Symptoms may consist of a sensation of light-headedness, spinning (vertigo), or feeling unsteady and losing your balance.
There are many causes for dizziness and inner ear pathology is just one of them. A thorough history, physical exam, and tests are required to determine the correct etiology.
Benign positional vertigo is a spinning sensation that occurs with changes in head position such as tilting your head back or turning over in bed. It is related to loose “calcium crystals” within the inner ear that can be repositioned with a simple non painful procedure in the office.
Serous labyrinthitis or Vestibular neuronitis usually follows a viral infection of the inner ear. It can cause severe spinning, nausea, and vomiting. Symptoms can last several days with gradual improvement over weeks. Specific medications and in-office treatments can help improve patient’s symptoms and get them back to a normal life
Sudden hearing loss can be also be associated with severe dizziness. This is a medical emergency and patients need to be started on treatment as soon as possible to help prevent permanent hearing loss. Sometimes it may be an indication of a serious condition such as a Brain Tumor or Acoustic Neuroma.
Ménière’s Disease is another common inner ear problem. It causes repeated bouts of vertigo, loss of balance, roaring/ringing in the ears, and sometimes progressive hearing loss. Simple and effective treatments in the office are now available to reduce the intensity and frequency of this chronic debilitating disease.
Note:Vertigo and dizziness may be a sign of stroke, multiple sclerosis, seizures, a brain tumor, or an intracranial bleed. In these conditions, there will often be other symptoms that will accompany the vertigo or imbalance.
Diagnostic tests that may need to be performed include:
Septoplasty and Turbinoplasty are surgical procedures to improve nasal congestion. They are performed from within the nose, and patients have no external facial bruising or swelling. The surgery takes about an hour, and is usually done on an outpatient basis. No packing is used on a routine basis anymore.
Post Operative Care
Some congestion inside your nose after surgery is normal. Postoperative instructions will come from your doctor, who may recommend saline nasal irrigations and an antibiotic lubricant.
Elevate your head with a few extra pillows or sleep in a recliner the first few days after surgery to help relieve congestion.
Please do not blow your nose for 5 days after surgery. As well, avoid heavy lifting, straining, or strenuous exercise.
If you need to sneeze, open your mouth as this reduces intranasal pressure.
Stop taking aspirin and other similar medications such as Motrin, Ibuprofen, Eleve, at least a week before surgery as It slows clotting and increases the chance of bleeding during and after surgery. Tylenol is okay.
A tonsillectomy may be indicated when the patient presents with:
Chronic and recurrent tonsillitis
Loud snoring and Sleep apnea (stop breathing while asleep due to enlarged tonsils or adenoids)
Difficulty eating or swallowing due to enlarged tonsils
Tonsilloliths (tonsil stones) and bad breath
Tonsil cancer or mass
The Adenoids are lymphoid tissue located behind the nose and soft palate. An Adenoidectomy is often done with a tonsillectomy. Adenoids may also be removed in children with nasal congestion, snoring, recurrent sinusitis, and frequent ear infections. Recovery from an adenoidectomy is quick and relatively painless. Children can go back to school within a few days.
Sinus surgery may be necessary on an urgent basis when complications of sinusitis develop. Less urgent sinus surgery may be indicated when chronic sinusitis fails to respond to medical therapy.
CT scans are very helpful in determining which sinuses are diseased. It can also identify obstructive or abnormal cells that can cause sinus pain or headaches. Nasal endoscopy is also used to obtain cultures, determine cause of sinus pain/headaches, and identify treatment options.
The late 1980’s and early 1990’s marked the evolution of Endoscopic Sinus Surgery, a minimally-invasive approach to surgery for sinusitis. This is sometimes referred to as Functional Endoscopic Sinus Surgery (FESS). It was quite a significant advance compared to prior open sinus procedures performed at the time. Simply explained, it involves removal of diseased tissues in key areas of sinus obstruction. Endoscopic Sinus Surgery is performed with the goal to reestablish physiologically normal sinus drainage pathways. The surgery is performed using fine instruments called endoscopes (small, rigid telescopes) which are inserted into the nose to open the sinuses. The scopes are attached to a camera allowing the surgeon to visualize the sinus cavities in a magnified form on the screen, while operating with fine instruments.
There are several advantages of Endoscopic Sinus Surgery over the open sinus procedures that preceded it. First, it provides great improvement in the ability to see within the nose and sinuses. No longer are facial incisions with resulting visible scars or gauze nasal packing used. The surgery is done through the nostrils and there are usually no visible signs that surgery has been performed. Recovery is usually faster, and there is less postoperative pain and bleeding.
Sinusitis affects millions throughout the world. Balloon Sinuplasty is a new technique that is being used by the doctors Huntsville Ear, Nose and Throat to help the patients suffering from sinusitis.
The principle on which this technique works is same as that of balloon angioplasty. Doctors use a small inflatable device for widening a congested sinus osteum. Narrow channels allow individual sinuses to drain into the nasal cavity. Soft tissue within this opening or channel can swell up when affected by an infection or allergy. This results in narrowing or complete blockage of the passageway. As a result mucus starts collecting within the sinus, and the normally air filled cavity gets filled with fluid. This gives rise to sinus pain and congestion.
