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Specializing in problems of the Ear, nose, sinuses and throat.

An ear, nose and throat specialist (ENT) is a physician trained in the medical and surgical treatment of the ears, nose, throat, and related structures of the head and neck. They have special expertise in managing diseases of the ears, nose and nasal passage sinuses, larynx (voice box), oral cavity and upper pharynx (mouth and throat), as well as structures of the neck and face. ENT is the oldest medical specialty in the United States.

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Blog Posts are Below:


What Are Tonsil Stones?

Tonsil stonesIf you have ever coughed, sneezed, or blown your nose and a hard, white or yellow object came out of your throat, you have experienced tonsil stones. The good news is that they are, by and large, pretty much harmless. Just be aware of the complications that tonsil stones can cause on occasion.

What are Tonsil Stones?

Located near the back of your throat is a part of the body called the tonsils. Children sometimes have them removed if snoring or sinus problems become severe. Tonsils act as a barrier between the throat and the mouth, helping you to prevent against choking and blocking mucus. Tonsil stones are small hard masses that form in the tonsils and occasionally are dispelled. You don’t always see them, but you can sometimes feel them coming loose when you clear your throat, cough, laugh or sneeze.

Causes

Tonsil stonesImproper brushing and even allergies can lead to the development of tonsil stones. In addition, tonsil stones can literally just appear on their own. In most cases, they are a minor irritant and inconvenient, so occasionally finding a dislodged tonsil stone in your mouth is nothing to be concerned about. They form naturally in most people and there is no known way to avoid them completely.

Signs and Symptoms

Sometimes a case of halitosis that has no other underlying causes can be directly related to tonsil stones. Anything that gets trapped in the tonsils can cause tonsil stones, including food. As the stones develop, an unpleasant smell can emerge. Other symptoms of tonsil stones include throat irritation, swelling, trouble swallowing and snoring.

Treatment

Tonsil stonesIn most cases, you can reduce or stop doing the activity that led to the development to tonsil stones. If you don’t brush your teeth properly, then flossing, brushing thoroughly and using mouthwash will help. When trapped food is the cause of tonsil stones, doctors generally recommend that patients chew more thoroughly and eat slowly. If tonsil stones are not causing you any medical issues, then you can safely ignore them and simply work to improve your oral hygiene.

In rare instances, tonsil stones lead to cysts or severely impact the sinuses. Your ENT should work with you and either remove the tonsil stones in an outpatient procedure or consider tonsillectomy. Either way, this ailment is manageable. Talk about your tonsil stones concerns and treatment options with an experienced NYC ENT today.

Contact us at 212-867-4813 to schedule a consultation.

What Are Nasal Polyps?

Nasal PolypsThey can’t be seen by the naked eye, but nasal polyps reside deep within the nasal passages. Normally, air flows between the nose, throat and mouth uninhibited. Nasal polyps hang like stalactites from the inside of your nasal passages, and they can cause you to feel like you are always congested. Because they can’t be seen easily, you will need an ENT to tell you whether or not you are being afflicted by nasal polyps.

What Are Nasal Polyps?

Essentially, nasal polyps are just benign growths that exist in the nasal passage. They aren’t dangerous, but their size and shape can lead to nasal blockages. Close your mouth and take a deep breath in through your nose. If you feel that you can’t get enough air, you are either congested, have a collapsed nasal passage, or there could be nasal polyps present.

Causes

Nasal PolypsThere isn’t one root cause for nasal polyps. If you have always had sinus issues, they could develop as a result. Another more recent medical discovery has linked nasal polyps with the frequent use of aspirin. ENT doctors even believe that nasal polyps could be a precursor to asthma and other breathing issues. They can develop in childhood just as easily as they can become present in older people.

Signs and Symptoms

Nasal polyps generally cause breathing and sinus issues. If you constantly have sinus headaches or congestion, you might have some nasal polyps. Then again, there are literally dozens of other reasons that chronic congestion can occur. Generally, if you do have nasal polyps you will feel the urge to blow your nose more frequently than usual as you will feel the presence of something foreign being present in your nasal passages.

Treatment

Nasal PolypsNasal polyps can only be treated with medical intervention. In other words, a doctor will need to physically remove them via a surgical procedure or you will be prescribed drugs that will make the polyps dry up and fall off. There is little to no discomfort associated with nasal polyp treatments. Prescription drugs used to eliminate nasal polyps do sometimes come with side effects.

If you feel that you would breathe easier after having nasal polyps removed, then you should seek out a safe medical treatment. A doctor will need to evaluate you to see how many polyps are present as well as where they are situated. Get rid of your nasal polyps by scheduling an appointment with the best NYC ENT doctors as soon as possible.

Contact us at 212-867-4813 to schedule a consultation.

