Ear Nose Throat

Pediatric Sleep apnea Acupuncture

EAR DISORDERS:

• Swimmer's ear (otitis externa). This condition describes an infection of the outer ear and ear canal. This is usually accompanied by pain in the ear, clogged ear sensation, as well as occasional drainage from the ear canals. Usual treatment includes removal of any pus from the ear canal, followed by treatment with antibiotic eardrops.
• Middle ear infection (otitis media) more commonly seen in children, this describes pus behind the eardrum. Often accompanied by fever and general malaise, the condition may be seen in one or both ears. Treatment usually includes antibiotics, and possible decongestants to drain the ear internally.
• Clogged ear sensation could be due to earwax, estachian tube disorder, or any condition of the inner ear. Evaluation usually includes inspection of the ear, as well as a hearing test.
• Dizziness can have a variety of different presentations and underlying predisposing factors. With the proper interview of symptoms, accompanied by the necessary testing, Dr. Namdar can provide a treatment plan tailored to individual needs.
• Hearing loss could be due to earwax accumulation, ear infection, holes in the eardrum, or impairment of the organ of hearing. These causes have different degrees of  severity, and have various different cures.  The best approach is to have the ear examined promptly, followed by a hearing test.  Hearing services are available in Dr. Namdar's West 59th Street office and can performed during your visit.

NOSE DISORDERS:

• Nasal allergies (allergic rhinitis) are usually due to environmental factors as well as exposure. Symptoms include runny nose, itching in the nose, as well as nasal stuffiness. After examination of the nasal anatomy, allergy testing can further help diagnose the sources of irritation. Treatment usually includes nasal sprays, antihistamines, or allergy shots.
• Sinusitis usually refers to infection of the sinuses. The typical symptoms include headaches, fever, and drainage of pus from the nasal passages, as well as postnasal dripping and difficulty with breathing. Treatment of the acute symptoms includes antibiotics, and nasal irrigation, as well as decongestants. For patients with chronic symptoms, endoscopic sinus surgery may play a role in reducing the predisposition for future infections. Dr. Namdar is also trained in balloon sinuplasty, which is a new minimally invasive technique for opening of the sinus passages.
• Nasal polyps are thought to be due to ongoing irritation and inflammation of the nasal passages. They may fluctuate in size and further contribute to nasal obstruction. Nasal decongestants and nasal steroids are the usual first line treatment for this problem. In the long-term, some patients may benefit from removal of the polyps to further open the nasal passages.
• Nose bleed (epistaxis) refers to any type of bleeding from the nasal passages. More people are prone to this problem during the winter months where the temperatures are down and the humidity is low. Preventive measures include having a humidifier in the bedroom for the duration of the night, as well as application of nasal lubricants. Patients with active nosebleed are encouraged to contact the office immediately for an evaluation and control of the bleeding.

THROAT DISORDERS:

• Chronic cough could have a variety of reasons. These include postnasal dripping, allergies, reflux disease, and asthma. A prompt evaluation would be beneficial in differentiating the reason and therefore administering the proper treatment.
• Hoarseness could be due to misuse or abuse of voice, or due to variety of lesions directly on the vocal cords. The best option is to evaluate the vocal cords with flexible endoscopy to find the correct reason. The treatment plan is then tailored for the exact cause.
• Swallowing Disorder (dysphagia) could be due to previous stroke, muscular disorders, dementia, and benign or malignant tumors present within the throat. Dr. Namdar is a member of two nursing homes and he performs routine evaluations for multitude of patients on a regular basis. A similar examination can be performed in the office.

PEDIATRIC DISORDERS:

Dr. Namdar has vast experience in treating pediatric ear, nose, and throat problems. These problems include recurrent ear infections, tonsil problems, breathing problems, snoring, as well as others. In select patients where medical therapy is not completely successful, surgery may be indicated to alleviate these  problems.

• Tongue-tie (ankyloglossia) refers to condition where a tight band anchors the tongue to the floor of the mouth. This is usually diagnosed at birth. The treatment is to release the band under mask anesthesia. This typically performed at some point around age.
• Middle ear infections (otitis media) are very common in children. This is due to anatomical reasons, as well as feeding habits in children. Most children may need a few different courses of antibiotics before they spontaneously grow out of this condition. For those children in whom infections are too frequent, or there is a certain degree of hearing deficit, placement of ear tubes (myringotomy) might be necessary.
• Snoring is seen in many children with large adenoids and/or tonsils. Treatments include watchful waiting, treatment with nasal cortisone to shrink the size of the adenoids, or surgery to remove the blockage.
• Recurrent sore throats (pharyngitis or tonsillitis) are also more common in children. Most children might do better. Once they grow up, and the tonsils shrinking their size. However, some children may meet the criteria of a recommendation for tonsillectomy. Dr. Namdar can review your specific symptoms and recommend a course of treatment appropriate for your child.

OBSTRUCTIVE SLEEP APNEA:

ACUPUNCTURE: