Additional Information Resource
Hearing & Hearing Aids
The Feldman Hearing Studio is staffed with Doctors of Audiology that are backed by 10 Board Certified ENT Physicians. This allows you to receive the best possible care and treatment for your hearing. We offer comprehensive hearing tests, balance testing, hearing aid evaluations and services, along with custom-made earplugs.
When you purchase a hearing aid from us, ALL of our services are included for the life of the hearing aid.
The sufferer might hear the pulsatile flow of the carotid artery or the continuous hum of normal venous outflow through the jugular vein when in a quiet setting. It can also be an early sign of increased intracranial pressure and is often overshadowed by other neurological abnormalities. The sounds may arise from a turbulent flow through compressed venous structures at the base of the brain. Subjective Tinnitus. This form of tinnitus may occur anywhere in the auditory system and is much less understood, with the causes being many and open to debate. Anything from the ear canal to the brain may be involved. The sounds can range from a metallic ringing, buzzing, blowing, roaring, or sometimes similar to a clanging, popping, or nonrhythmic beating. It can be accompanied by audio-metric evidence of deafness which occurs in association with both conductive and sensorineural hearing loss. Other conditions and syndromes which may have tinnitus in conjunction with the condition or syndrome, are otosclerosis, Meniere’s Disease, and cochlear or auditory neve lesions. Hearing loss, hyperacusis, recruitment, FMS, and balance problems may or may not be present in conjunction with tinnitus.
Reducing your cholesterol level may reduce your tinnitus. Vascular Abnormalities: Arteries may press too closely against the inner ear machinery or nerves. This is sometimes correctable by delicate surgery. Stress: Stress is not a direct cause of tinnitus, but it will generally make an already existing case worse. Diet and Other Lifestyle Choices: Like stress above, a poor diet can worsen an existing case of tinnitus. Alcohol, tobacco, caffeine, quinine/tonic water, high fat, high sodium can all make tinnitus worse in some people. Drugs: Many prescription and over-the-counter drugs may cause tinnitus and/or hearing loss that may be permanent or may disappear when the dosage is reduced or eliminated. Before starting treatment with any prescription drug, tinnitus sufferers should always ask their physician and/or pharmacist about the potential for ototoxic side effects. These drugs include; salicylate analgesics (higher doses of aspirin), naproxen sodium (Naprosyn, Aleve), ibuprofen, many other non-steroidal anti-inflammatories, aminoglycoside antibiotics, anti-depressants, loop-inhibiting diuretics, quinine/anti-malarials, oral contraceptives, and chemotherapy.
Because myringotomy is such a simple operation, it is usually performed in an out-patient surgery facility with the patient going home the same day. After the surgery, be sure you understand how to take care of yourself or your child at home to speed recovery and prevent any complications from developing. Your doctor’s instructions for self care may include: allowing the ears to drain freely by not putting cotton in them unless instructed to do so by the doctor, keeping the outer ear clean and dry, keeping hands washed and clean to prevent spread of new infection from the hands to the ears, and taking precautions to keep water out of the ears while bathing and to avoid swimming.
Sinus & Nasal
Snoring & Sleep Apnea
Sleep apnea is very common, as common as adult diabetes, and affects more than twelve million Americans, according to the National Institutes of Health. Risk factors include being male, overweight, and over the age of forty, but sleep apnea can strike anyone at any age, even children. Yet still because of the lack of awareness by the public and healthcare professionals, the vast majority remain undiagnosed and therefore untreated, despite the fact that this serious disorder can have significant consequences. Untreated, sleep apnea can cause high blood pressure and other cardiovascular disease, memory problems, weight gain, impotency, and headaches. Moreover, untreated sleep apnea may be responsible for job impairment and motor vehicle crashes. Fortunately, sleep apnea can be diagnosed and treated. Several treatment options exist, and research into additional options continues.
Head & Neck
The evaluation of the thyroid nodule involves a complete history and head and neck physical exam, including evaluation of vocal cord function. The nerve to the vocal cord travels just deep to the thyroid and can occasionally be affected by thyroid nodules. This requires a vocal cord evaluation after a complete history and physical exam. Testing is typically recommended, usually a blood test to assess the functioning of the thyroid and often a thyroid ultrasound to assess the exact nature and size of the thyroid nodule. This is a painless test which involves no radiation. The central test for work-up of the thyroid nodule is a fine needle aspiration. Fine needle aspiration (FNA) can be considered a microscopic needle biopsy. This often allows definitive diagnosis. Surgery is typically reserved for lesions that are identified as malignant or suspicious on fine needle aspiration. Other treatment options are available for lesions that are benign on fine needle aspiration. For large thyroid masses/goiter, additional evaluation is often necessary, and may include CT scanning, MRI scanning, or barium swallow. The purpose of these tests is to assess the relationship of the thyroid mass to the adjacent swallowing tube (esophagus) and breathing tube (trachea).