The Most Common Symptoms of a Sinus Infection

Common Symptoms of a Sinus Infection

sinusAt first it may just feel like you have a really bad headache, but sinus infections come with some noticeable differences. When you can’t breathe in and out through your nose with ease and there is a constant drip of mucus in the back of your throat, these are regular symptoms of a sinus infection. In fact, your entire head may feel congested and you may have localized pain around the temples as well as the jawline. Here are all of the most common symptoms you might experience when you are battling a sinus infection.

Soreness and Tenderness

sinusWhen you have a sinus headache, all the tension and pain can be centered right around your temples and eyes. Your face might feel and look swollen and puffy. The more that your blow your nose, the more tender your skin might feel. This is a very common symptom of sinus infection, but it is also a sign that the infection is not getting worse.

Pressure and Congestion

Another common sign of having a sinus infection is pressure in the head and congestion. Your ears might feel clogged and your voice may become very nasally when you are suffering from a sinus infection. Sometimes headache medicine can help with the pressure while sleep is also used to help alleviate pressure and congestion.

Blocked Nasal Passages

Most of the time when you have a bad sinus infection your nasal passages are inflamed and clogged. You may need to eliminate mucus several times an hour or you could find it to be impossible to get anything to come up when you blow your nose. The constant pressure on your nose will lead to some swelling inside of the nasal passages. This is yet another uncomfortable symptom of sinus infections.

Pain in the Ear and Jaw

sinusIf your ears ring or feel sore, this could be because of the pressure that is building up in your head. Naps, headache medicine, and even cupping your ears can provide relief. Pain around the jaw is also a symptom of mild to moderate sinus infections.

Some of the symptoms listed above could describe other ailments, like migraines. When experiencing several of these symptoms at the same time, it is almost always a sure bet that a sinus infection is the culprit. Normally, sinus infections clear up on their own. Don’t hesitate to visit the best ENT doctors in NYC today.

Contact us at 212-867-4813 to schedule a consultation.

Common Ear Ache Causes

 Earache Causes

Ear, nose and throat (ENT) specialists handle a variety of problems. Among children, earaches are among the most common conditions affecting them. Adults, too, can suffer from this health problem, but children tend to get earaches more frequently. This includes infants and not simply school age children.

What Are Earaches?

As the name suggests, an earache is a condition that causes pain inside the ear. It may be a mild ache or a more severe pain. You or your child may require medical attention is the pain is severe and is accompanied by other symptoms including:

  •  Dizziness
  •  High fever
  •  Severe headache
  •  Swelling around the ear
  •  Discharge from the ear e.g. mucus or blood

These may indicate the potential of a ruptured eardrum.

Common Causes of Ear Aches

 Earache Causes

The causes of earaches vary. Anything that creates the conditions for a buildup of fluid in the middle ear can result in an earache. Earaches are often the result of any of the following occurrences:

  • Ear Infection: This is the most common reason you or your child may have an earache. Although otitis media (inflammation of the middle ear), is the major cause of infection, the basis of the problem may differ. The medical condition may be the result of a viral or bacterial infection. Bacterial infections are easily treated with antibiotics; viral infections are not.
  • Earwax Buildup
  •  Employing Cotton Swabs: Cleaning the ears with this or other devices, may damage the ear or create conditions causal factors in earaches. Never use sharp devices or anything that may harm your ears
  •  Foreign Object in the Ear
  • Pressure Changes: When you fly, the pressure may alter. This can result in a shift in fluid creating the conditions for an earache. The same may apply for climbing and other changes in altitude
  •  Sinusitis: Infection of your nasal cavities or sinuses
  •  Earache Causes Strep throat
  •  Water Trapped in the Ear: Any water or water-based product e.g. shampoo, that becomes trapped in the ear can create the discomfort known as earaches. Water may become trapped in your inner ear if you swim regularly. Infection may result if the water remains inside for an extended period or the water is contaminated with bacteria or other toxins
    Many of these problems can occur during the course of your day. If you seem prone to earaches, it is important you take precautions to decrease the number of incidents. Be careful when you wash your hair and wear a swim cap or ear plugs if you swim. Talk to your doctor or ENT specialist about any measures you can take to reduce your risk of the pain from earaches.

Contact us at 212-867-4813 to schedule a consultation.

A Look at the Most Common ENT Problems in Children

ENT Problems in Children It’s not uncommon for children to be afflicted with the same conditions as adults. But in many cases, especially when it comes to ear, nose and throat problems, the symptoms can be very different, both in duration and severity. Also, while certain treatments may be appropriate for adults, they may not be recommended for children. Here, we’re going to explore some of the most common ENT health problems in children.

