Reflux

Acid Reflux

Acid reflux is not something most people associate with an ENT, but upper endoscopy started with ENTís and I was fortunate enough to study under one of the early pioneers of bronchoesophagoscopy before he retired. Acid spilling on the vocal cords is also a major cause of hoarseness and sore throats. Acid can also cause cancer, as was the case with my grandfather who died from cancer caused by acid reflux. One of the tools I have in the clinic is the ability to do an upper Esophagoscopy in the office (Transnasal Esophagoscopy, TNE), and without any sedation. The benefit of this is you can drive yourself to the exam, drive yourself back to work, and only miss an hour of your day. It is not for everyone, but is an excellent screening tool for the pre-cancerous changes that can be caused by acid reflux.

 
Allergy

Allergy

Allergy shots help a great deal of patients with symptoms that are difficult to control at best. Instead of just covering up the symptoms shots can actually change your bodyís reaction to allergens.

 
Audiology

Audiology

We are excited about our new state of the art audiometric equipment that allows hearing tests to be done on all ages and those not able to respond to traditional testing. Teresa Lynn, joined our practice this summer and has her Doctorate in Audiology (AuD) she will be developing and running our audiology department.

 
Cancer

No one likes dealing with cancer, but it is even worse when you have to drive to Oklahoma City to get the care you need. Whether it is vocal cord cancer or large head and neck cancers I hope to be keeping more of these types of tumors here in Ada.

 
Parotid & Salivary Glands

Parotid & Salivary Glands

The parotid is the largest salivary gland (makes spit). It is the large gland on the side of the face that swells up when someone gets the mumps. Other major salivary glands include the submandibular and sublingual glands. These glands can quite often enlarge due to a tumor or blockage.

Most of the tumors that grow in the salivary glands are benign, but because it is difficult to know whether or not they are cancerous they are almost always removed.

Blockages can also cause problems in a salivary gland.  Just like a dammed up creek will become stagnant, the same thing can happen in the salivary gland. This is most often because a stone blocks up the duct in the gland, just like a kidney stone blocks up the kidney. The gland behind the blockage becomes stagnant and infected. Often an antibiotic will clear it up, but often it will not. Things like increasing the amount of water, and eating foods that really make your salivary glands squeeze all the spit out (such as lemon drops) can help clear these blockages; but, they can also just cause a bigger back up if the dam does not break.  If you are taking lemon drops for a swollen parotid gland, and it is causing a lot more pain, do not continue to use them, your blockage is too bad.

 
Sinus and Nose

Sinus and Nose

Sinus pain, repeat infections and trouble breathing are symptoms that result in a patient coming to see an ENT. The sinuses have very specific drainage patterns which can get blocked. Sinus surgery is to address these blockages. The problem areas can be removed, or just moved out of the way with balloon sinus surgery (similar to how balloons open up arteries in your heart). A deviated septum or other nasal obstruction can also cause difficulty breathing; septoplasties and other nasal surgeries can resolve or greatly improve these problems.

 
Sleep Apnea

Sleep Apnea

In recent years obstructive sleep apnea (OSA) has been shown to cause a great deal of health concerns from heart attack and stroke, to on the job accidents such as Exxon Valdez, the destruction of the space shuttle Challenger, and Chernobyl. The best thing for OSA is to use a CPAP while sleeping, however many people cannot tolerate it. There are several surgeries which can be done to help the sleep apnea patient. An Uvulopalatopharyngoplasty (UPPP), hyoid myotomy, or tongue base suspension are all procedures which can greatly open up the airway making nighttime breathing much easier.
For more information on the AIRvance hyoid and tongue suspension there are some great videos and other information at this webpage:AIRvance

 
Thyroid

Thyroid

The thyroid is a gland in the base of the neck that controls your metabolism. In-office needle biopsies, hormone replacement, and surgery are all part of our scope of practice.

 
Tonsils and Adenoids (T&A)

Tonsils and Adenoids (T&A)

Removal of tonsils and adenoids is the third most common surgery in America. This most commonly is done either for frequent infections or blockages and trouble breathing, especially at night (called obstructive sleep apnea). In the past tonsils were most commonly taken out for infections, but today most tonsils are taken out for sleep apnea.

 
Tubes

Tubes

Bilateral myringotomy with tube insertion is the most common surgery done in America.  During this surgery a small tube is placed into the eardrum. This tube allows air to pass from outside of the body into the middle ear. This air flow allows your body to clear out infections and fluid before it causes a problem.

 
Voice

Voice

The voice is a very delicate and difficult problem for any surgeon to deal with. I was blessed to study under one of the premier voice surgeons in the world while in Philadelphia. The nerves that control the vocal folds are easy to injure in thyroid, spine, heart and even lung surgeries. Surgery can be done to move the now paralyzed vocal fold into a better position to work with the good one. Using microscopic surgical techniques masses, polyps, or even tumors can all be removed to help improve voice function.