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February 13, 2018

Bike Helmets Can Potentially Fracture the Voicebox

Bike and motorcycle helmets are known to help protect against head injury. However, it may come at the cost of injuring the voicebox due to the clasp used to secure the helmet during a crash.

In a research paper published in Jan 2018, 3 documented laryngeal fractures in a single medical institution were described. It is unknown whether additional laryngeal fractures have occurred due to helmet use that was never reported or identified.

Theoretically, such voicebox injuries from helmet use can …

February 09, 2018

Why are Asthma Inhalers So Expensive?

The corollary to the expensive question and more relevant to patients being which ones are the cheapest?

Given I'm an ENT, asthma medications are a class of medications I have not immersed myself in with respect to the minutiae of cost and optimal prescriptions... until now (at least to some degree). And given I personally did know this information until I took the time to investigate, I figure patients would be even more in the dark.
Here are some things I've discovered.
There are onl…

February 08, 2018

Tonsil Crypts Can Hide HPV in Healthy Adults

Fascinating research was published in Jan 2018 describing how the HPV virus can remain hidden from a normal human immune response within the tonsil itself. How can the HPV virus manage this neat act of espionage? By hiding in the biofilm within tonsil crypts.

One can consider biofilm to be a thin layer of "sludge" that may coat the tonsil lining.

This finding may also explain why HPV oral infection appears to be so prevalent in so many adults and why HPV has now become one of the most…

February 02, 2018

New Video on Otovent Therapy to Treat Clogged Ears in Children

A new video has been published demonstrating how the Otovent nasal balloon can be used to help young children pop their ears to resolve ears with fluid, clogging, or pressure. Although (most) adults can easily pop the ears with a swallow, yawn, or blowing against a pinched nose, it is not unusual for most young children to not know how to do this. Some may not even know how to blow the nose.

As such, this device can teach a child how to pop the ears visually and parents can be reassured that a…

January 11, 2018

Smell Loss After Upper Respiratory Infection

Losing the sense of smell is not uncommon with upper respiratory infections (URI), typically with a viral common cold or flu. According to some studies, smell loss or decrease may occur between 18-45% of  patients who suffer from a URI.

It is estimated that about 1/3 of such patients will fully recover their sense of smell with 2-3 years, most within the first year. Unfortunately, that leaves 2/3 of these patients who suffer from some degree of smell dysfunction.
The key determining factor whe…

December 22, 2017

Criteria for INSPIRE Pacemaker to Treat Obstructive Sleep Apnea (OSA)

Due to effective marketing, I have had more and more patients inquire about the INSPIRE sleep therapy to treat and potentially cure obstructive sleep apnea so that CPAP would not be needed.

First off, our office does not perform this procedure which requires implanting a pacemaker in the chest wall (see image). It works by stimulating the tongue muscle in time with inhalation to prevent the tongue from falling back and obstructing the airway leading to sleep apnea.
For those interested, there …

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VIDEO: What Causes a Clogged Ear?