ENT Procedures

Tonsil and Adenoid Problems

The tonsils and adenoids are the part of the lymphatic system which assists the body in fighting infection. Sometimes, the tonsils or adenoid tissue become infected and then susceptible to repeated infections. Both the tonsils and adenoids can become enlarged, which can lead to snoring, mouth breathing and disturbed sleep. Mouth breathing can also lead to problems with facial growth and the way the teeth line up (occlusion), which can cause a lifetime of breathing and jaw problems. Evaluation is extremely important when there are signs of breathing difficulty, and treatment should be considered before full growth has occurred. If you or your child has frequent sore throats or there are problems with mouth breathing or snoring, contact us for an evaluation.

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Ear Infections and Tubes

Ear Infections Treatment | Skin Cancer Removal | Sinus infections Treatment | ButteEar infections are one of the most common diseases in children and occur most often between the ages of four months and five years. An infection occurs when excess fluid, often as a result of a cold, becomes trapped by the swollen Eustachian tubes and becomes infected by bacteria. This fluid pushes against the eardrum, which causes pain and can even lead to a rupture. While most ear infections will resolve, some children have fluid which is constantly present. When this occurs, the fluid causes reduced hearing and can become infected whenever there is a cold or nasal congestion. A possible solution to persistent fluid is the placement of tubes which can act like the Eustachian tubes, allowing air in and out of the middle ear, preventing the accumulation of fluid and ear infections.

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Salivary Glands

By the production of saliva, the salivary glands are important structures designed to keep our mouth and teeth healthy and clean, assist with digestion and aid in swallowing and taste sensation. The glands are located in the neck, cheeks and under the tongue. The salivary glands can swell suddenly and become painful if they develop an infection or become obstructed by stones. Most infections can be treated successfully with antibiotics, and occasionally stones need to be removed. Growths can also form in the gland and require surgical removal. Dry mouth develops when saliva production falls, causing burning and difficulty swallowing. This is often due to medications and sometimes an undetected illness.

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Skin Lesions and Skin Cancer Removal and Reconstruction

Skin Cancer Removal | Sinus infections Treatment | ButteSkin cancer is the most common form of cancer in the United States and involves abnormal growths of skin cells that can form anywhere on the body, but most frequently appear on skin that is exposed to the sun and elements. Although most cases of skin cancer can be successfully treated, it is still important to keep the skin safe and healthy by wearing protective clothing, using sunscreen and avoiding the sun at the most intense times of the day (10am to 4pm). Living at high altitude, as we all do, increases the risk of sun damage significantly. Early detection of precancerous and cancerous lesions is important to minimize the necessary treatment. Precancerous lesions can be treated with a simple nonsurgical procedure, often preventing a more serious lesion from developing.

When there is concern about a lesion and it is unclear what it is, the lesion can be biopsied (sampled) and problematic lesions and skin cancers can be identified and removed. There are often options available for the removal of lesions and Dr. Kaufman strives to find the most effective and cosmetically preferred method. Plastic surgical principles are always used and additional treatment is available to further improve the appearance of the resulting scar. Ongoing follow-up care is offered to all of our patients.

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Nasal and Sinus Conditions

Sinus infections are one of the most common reasons to seek medical care, affecting almost 50 million Americans every year. The vast majority of sinus infections will respond quickly to medical treatment. However, some infections are difficult to resolve and can continue until more aggressive treatment is given. The longer a sinus infection continues, the harder it is to clear up. Unfortunately, some infections will not resolve even with the best medical treatment and can then require surgery for resolution of the symptoms. The more stubborn infections are often found in people who have previously had several sinus infections or have other conditions which make the infection harder to treat. Allergies, asthma or polyps all add to the risk of having infections that do not respond well to medical therapy. Early symptoms of a sinus infection include headache and pain, nasal congestion and discharge, frequently down the back of the throat. As the infection continues, the pain often becomes less intense, the pressure in the face increases and there is a distinct lack of energy. These symptoms are still often treatable with medicine, but if this fails, surgery can be considered. Difficulty breathing through the nose can also be due to changes in the nose and may not be related to the sinuses.

Sinus and nasal surgery is performed as an outpatient under general anesthesia. Restrictions following surgery include no heavy lifting or aerobic activity for 10 days. You can be up and about the day after your procedure. No packing is used with any nasal or sinus surgery. Follow-up is usually about 10 days after the procedure and then you are seen as often as needed.

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