Allergic Rhinitis

ENT Problems in ChildrenAllergic rhinitis, also known as hay fever, is very common among children. Many factors can be at cause for hay fever, such as indoor allergens. Outdoor allergens, such as grass, pollen and weeds can present seasonal symptoms.
Allergic rhinitis typically occurs due to hereditary reasons and the over exposure to allergens. Allergic rhinitis can also be triggered by exposition to certain foods, such as milk protein, for instance. It usually expresses itself through flu like symptoms such as nose itching and discharge, sneezing, and congestion. It can also cause skin rashes and eczema.

Deviated Septum

A deviated septum is also a common condition among children, and it is estimated that about 80% of the whole population’s septums are deviated to a certain extent. In the most severe cases, a septum is so deviated that it can cause difficulties with breathing, which may lead to multiple sinus infections.

The septum is the part of the nose that separates both nasal cavities, and is entirely made of cartilage. When the septum is deviated too far to the left or the right, drainage becomes more difficult, leading to a variety of conditions. A septum can be deviated from birth, it can become deviated after treatment, or it may be deviated due to an accident. In many cases, the only permanent solution is to undergo surgery.

Tonsillitis and Pharyngitis

ENT Problems in ChildrenTonsillitis and pharyngitis are both conditions that cause infections and inflammation in the throat area. Pharyngitis affects the throat specifically and tonsillitis affects the tonsils. While the symptoms might seem similar for both, the treatment is different. In the case of pharyngitis, a virus is the main culprit, so over the counter or prescription anti inflammatory medication may be recommended. This is also the case with tonsillitis, except that removal of the tonsils may be prescribed as well.

Ear, nose and throat issues can be alarming, especially for children. This is why it is important to consult a qualified ENT doctor as soon as the first symptoms appear. If your child is showing any of the symptoms in this article, don’t hesitate to contact us today to schedule an appointment with the best ENT doctor in NYC.

Contact us at 212-867-4813 to schedule a consultation.

Sore Throat: When Are They Serious?

If you have a sore throat, you may be thinking it is the result of a cold. However, sore throats can stem from other causal factors. It may be the result of a bacteria or a virus. While it may mimic the symptoms of a common cold, it may actually be something else. If you indeed have a throat infection, to may be serious and require visiting a professional ear, nose and throat (ENT) specialist.

Common Causes of Sore Throats

Sore ThroatSore throats arise from a number of different causal factors. Among them are:

  • Acid reflux
  • Allergies
  • Common cold
  • Dry air
  • Irritants in the air
  • Pollution
  • Postnasal drip
  • Sinus infection
  • Smoking

If the sore throat does not result from an infection, it will eventually disappear after a day or two.

Two Common Throat Infections

Two common throat infections you need to take seriously are strep throat and tonsillitis.

Strep Throat

Sore ThroatThis is an infection resulting from group A. streptococcus bacteria. This type of throat infection is persistent and very painful. While it can affect both children and adults, it is particularly prevalent among children between the ages of 5 and 15. It spreads easily from one to another through coughing and sneezing.

Tonsillitis

This can result from an infection accompanies by inflammation of your tonsils. The infection may result from either a virus or bacteria. Among the most common culprits are:

  • Streptococcus (strep) bacteria: This is the most common cause of tonsillitis
  • Adenoviruses
  • Influenza virus
  • Epstein-Barr virus
  • Parainfluenza viruses
  • Enteroviruses
  • Herpes simplex virus

The result of any of these is sore throats accompanied by painful swallowing and even blisters on the inside of the throat. These are a few of the symptoms of tonsillitis. However, some of them mimic strep throat infections. To ensure you are taking the right measures, be sure to contact your doctor.

Sore Throats: When to Call Your Doctor

Sore ThroatIf you have a sore throat, it may not be essential to call your doctor or visit a specialist. However, you should consider contacting a medical professional if you have any of the following symptoms:

  • The soreness lasts for more than three days
  • The sore throat is accompanied by white splotches
  • If your sore throat features splotches on the tonsils or roof of the mouth that are dark, red
  • If you have difficulty to breathing
  • If you have serious problems swallowing

If this is the case, do not waste time. Throat infections accompanied by these symptoms are serious. They require treatment from an ENT or other medical professional to ensure you regain your health.

What is Tonsillitis?

tonsilsTonsillitis is one of the most common ear, nose and throat conditions amongst adults and children in the United States. Tonsillitis affects the tonsils, which are two lymph nodes that are located at each side of the throat. Contrarily to popular opinion, people of all ages can get tonsillitis and it is not confined to children only. However, cases are less frequent in adults due to their stronger immune systems.

Tonsillitis is contagious and can be caused by many conditions, such as bacterial infections. Here are some of the causes, symptoms and treatment options for tonsillitis.

What Causes Tonsillitis?