In this technique, a (1) catheter and wire are used to gently insert a small uninflated balloon into the sinus opening through the patient’s nostril. Then the (2) balloon is gradually filled with air so as to expand to about 5 mm. This expansion gently pushes surrounding soft tissue and bones apart. Hence the opening into the sinus gets dilated. (3) As soon as the opening widens the balloon is deflated and gently removed. The retained mucus is drained and the patient is relieved of symptoms. This is great news for those who suffer from sinusitis.
Balloon Sinuplasty Animation
Balloon Sinuplasty Testimonial
“My health has improved. My sinus pressure is gone. My blood pressure is down. I have been doing great,” says 44 year old Troy Sutherlin. Troy experienced years of symptoms of severe bilateral nasal obstruction, snoring and sleep apnea, sinus pain and headaches, and high blood pressure. Four months ago, he decided to seek relief. Relief came in the form of a using a balloon sinus surgery that took pressure off of his frontal and maxillary sinuses. Dr. Neeta Dang, Otolaryngologist (ENT), performed the surgery – a procedure that Troy says has changed his life. Troy, who lives in Decatur, says he traveled to Dr. Dang because she came so highly recommended, and he wanted to have the procedure at Crestwood. “I’m not too fond of the hospital,” says Troy, “but from the minute I stepped in, it was a first class experience – the staff really made me feel comfortable and secure. I was in some pain briefly, which is normal of these types of procedures, but I felt immediate relief from my symptoms, and most importantly, I could BREATHE.”
Dr. Kohli-Dang’s dedication to providing excellent patient care is not only the reason she is my favorite doctor but also why she is the first name I recommended to family and friends with allergy, sinus, and hearing problems. She is my gold standard for physicians!
Thank You for Years of Care
Dr. Dang has been our family ENT for the past 13 years. Our relationship began the summer of 2000 when my oldest son had gotten swimmer’s ear. After that, he had to have a polyp removed from one of his ears. Dr. Dang has also performed sinus surgery for myself, husband, and two reconstructive surgeries for my son Jake due to baseball injuries. Dr. Dang’s professionalism and gracious care impressed me from the very start. We continue to use Dr. Dang for all our ENT needs. Dr. Dang is always available along with her wonderful and caring staff. Thank you for all your years of care.
I Can Finally Breathe All Year Round
Neeta has been great to work with and performed an exceptional procedure on my nasal issues. I can finally breathe all year round with little to no complications. I also sleep better and no headaches. Thanks Dr. K-Dang!
Decreased My Need for Medication
I have found Dr. Kohli-Dang and her staff to have mastered that difficult task of being extremely professional while being wonderfully friendly and communicative. Dr. Dang was quick to diagnose my particular problem and provided treatment which has given me great relief and greatly decreased my need for medication.
A Life Changer!
You are a life changer! Last year, 2012, I wouldn’t be able to say I was looking forward to spring! Now I am able to smell the roses…without sneezing too much. Gracie has come a long way since we first came here! You have done wonders!!
Gracie S. and Deborah D.
My First and Only ENT
Dr. Dang is my first and only ENT and there are several good reasons why. To name a few, she is kind so she doesn’t treat you like a case number. She is very informed in her field, which makes me comfortable that I am in good hands. Dr. Dang is a thoughtful doctor and listens to my concerns. I would recommend, and have recommended, Dr. Dang to my friends and family.
I Feel 100% Better
I have had a sinus infection and been on Afrin nose spray for most of last year. I would go to a “walk in” clinic or my family doctor (when he was open). They would just give me steroids and antibiotics – never have me back for check-ups. I finally went to Dr. Dang because it would always come back when I would finish the medicine! When she saw me, she could tell right away how sick I really was. She did sinus surgery in February. She said it was so bad “that wouldn’t fix it all right away.” So we have been “working together” to beat this! I feel 100% better than I did and would do the surgery again tomorrow if she had to!
Her Goal is to Help
I’ve been coming to Dr. Dang for several years. I came for my ear and she has helped me with it. She is always very nice and her staff. Dr. Dang has also been a doctor to some of my kids. All of us are well pleased with her work. She is a great doctor and we appreciate her. Her goal is to help!!
I found Dr. Neeta Kohli-Dang to be very professional, caring, calming and reassuring. She is an excellent surgeon and my scar looks so much better than others I’ve seen done by other doctors. She has helped my health by being persistent and finding out what the problems were.
The First Doctor to Take My Sinus Issue Seriously
She is wonderful. She is the first doctor to take my sinus issue seriously. I was always sick and could never get well. She actually did cultures and was very concerned about that. She has done surgery for me. The level of care, I think, is excellent. She follows through. She will actually take your culture and call you the next day and prescribe medicine accordingly instead of just trying some broad-spectrum antibiotics. She is very dedicated.