Dr. Ashley Agan

The Sistrunk procedure is the standard surgical approach for thyroglossal duct cyst removal. In this comprehensive guide, pediatric otolaryngologist Dr. Christopher Liu walks through his approach to the Sistrunk procedure, detailing surgical technique, post-op care, and long-term follow-up.

Thyroglossal duct cysts are rare, benign, congenital neck masses that form from a persistent thyroglossal duct. They usually appear in young children, though occasionally an adult may present with one. Dr. Christopher Liu explains how a patient with a thyroglossal duct cyst presents to his practice and how he determines when which treatment is appropriate.

Learn how to successfully use the Hummingbird ear tube device in the office setting with step-by-step guidance from pediatric otolaryngologist Dr. Shelagh Cofer.

Chronic mouth breathing is a common issue that can cause many health problems, but it often goes unnoticed by both patients and healthcare providers. Chronic mouth breathing can lead to chronic headaches, poor sleep, teeth clenching and grinding, and even improper facial development if not corrected at a young age.

In-office ear tube placement is gaining popularity among parents due to its convenience. Skipping a pre-operative appointment, avoiding fasting and anesthesia, and having both the consultation and procedure done on the same day makes it an efficient option. But how can parents determine if this approach is right for them?

Learn how to evaluate and treat chronic mouth breathing. Dr. Colleen Plein explains the connections between chronic mouth breathing, sleep apnea, teeth grinding, and related symptoms, highlighting the importance of comprehensive evaluation and treatment to promote better respiratory health and overall well-being.

Surgical intervention and antifungal medication are two of the primary treatment options for patients with chronic invasive fungal sinusitis (chronic IFS). However, finding the right balance between surgery and medical management can be difficult.

Fungal Sinusitis is an inflammatory sinus infection caused by the inhalation of certain types of fungus. There are many distinct presentations of fungal sinusitis, including allergic fungal sinusitis (AFS), acute fungal sinusitis, and chronic invasive fungal sinusitis (chronic IFS).

Diagnosing chronic invasive fungal sinusitis (chronic IFS) can be tough, as patients with this condition tend to have generalizable symptoms, and may not be diagnosed until their condition has worsened to the point of irreversible damage.

Cochlear implants can offer life-changing benefits for children with congenital hearing loss, but the evaluation process is complex. This article explores how medical, neurological, and social factors shape the decision to implant.

Pediatric hearing loss stems from various causes like auditory neuropathy, CMV, and bacterial meningitis, each requiring tailored approaches. Timely detection and intervention are key, especially in cases like bacterial meningitis where cochlear ossification can complicate treatment.

Congenital hearing loss impacts many newborns, necessitating early detection and intervention. Newborns with hearing loss undergo audiological tests like otoacoustic emissions (OAE) and auditory brainstem response (ABR).

Endoscopic Ear Surgery (EES) is increasingly being adopted by ENT specialists for both operating room and clinic settings. EES involves the use of a slender, tube-like endoscope to enhance the visualization of ear structures, allowing for more precise and detailed anatomical assessments.

Endoscopic ear surgery (EES) is a minimally invasive surgical technique used to treat conditions of the ear, particularly those affecting the middle ear. EES allows surgeons to visualize the ear structures in great detail on a monitor, providing a wide and well-lit view of the surgical field.

Diagnosing pediatric obstructive sleep apnea (OSA) requires a multifaceted approach that balances observational management, timely sleep studies, and a comprehensive assessment of persistent symptoms. Learn how to successfully diagnose pediatric OSA.

Treatment of pediatric obstructive sleep apnea (OSA) can consist of observational management, medications, lifestyle changes, and/or surgery. Learn the role of different pediatric OSA treatments from otolaryngologist Dr. Ron Mitchell.

HPV-related oropharyngeal cancers, now more prevalent in men than cervical cancers are in women, pose diagnostic challenges. Innovations like TORS, ctDNA, and PET scans improve detection and guide therapies, aiming to enhance outcomes in these viral-driven malignancies.

Human papillomavirus (HPV) is a leading cause of oropharyngeal cancer, presenting significant challenges in treatment and management. Patients diagnosed with HPV oropharyngeal cancer must navigate a variety of treatment options, from surgery followed by radiation to primary chemoradiation.

Hashimoto’s autoimmune thyroiditis causes impaired energy metabolism, leading to fatigue, cold hands/feet, constipation, and vertigo, among other symptoms. In this article, we explore what causes Hashimoto’s disease with relevant discussion on pathophysiology, symptoms and diagnosis.

Treatment of Hashimoto’s thyroiditis requires meticulous monitoring of thyroid hormone replacement. Encouraging patients to implement anti-inflammatory lifestyle modifications assists with symptom control.

Laryngopharyngeal Reflux (LPR) is a disease of the upper aerodigestive tract resulting from direct and/or indirect effects of gastric contents. Laryngologist Dr. Inna Husain explains atypical LPR presentations and when to suspect that LPR or extralaryngeal pathology is at play in patients with chronic and nonspecific symptoms.

The standard workup for suspected laryngopharyngeal reflux (LPR) typically involves 24 hour pH impedance testing and flexible laryngoscopy whereas treatment of typical LPR usually consists of proton pump inhibitors (PPIs), H2 blockers, alginate suspensions, and lifestyle changes. But what if the typical approach isn’t working?

Xerostomia, commonly referred to as “dry mouth,” is a common medical complaint, affecting 30% of patients over 65. Management of this condition focuses on alleviating mouth dryness, stimulating salivary production, and mitigating the risk of tooth decay. Continue reading to learn more about this frustrating, but highly treatable, condition.

Due to the progressive nature of idiopathic subglottic stenosis (ISS), all patients with this condition require active management. Idiopathic subglottic stenosis treatment options include steroid injections, airway dilation, and surgery. Keep reading to learn more about when and how these different options are used.