Otolaryngology is the branch of medicine that specializes in the medical and surgical treatment of ear, nose, and throat disorders. Thus, the common or lay term for our field is ENT (Ear, Nose and Throat). The official name of the specialty is otolaryngology-head and neck surgery. This reflects the diversity of our field; encompassing multiple organ systems and the ability to treat diseases both medically and surgically. To become a physician in our specialty, one must complete at least five years of surgical residency training. Typically, this is comprised of one year in general surgical training and four years in otolaryngology - head and neck surgery specialization. After completion of training, the physician must pass a rigorous battery of written and oral examinations to become "board certified in otolaryngology." This qualification ensures a standard of high quality competence of knowledge and skill in this field.

Surgeries We Perform

Many surgical procedures are routinely performed in otolaryngology. Below are listed some of the more common ones which we perform.

Otology (Ear Specialty)

  • Ear tube placement (PET)
  • Surgery for chronic ear disease (Mastoidectomy)
  • Ear drum repair (Tympanoplasty)
  • Surgery for hearing restoration (Ossiculoplasty, Stapedectomy)
  • Cauliflower ear reconstruction
  • Implantable Hearing Devices (BAHA - Bone Anchored Hearing Aid)
  • Cochlear Implants

Rhinology (Nasal / Sinus Specialty)

  • Deviated septum repair (Septoplasty)
  • Sinus surgery (functional endoscopic sinus surgery with InstaTrak Guidance),
  • Nasal turbinate reduction (SMR / Cautery of Turbinates)
  • Balloon Sinus Surgery (Minimally Invasive Sinus Procedure / Balloon Sinuplasty)

Pediatric (Childhood ENT diseases)

  • Tonsil and adenoid removal (Tonsillectomy and Adenoidectomy)
  • Coblation Tonsillectomy
  • Ear tube placement (PET placement)
  • Removal of neck masses (Thyroglossal Duct Cysts, Branchial Cleft Cysts, Enlarged Lymph Nodes, Congenital Preauricular Pits)
  • Tongue tie release (Lingual Frenulectomy)

Facial Reconstruction (Facial skeleton and surrounding soft tissue)

  • Repair of facial fractures (Zygoma Reduction and fixation)
  • Correction of external nasal features (Rhinoplasty - both traumatic and cosmetic)
  • Removal and reconstruction of facial lesions including skin cancer (primary lesion removal and closure with adjacent tissue transfer)

Head and Neck Oncology (Cancer and tumors of the head and neck)

  • Thyroid surgery (Thyroidectomy)
  • Parathyroid surgery (Parathyroidectomy)
  • Various cancer procedures involving the lips, mouth, throat, voice box and neck
  • Salivary Gland surgery (Parotidectomy, removal of submandibular gland)

Laryngology (Voice disorders)

  • Removal of vocal cord mass or growth (Microscopic Direct Laryngoscopy)
  • Procedures on paralyzed vocal cords (Vocal Cord Injection, Thyroplasty)

Sleep Apnea and Snoring

Hearing Tests

  • Air and bone conduction thresholds
  • Speech reception thresholds and speech discrimination tests
  • Sound field testing
  • Pediatric testing includes Visual Reinforcement Audiometry (VRA), play audiometry, and hearing screening.

Additional Audiological Tests

  • Balance testing and treatment
  • Auditory nerve function
  • Auditory brainstem response (ABR, aka BAER, BAEPS)
  • Tympanometry
  • Acoustic reflex thresholds
  • Acoustic reflex decay
  • Eustachian tube function

Hearing Aid Dispensing

  • We provide a full range of hearing aid services, including testing and evaluation for use of a hearing aid, counseling, sales and fitting, repairs, ear molds, batteries, and supplies. Custom earplugs can be made for a variety of purposes - noise suppression for a variety of settings and occupations; swimming; protection of the ear canal.

Allergy Testing / Treatment

  • Allergy testing and treatment is performed in our office. Precise allergy measurements are peformed via Skin Endpoint Titration (SET) testing. In addition, immunotherapy (allergy shots) are prescribed and given if deemed appropriate.

Vestibular Rehabilitation

  • Gait and balance training to assess fall risk, improve function and prevent falls
  • Canalith repositioning maneuvers for Vertigo/Benign Paroxysmal Positional Vertigo (BPPV) management
  • Evaluates and manages cervical spine and musculoskeletal conditions contributing to symptoms
  • Provides education and lifestyle management for conditions including vestibular dysfunction; vestibular migraines and concussion
  • Habituation exercises to retrain your balance system
  • Oculomotor retraining: gaze stabilization, saccades, convergence and smooth pursuits exercises

For more information on Vestibular Rehabilitation click here.


How Can We Help?

Get friendly, expert help at Puget Sound Ear, Nose and Throat. Schedule your appointment today. Call 425-775-6651