Richmond's Ear, Nose and Throat Specialists

All Posts in Category: Ask the Surgeon

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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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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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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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When should I stop my anti-coagulation before surgery?


Anticoagulants are commonly prescribed to prevent blood clots in the heart, leg veins and lungs, especially in patients with a history of atrial fibrillation, artificial heart valves, deep venous thrombosis or pulmonary embolism.  Anticoagulants will increase the risk of bleeding with any surgical procedure.  The need for anticoagulation should be balanced against the risk of […]

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A Suspicious Mole


I have a mole on my face that has started to bother me and I’m wondering if I should just get it removed. What are my options? Any sudden color change, pain, or bleeding of a mole should warrant a visit to your doctor for full evaluation. The color, size, and depth of a mole, […]

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How do I improve the skin tone of my face?


I would like to improve the skin tone of my face, what are my options? Your facial plastic surgeon may recommend rejuvenating the tone and texture of your skin through topical creams with antioxidants, retinoid (vitamin A derivative), or vitamins C or B5, which can offer slight improvement with regular use. Additionally, there are minimally […]

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What is a Fat Dissolving Injection?


I heard that the Food and Drug Administration (FDA) is warning places not to use a fat dissolving injection. What is this and why isn’t it safe? The FDA is alerting consumers about false and misleading claims being made about products used in lipodissolve. Recipients of lipodissolve get a series of injections intended to dissolve […]

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