Intra-Tympanic Steroid Injections Offered at Fauquier ENT

Intra-tympanic steroid injections are offered at Fauquier ENT. This treatment modality is used in patients with sudden sensorineural hearing loss that responds minimally or not at all to systemic steroids (ie, prednisone). This treatment may be used without systemic steroids trial if there are contraindications to systemic steroid use such as intestinal ulcers and diabetes. The downside is that this treatment works best only if given within the first 36 days after the hearing loss occurs.

Intra-tympanic steroid injections have also been found to potentially help certain patients with tinnitus.

Watch video of this being performed here or watch below.

References
• Intratympanic corticosteroids for Meniere's disease and vertigo. Otolarngol Clin N Am. 37:955-972. 2004 Link
• Intratympanic perfusion for the treatment of tinnitus. Otolaryngol Clin N Am. 37:991-1000. 2004 Link
• Intratympanic steroids for sensorineural hearing loss. Otolaryngol Clin N Am. 1061-1074. 2004 Link
• Intratympanic Dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy. Laryngoscope. 117:3-15. 2007. Link
• Intratympanic steroid injection for treatment of idiopathic sudden hearing loss. Otolaryngol Head Neck Surg. 133:251-59. Link
• Clinical efficacy of initial intratympanic steroid treatment on sudden sensorineural hearing loss with diabetes. Otolaryngol Head Neck Surg. 141:572-578. Link
• Hearing outcomes of daily intratympanic dexamethasone alone as a primary treatment modality for ISSHL. Otolaryngol Head Neck Surg. 141:579-583. Link

Read More

Journal Article by Dr. Chang Published in Journal of Trauma

An article entitled "Neo-Ossification of the Cricothyroid Joint After Elective Cricothyroidotomy: A Case Report and Discussion on the Merits of This Procedure" authored by Dr. Chang has been published in pre-print form online in the Journal of Trauma, a peer-reviewed publication. This article will be published in print in the near future. Click here to view the pubmed stub.

Read More

Fauquier ENT Web Domain Services Switched

Fauquier ENT web domain services used to be with Registerfly.com. However, given recent problems in management, ICANN withdrew accreditation from this company. To ensure smooth internet services, Fauquier ENT initiated the transfer of domain services to Godaddy.com which was successfully completed today. During the transfer which takes 24 hours to complete, occasional glitches in accessing our website may occur.

Read More

Virginia Voice & Speech Center (VVSC)

A new website heralding the creation of a new organization dedicated to helping people with poor vocal/speech quality has been created. The new organization, called the Virginia Voice & Speech Center, is a consortium of professionals including ENT physicians, speech pathologists, and singing voice instructors.

http://www.VVSC.org

Read More

Allergy Drops (Sublingual Immunotherapy or SLIT) Now Offered!

Allergy drops or sublingual immunotherapy (SLIT) is a viable alternative for patients who do not wish to or are unable to undergo allergy shots. These drops are administered under the tongue daily and can be given at home. Such patients may include those afraid of needles, patients who travel a lot (therefore unable to go to a physician office to get weekly allergy shots), patients on beta blockers (which is a contra-indication to allergy shots), or children. For more information, click here.

The one downside is that allergy drops are NOT covered by health insurance at this time. To see other differences between allergy shots and allergy drops, click here.

Read More

Fauquier ENT Consultants Now in MySpace.com

Fauquier ENT Consultants has set up a presence in the MySpace.com world. Check us out there!

Read More

Device for Eustachian Tube Dysfunction??? (The EarPopper)

Well, recently heard about a device called the EarPopper that can be used by both children and adults. It basically is a device that pops your ear for you, potentially helpful in kids with persistent middle ear fluid and who don't quite understand how to auto-insufflate their ears. It is also helpful even in adults who suffer from eustachian tube dysfunction. In any case, we'll see how effective this device is... Of note, they sell these on Amazon.com...

Read More

Meniett Device Now Offered for Meniere's Disease Patients

Our office now participates in offering the Meniett Device as one potential treatment for patients with Meniere's Disease. If you are interested, please contact our office. Some insurance companies will pay for the device. Please call your insurance company to get cost estimates. Give them this HCPCS code E2120 and ICD9 code 386.00. More info can be found here.

The device apparently has been approved by the American Academy of Otolaryngology-Head & Neck Surgery. Click here to read more.

Read More

New Patient Survey

Starting Dec 4, 2006, all patients will be requested to fill out a patient survey on how they would like phone calls to our office to be handled. Options currently being considered include keeping the current system of always having a person answer the phone (but downsides of being put on hold, busy signal, delayed response to questions, etc), leaving a voice mail (impersonal), email, vs other. Another question is how good we are with returning phone calls.

If some combo of options desired, even a PBX telephone system with menu options may be considered. However, please let us know what you the patients desire!

Read More

Office will be CLOSED for the holidays on NOV 23-24, DEC 25-26, & JAN 1, 2007!

Office will be CLOSED for the holidays on NOV 23-24, DEC 25-26, & JAN 1, 2007! Please plan accordingly, especially if you are a patient receiving allergy shots from our office.

Read More

No-Show Charge will increase to $50 starting March 1, 2007.

To avoid a no-show charge, please inform our office of any appointment cancellations at least 24 hours in advance. Same-day cancellations also will be subject to the no-show charge.

Read More

Volunteers Needed for Research Study on the Human Voice

Dr. Chang is looking for normal females & males between the ages of 18 to 50 without any voice problems for a study investigating the hoarse voice. There will be no monetary compensation. However, the entire voicebox exam performed can be burned onto a CD and given to the volunteer for their time.

THIS STUDY IS NO LONGER BEING PERFORMED!

Read More

New Educational Section on the Voice & Hoarseness with Audio and Video

See how the voice works and the various causes of hoarseness, voice spasms (spasmodic dysphonia), or nasal speech! Complete listing under the "Education" header. Click on the title to go directly to it.

http://www.VoiceInfo.org.

Read More

NEW Allergy Hours

Allergy shots may now be administered Monday and Wednesday mornings. However, Thursday hours have been shortened. Please view updated allergy hours below:

Monday: 8:00AM - 4:45PM
Tuesday: 8:00AM - 4:45PM
Wednesday: 8:00AM - 1:30PM
Thursday: 8:00AM - 4:45PM
Friday: 8:00AM - 11:45AM

No shots between 11:45AM and 1:00PM except on Wednesdays.

Read More

NEW Digital Voice Laboratory now offered at Fauquier ENT!

Allows for the ability to completely analyze the hoarse voice using state-of-the-art, fully digital, video stroboscopy incorporating 3CCD chip at the tip flexible laryngoscopy and/or rigid endoscopy with a 3CCD camera head. Patients also can now see what the doctor sees! Ability to take and record digital images and video as well.

Read More

NEW procedures offered for the new year!

We now perform cryotherapy as well as infrared treatment for a variety of skin lesions (actinic keratosis, telangiectasias, cherry angiomas, etc). Please ask for more information.

Read More

Fauquier ENT is undergoing renovations to both enlarge and remodel.

Renovations to the office's current space has begun in Sept 2005 and will be complete by October 2005.

Read More

A new physician will be joining Fauquier Ear, Nose, and Throat Consultants this fall!

Dr. Christopher Chang will be joining Fauquier ENT on Oct 17, 2005. He has a special interest in issues related to general ENT as well as voice disorders.

Read More