To understand tonsillitis, you have to understand the function of the tonsils in the first place. The role of your tonsils is to work as a primary line of defense. They work by producing large amounts of white blood cells to help your body combat infections. They prevent various bacteria and viruses from entering through the throat area.

Since tonsils can prove to be vulnerable to these pathogens, inflammation may occur after exposition. Viruses are usually the main culprit for tonsillitis, Epstein-Barr being the most common one. In other cases, direct exposition to bacteria and contagion may be at cause. Children who are in contact with other children during play may contract tonsillitis due to exposition to viruses and bacteria.

What are the Symptoms of Tonsillitis?

 

tonsils

Some of the most common symptoms of tonsillitis are a scratchy and sore throat, difficulties swallowing, voice extinction, fever, bad breath, stiff necks, headaches, and stomachaches. Other symptoms may include neck and jaw tenderness, chills and bouts of fever.

What is the Treatment for Tonsillitis?

tonsilsSince tonsillitis is usually a minor condition, treatment isn’t always necessary. If the cause is due to a virus, in many cases over the counter antihistamines or a prescription throat spray may be recommended. In more severe cases, you might be prescribed antibiotics and in some cases you may require a tonsillectomy, which is the removal of the tonsils.

While tonsillectomy was very prevalent in the past, the procedure is now only prescribed for those who suffer from severe tonsillitis and show no signs of improvement after traditional treatments.

What Should I Do if I Have Tonsillitis?

If you feel like you’re experiencing symptoms such as an inflamed throat and difficulty swallowing accompanied with a bout of fever, then it’s a clear sign that you may be dealing with severe tonsillitis. If that’s the case, you should consult an ENT doctor today for an appointment. If you’re living in the NYC area, contact us today to schedule an appointment with the best ENT doctor in NYC.

Contact us at 212-867-4813 to schedule a consultation.

What is Meniere’s Disease?

Meniere’s Disease

Meniere’s disease is a condition that targets the inner ear area. One of the main symptoms of the condition is vertigo, but it can exhibit many other symptoms as well. Meniere’s disease affects a fairly large portion of the population, and while the disorder can affect people of any age, symptoms usually manifest themselves in people between the ages of 20 to 50.

The Main Symptoms of Meniere’s Disease

Meniere’s Disease One of the main symptoms of the disease is repeated episodes of vertigo. These can appear with no warning at all and last anywhere from 20 minutes to a whole day, but rarely more than 24 hours. These episodes of vertigo can sometimes lead to other symptoms like vomiting and nausea.

Another major symptom of Meniere’s disease is loss of hearing. At the beginning, hearing loss can vary in sufferers, but eventually this leads to permanent loss to various degrees. Tinnitus, or ear ringing, is another hearing related sign of Meniere’s.

In some cases, people have reported that they feel some kind of pressure in both ears.

The Causes of Meniere’s Disease

At the time of writing, no specific cause has been identified for Meniere’s. The general consensus is that it has to do with something surrounding the amount of fluid in the inner ear. Other factors that may contribute to it include fluid drainage issues, genetic predisposition, viral infections and head trauma.

What Treatment is Available

There is no definite cure for Meniere’s disease, however, there are treatments for its symptoms. For vertigo, for instance, you might be prescribed medication for motion sickness, such as diazepam or meclizine. Promethazine can be prescribed in some cases to control nausea.

In addition to that, your doctor may prescribe diuretics to deal with fluid retention as well as non intrusive treatments such as rehabilitation, hearing aids or therapy using a Meniett device. The device works by applying pulsating pressure through your ear canal to reduce the effects of vertigo and inner ear pressure.

In more severe cases, doctors may prescribe some forms of steroids or surgical procedures such as a vestibular nerve section or labyrinthectomy.

What to do?

Meniere’s Disease

If you feel like you have any of the symptoms associated with Meniere’s disease, consult your doctor immediately. He might be able to tell you if you actually have Meniere’s disease or if your symptoms are caused by another disorder. If you’re living in the New York area, don’t hesitate to contact us today to schedule an appointment with the best ENT doctor in NYC.

 

Contact us at 212-867-4813 to schedule a consultation.

Deviated Nasal Septums: A Look at the Treatment Options

A deviated septum is a condition that can appear at birth, as a result of a treatment or after an accident. Whatever the circumstances may be, it is never easy, especially when you have to deal with constant congestion and infections. Fortunately, there are many treatment options available to people who suffer from the condition.… Continue Reading

Age Related Hearing Loss: Can It Be Treated?

Age related hearing loss can be devastating and debilitating in many cases, but that doesn’t mean that all hope is lost. There are some treatments that can be used to alleviate the symptoms of age related hearing loss and significantly improve your life quality. In this article, we’re going to explore some of the most… Continue Reading

Michael C. Burnett, MD

115 East 57th Street
Suite 600
Between Park + Lexington Avenes

212-867-4813