What would the holidays be like without the festive music, the fragrant smells, and the delicious treats that are baked but once a year? If you've ever had a cold, you know what it's like to lose your senses of hearing, smell, and taste, if only temporarily. Your ears, nose, and throat are essential to these very important senses, and they perform many other functions as well.
Otolaryngology is the study and treatment of the ear, nose, throat, and oral cavity. Specialists in this field are called Otolaryngologists, but they are commonly referred to as ENT (ear, nose, and throat) physicians. ENT physicians are trained to manage a wide variety of diseases and disorders of these organs.
For example, an ENT physician would treat problems with the ear, including balance and hearing; sinus diseases and disorders of the nose; head and neck cancers; snoring; sleep apnea; and voice problems of the throat; and also perform facial cosmetic surgery.
Your ears enable you to hear, which in turn allows you to communicate with those around you. Normal hearing levels allow you to hear a remarkable range of sounds and intensities. Hearing also helps protect you from environmental hazards. You can hear the sirens of emergency vehicles, the screaming of a smoke alarm, and the bark of an angry dog racing toward you. Hearing is an underestimated sense. Although many people fear blindness more than loss of hearing, nothing is so isolating as living in total silence.
Hearing problems are common. For example, 1 out of 1,000 children is born with severe to profound hearing loss. Between 5% and 10% of the population has a hearing impairment. Fortunately, many who are born deaf compensate and do remarkably well, especially with the aid of modern hearing aids, reconstructive surgery, and cochlear implants. Sophisticated hearing aids are also very effective for many people who have lose part or all of their hearing through accidents, disease, or aging.
In addition to hearing, specific structures in the ear help us keep our balance. Problems with these parts of the ear, such as from an infection or accident, can cause dizziness and nausea.
The nose governs our sense of smell and to a great extent our sense of taste. The nose also allows you to breath air into your lungs. The nose warms, filters, and humidifies the air you breathe.
The air and food passageways start out together in the troat. After air or food passes through the throat, or pharynx, the larynx delivers air to the trachea (windpipe) or food to the esophagus, which leads to the stomach. Salivary glands located in the mouth release saliva, which lubricates food and contains enzymes that begin digestion. The tongue, with its tiny tastebuds, allows you to taste the difference between a bagel and a doughnut, an orange and a lemon, coffee and hot chocolate. It also helps you shape words from the sounds created by the vibrating of the vocal cords located in the throat.
Otolaryngologists can start their practice after finishing up to 15 years of college and post-graduate education. To meet the requirements for certification by the American Board of Otolaryngology, a candidate must first finish college, medical school, and at least five years of specialty education. Next, the doctor must pass the American Board of Otolaryngology test. In addition to these requirements, some Otolaryngologists take up a fellowship for more in-depth training in a subspecialty area.
Most Otolaryngologists are trained in both medicine and surgery. If there is a medical issue that requires surgery, they do not need to refer their patient to another physician.
Ears Nose And Throat Doctors
Here is what I think are three goals we want from the ENT profession:
1) To simply understand and become knowledgeable about ENS, so they can diagnose the currently undiagnosed. The doctors can identify the specific symptoms and its relation to the specific turbinate reductions. If we have a problem, just like any other sufferer of a serious condition, we deserve to have our problem correctly identified and offered appropriate treatment options. The difference between us and a cancer patient, is at least they get treated. These previously undiagnosed sufferers should thus be able to get appropriate help. And I don't mean a cure because there isn't one available; I just mean being offered the best options available to relieve the suffering.
2) We want ENTs to develop a position statement and legal mandate in the field about nasal surgeries (and its relation to ENS), and properly inform patients, so that ENTs would not cause ENS to other prospective nasal surgery patients. I personally believe ENTs should be required to mandate allergy treatment and saline irrigation prior to performing a turbinate reduction. This is a selfless reason, because the damage has already been done to us ENS sufferers; however, we know how damaging ENS can be and want to save others. A position paper would state what nasal surgeries are most likely to lead to ENS (e.g., total turbinectomies, partial and subtotal turbinectomies, and laser turbinate reductions) and which ones are least likely to lead to ENS (e.g., submucous resection with outfracture or radiofrequency).
3) To explore, refine and perfect reconstructive surgical options for ENS. Dr. Houser is already doing this and he is doing a terrific job at it. ENTs are surgeons. This is how they can help us. What we want is more ENT doctors to take interest in researching and performing reconstructive surgical options for ENS sufferers and perfecting these surgeries so that the surgeons are using the best and most cutting-edge materials available for implants (e.g., SIS, Alloderm); and through experience, they perfect and refine the size, location, and technique of the implants so that ENS sufferers would get optimal relief. ENT doctors could collaborate with plastic surgeons to perfect the technique and research scientists to use the best materials available.
In my own experiences, I have found some relief from treating ENS with implants, as noted in my book. For example, I have much greater nasal airflow resistance, somewhat deeper sleep, and my nose is overall more moist and the mucus somewhat thinner after the implant. I find the implant to serve a sort of "preservation function" for my nose. In Dr. Houser's research article, it was shown that the implants provide improvement ranging from 25% to 90% relief, but his article also noted that the implants do not significantly relieve pain. The implant thus is not a cure, but it has brought partial relief, for which I am thankful.
What I have also learned in treating ENS is that an implant treats ENS, but its effect is more limited on sinusitis, allergies, asthma, gastroesaphogeal reflux, etc. If you have concomitant problems, you need to treat them as well.Our bodies consist of interdependent organs and the whole is greater than the sum of its parts. You are only as strong as the weakest link. You need to treat all issues. And you can often be preventative in treating an issue, such as the more effectively you treat your allergies, the less your likelihood and/or symptoms of acid reflux or sinusitis.
If the ear, nose and throat community were to embrace the concept of empty nose syndrome through increased standards and understanding of this condition, while pursuing surgical options to help ENS sufferers, then we would all be better off and ENS would be put in the past which is where it belongs, rather than having increasing numbers of ENS sufferers, as we do now.
It is then, and only then, that us ENS sufferers would be forever grateful toward this profession that has caused us harm.
Both Quinto Romero & Christopher Martin are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Quinto Romero has sinced written about articles on various topics from Cosmetic Surgery, Acid Reflux and Health Insurance. is a health and medical resource that offers information on topics such as medications, diseases, healthy living, and more. To learn more abo. Quinto Romero's top article generates over 1900 views. to your Favourites.
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