Successfully Treating Complex Ear, Nose and Throat Issues
The E.N.T. solutions are quite varied and draw from many medical and surgical fields. For example, a nasal breathing problem with sinus disease may require:
• treating infectious disease
• calming an overactive immune system (allergy diagnosis and treatments)
• correcting an underactive thyroid problem (hypothyroidism)
• a variety of surgical techniques which include, microscopic ear surgery, and nasal – septal and endoscopic sinus surgery.
Related airway problems include snoring and obstructive sleep apnea which may require:
• shortening the palate and correcting any nasal airway obstruction, and
• palatopharyngoplasty with removal of tonsils and adenoids.
Facial trauma may require facial cosmetic and reconstructive surgery.
What is Otolaryngic Allergy?
Allergy is a very important cause of discomfort in the ears, nose, and throat. The congestion and inflammation that comes from the allergic reactions can contribute to chronic or recurring infections and nasal and sinus polyp formation.
Allergies In ENT
Allergies can solely or partially be responsible for many ear, nose, throat and lung problems, including:
- hearing loss
- nasal airway obstruction
- post-nasal drip
- ocular problems
- chronic laryngopharyngitis (throat clearing/choking) and voice disorders with weakness and hoarseness
Types of Allergy
- People can be allergic to inhalants, foods, or chemicals.
- Inhalant allergies can be seasonal and/or perennial.
- Food allergies are of 2 kinds -anaphylactic (IgE) type with immediate onset of symptoms (hives, tongue swelling, and airway compromise) or cyclic (IgG) type with delayed onset of congestive symptoms.
- Cyclic food allergies can affect any target organ and tend to worsen over time with repeated exposures.
Raising Metabolism to Fight Aging
Raising metabolism is analogous to turning the thermostat up. It can improve cellular function and make body systems function better. Slow metabolism or hypothyroidism is very common and can contribute or cause many illnesses. Eg. The immune system will become dysfunctional – more allergenic, harder to control, and less protective. The nervous system can become more irritable with headaches, migraines, neuralgias, neuropathies, and vertigo.
Donald T Levine, MD, Pediatric Otolaryngologist, New York
According to the American Academy of Otolaryngology, “Pediatric otolaryngology is a subspecialty within otolaryngology—head and neck surgery that exists to provide care of infants and children with unusual otolaryngological – head and neck disorders at a tertiary or full service pediatric facility.” For last three decades, Dr. Donald Levine has been treating pediatric patients for otolaryngological problems.
What is Aging? How Does it Affect Our Lives?
The prevention of disease and the maintenance of high function is what we all want. All the old standards – a healthy diet, exercise, and sleep still apply.
The aging process is relentless – we live in time. But if we were to accumulate fewer chronic diseases our lives would retain their youthfulness and productivity. An unhealthy 40 year old can have a life which is more restrictive than a healthy 80 year old. Aging gracefully really means not acquiring chronic diseases or at least treating them in the least invasive, least toxic ways, which is most often the least costly as well.
Challenges of Aging
The treatment of disease for aged people has its own challenge: there are certain patients who are excessively allergic, or who become allergic as they age. In many of these cases their hyper-reactive allergenic immune system was triggered by a lowered metabolism due either to the slowing occurring from aging, or from other trauma (infectious, surgical, emotional, accidental, etc.).
What are Anti-Aging Medicines?
Anti-Aging medicine consists of many different strategies or tools to improve cell function and thereby system functions, and thus improves the health and well being of the individual. The prevention of the deteriorating effects of aging and their associated diseases can vastly improve and change the course of patient’s lives leading to other positive and productive effects rippling outward toward families, friends, and their communities.
The Latest Technological Advances in Hearing Restoration
Under the guidance of Pam Greenspan, Au.D., Doctor of Audiology and its medical director Donald T. Levine, M.D., The Nyack Hearing Center offers the latest in technological advances in hearing restoration. This includes further advances in software, miniaturization, and the use of the open fit.
Because there is no occlusion of the ear canal with the open fit hearing aids, the acoustics and the comfort of these hearing aids are superior and there are fewer problems with eczema and wax. The newest digital hearing aids are expertly fitted by Doctor Greenspan who has over 25 years of experience. Patient satisfaction is our primary goal.
Preventing Sensori-neural Hearing Loss
Currently I am now using five supplements to reverse or improve SNHL. These are TA-65, MAXGXL, Vindure 900, Acetyl-L-Carnitine, & CoQ10. If your hearing loss is deteriorating then these supplements can be helpful. See Anti-aging Medicine page for more details.
Dr. Levine offers these facial plastic surgeries:
- blepharoplasty (eyelid surgery)
- otoplasty to correct prominauris or “dumbo ears”
- chin augmentation
- lip augmentation
- liposuction of the neck and jowls
- skin resurfacing to improve smoothness and texture
- wrinkle removal using silicone injections
Need For Facial Plastic Surgery
The nose has a unique position as the most prominent facial feature and often is in need of adjustment to create or restore beauty. Also, an under-projecting chin can make the nose look too large. A chin implant can easily remedy that distortion.
Facial scarring due to trauma or acne can be made less noticeable through camouflage, scar revision surgery, grafting, and dermabrasion. There are many techniques for dermaplaning the facial skin – dermabrasion, chemical peels (many different kinds), and laser skin resurfacing techniques (there are many with new types of lasers being tried all the time – CO2, erbium, KTP, etc.).
The goal with all of these dermaplaning techniques is to produce smoother textured and less pigmented skin. Reducing prominauris or “dumbo ears” can improve a young child’s self image. It can also improve an adult’s self-image allowing for short hair cuts or for long hair to be pulled back with improved appearance.
All Nose Jobs Don’t Require Surgery
Some nose jobs are in desperate need of repair. There are many reasons for this, but regardless, the good news is that many of these deformed noses can be repaired by using my non-surgical procedure of injecting the defects with micro droplets of medical grade silicone. This permanently and safely corrects the contour defects thereby eliminating the deformity quickly and with no downtime!
You can send Dr. Levine your front and side view pictures to see if your problem would be corrected using this non-surgical office procedure. If so, then you would schedule the 20 minute office procedure. No aspirins or NSAIDS for 2 weeks before the procedure. Once in the office, Dr. Levine will take pictures before settling you comfortably in the exam chair. Anesthesia is usually not required. The nose is cleaned with alcohol. The areas to be injected are assessed and then injected using a micro droplet technique. This keeps the silicone exactly under this skin and filling up only the depression. The material stays in that spot only and does not travel.