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Ask the Doctor: What is Empty Nose Syndrome?

Q: What is Empty Nose Syndrome? A: Empty nose syndrome is a very unpleasant condition characterized by a wide open, dry nose that drips and feels blocked.  Patients complain bitterly of nasal blockage while their physician insists that it is wide open.  The nose appears dry and crusty on examination, but drains constantly. Typically the inferior turbinates […]

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Dr. Armstrong Discusses New Treatments for Sinusitis and Nasal Congestion for ‘Boomer Magazine’ Online

Dr. Armstrong has contributed a sponsored article for Boomer Magazine online.  Boomer targets active adults, primarily ages 45 to 70, engaging their interests in arts and entertainment, food and drink, home, travel and recreation, history and nostalgia, health and finances, while recognizing their need to connect with their families – from children and grandchildren to aging parents and […]

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Dr. Armstrong Featured in this month’s issue of ‘OurHealth Richmond’ Magazine

Dr. Armstrong is featured in the latest issue of OurHealth Richmond Magazine — the greater Richmond area’s premier resource for local consumer and business-to-business healthcare and healthcare-related information.  OurHealth offers the most in-depth insight on local surgical and medical procedures, fitness and nutrition, emotional wellness, community activities, local industry perspective, human interest highlights and more. Dr. Armstrong appears on […]

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Ask the Doctor: What is a Patulous Eustachian Tube?

Q: What is a Patulous Eustachian Tube? A: The symptoms of ear pressure, hearing yourself breathe, and hearing a distortion in your own voice as if you are talking through a kazoo are typically caused by failure of the eustachian tube to close. The symptom of hearing yourself breathe is called “autophony. Normally the eustachian […]

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Ask the Doctor: Reconsidering Sinus Surgery with the Propel Contour Implant

Q: I had sinus surgery many years ago but it failed. Why would I consider it now? A: The most common reasons for failure after endoscopic sinus surgery include residual disease, nasal polyps and scarring. Sometimes, patients have had conservative surgery and simply need  their sinuses to be opened up more widely. Others have had narrowing of […]

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Dr. Armstrong featured in Richmond Times-Dispatch Article: ‘Simple procedure to treat sinusitis now covered by major insurers in Richmond’

Twelve years after it was approved by the U.S. Food and Drug Administration, a procedure that can help patients with sinusitis is finally accepted by all the major insurance carriers in Richmond. Anthem was the last insurer to begin considering balloon sinus dilation medically necessary earlier this month, said Dr. Michael Armstrong with Richmond’s Ear, […]

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Ask the Doctor: Using CPAP with a Stuffy Nose

Q: I have sleep apnea. How can I use CPAP with a stuffy nose? A: Nasal congestion is one of the most common reasons that patients with obstructive sleep apnea fail to use continuous positive airway pressure (CPAP) machines. Positive airway pressure is prescribed to hold the airway open by preventing collapse of the soft […]

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Ask the Doctor: Thyroid Ultrasound

Q: Should I have a thyroid ultrasound? A: Not unless you notice a mass, swelling or discomfort in your lower neck. Otolaryngologists, dentists, and primary care physicians routinely examine the neck for evidence of head and neck cancer.  In the absence of obvious tumors, there is no evidence that specifically screening the thyroid for cancer […]

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Ask the Doctor: Anesthesia Safety for Young Children

Q: Is it safe to give anesthesia to my young child? A: I have often heard anesthesiologists compare the safety of general anesthesia to that of driving an automobile. Driving or riding in an automobile could result in an unexpected, life-threatening accident through no fault of our own. Nevertheless, the chance of such an accident […]

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Ask the Doctor: Robotic Surgery

Q: Will you take it out with the Robot? A: Robotic surgery was introduced in 2009 and has recently become popular for removing certain types of head and neck malignancies, including cancers in the base of the tongue, cancers in the tonsil and oropharynx, and cancers in the thyroid. Robotic surgery is most useful in […]

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