Pearls of Wisdom
By Mark T. Brown, MD FACS
October 16, 2017
Category: Sinus
Tags: Untagged

 When is Sinus Surgery Appropriate?

 

 

    The official name of this sort of procedure is Functional Endoscopic Sinus Surgery (or FESS to those of us in the biz.) If you have tried everything from sinus yoga to big time antibiotics and steroids and you are still sick, it may be time to consider a more invasive but remarkably effective approach.

 

Neti Pot Austin, TX

 

    The “Functional” part of this surgery indicates that we are helping your sinuses aerated and drain properly, the way they are supposed to. Normally the sinuses are connected through small but efficient openings into the nose. If, for whatever reason (cold, allergy, distorted anatomy), those are not able to allow air in and mucous out you are set up for infection. Mucous pools, bacteria have a playground in which to grow, the infection induces swelling, and the drainage is further blocked. We give all sorts of medications to try to reverse this process. If those meds fail surgery physically unblocks the drainage. Properly draining sinuses are happy sinuses. They function normally again and your chronic infection goes away. For most people, this is a permanent fix too. It is rare that we need to go back in to reopen operated sinuses.

 

Case Report: retained gutta-percha as a cause for persistent maxillary sinusitis and pain.

Hodnett BL, Ferguson B - F1000Res (2014)

 

    The best news is what patients tell us. The vast majority of patients undergoing FESS have a real improvement in the quality of their lives. And they see their doctors a lot less often.

 

 

 

Mark T. Brown, MD, FACS

 

 

 

 

 

 

 

 

 

 

 

 

Dr. Mark Brown is an Otolaryngologist (Ear, Nose and Throat) specialist at Great Hills ENT in Austin, TX who is double Board Certified in Otolaryngology and Sleep Medicine. Dr. Mark Brown, MD is the author of Smarter Sleep: Real Answers, Science Based Solutions, Healthier Sleep. Dr. Brown treats sinusitis, nasal congestion, nasal fractures, dizziness/vertigo, ear infections, tonsilitis, sleep apnea and insomnia for both adults and pediatrics. Great Hills ENT serves the greater Austin area including Georgetown, Cedar Park, Lago Vista, Jonestown, Steiner Ranch, Lakeway, Spicewood and Point Venture. We are proud to provide excellent care to our patients for general Ear, Nose and Throat (ENT) services, hearing loss, dizziness/vertigo and sleep disorders.

 

 
By Mark. T. Brown, MD
October 10, 2017
Category: ENT
Tags: Mark Brown   Parotid Tumor  

What is a Parotid Tumor Anyway?

 

    So you have a lump on your jaw near the ear. Everybody freaks out when they have a lump somewhere, so your concern is justified. Rest assured that your ENT will figure out what is going on and help you take care of this.

 

The parotid gland is one of the salivary, or spit, glands that help lubricate your mouth and begin the process of digesting the food you are chewing. It is one of 6 major glands that provide saliva on demand when you eat – or when you are thinking about going to your favorite Italian place and your mouth starts to water.

 

Parotid Gland, Best ENT Doctor Austin, TX, Dr. Mark Brown, MD

 

Just like with any organ in the body, parotid tumors may grow. Usually (>90% of the time) these are benign. But they can be malignant so concern is appropriate. And the most common tumor, called a pleomorphic adenoma, has a 10-15% chance of becoming malignant if not removed.

 

    If you have one of these seek the advice of a professional. Better to get it taken care of than to worry about it.

 
 
 
Mark T. Brown, MD, FACS
 
 
 
 
 
 
Dr. Mark Brown is an Otolaryngologist (Ear, Nose and Throat) specialist at Great Hills ENT in Austin, TX who is double Board Certified in Otolaryngology and Sleep Medicine. Dr. Mark Brown, MD is the author of Smarter Sleep: Real Answers, Science Based Solutions, Healthier Sleep. Dr. Brown treats sinusitis, nasal congestion, nasal fractures, dizziness/vertigo, ear infections, tonsilitis, sleep apnea and insomnia for both adults and pediatrics. Great Hills ENT serves the greater Austin area including Georgetown, Cedar Park, Lago Vista, Jonestown, Steiner Ranch, Lakeway, Spicewood and Point Venture. We are proud to provide excellent care to our patients for general Ear, Nose and Throat (ENT) services, hearing loss, dizziness/vertigo and sleep disorders.
By Mark T. Brown, MD, FACS
October 04, 2017
Category: Sleep Medicine
Tags: Mark Brown   Sleep Challenge  

Dr. Mark Brown's Sleep Challenge

 

    I am going to challenge you to prove to yourself that sleep really is important to good health and well-being. I ask for 1 week of your life, Sunday through Friday. Follow these 10 recommendations and if you are not better rested, more productive, in a better mood, and feeling better in general by the weekend I want to hear about it. Really. Send me an email or letter to let me know what didn’t work. If you follow my suggestions I am confident you will understand the power of sleep.

  1. Prepare for bed every night thoughtfully. Make sure that you have time to wind down for bed every night this week. No last minute disruptions. When it is time to sleep, start getting ready and go!
  2. Follow the Eight Hour Rule. Every night, go to bed AT LEAST 8 hours before your alarm clock is set to go off. Don’t worry this week about what you are missing on TV. Record it and watch on the weekend if you must!
  3. Be cozy in your bed. Make sure that your mattress is comfortable, the sheets are clean, the pillows are fluffed, and your PJs are pressed.
  4. Your bed is sacred ground. This is your oasis from the stresses of the day. Sleep and sex and the only 2 activities allowed. Make a conscious effort to leave the day behind before you get ready to sleep.
  5. Keep the room as cool or as warm as you like it. Find the temperature that is conducive to your sleep and set it. Let your bed partner adjust to your temperature this week if they need to.
  6. Nap wisely. No naps late in the day. If you catch a little shut-eye, do it before 3 PM and make it short (less than 30 minutes).
  7. Eat smart. Have the last meal of your day at least two hours before bedtime. Going to bed with a stomach full of food is a recipe for indigestion and Insomnia.
  8. Exercise at the right time: early in the day. Exercising within an hour of bedtime can be stimulating, not relaxing.
  9. Caffeinate early (if you must). Caffeine is a stimulant. Avoid having it after 3 PM.
  10. Drink early (if you so choose). While alcohol makes you sleepy, it also interferes with healthy, regular sleep cycles. No alcohol after dinner. Water is your friend before bed.

 

    Follow these 10 steps every night Sunday through Friday. By Saturday morning, you will be better rested. Honest. And as a result, you will perform better at home and at work and be in a better mood.

    When you prioritize sleep, you will be happier, healthier and more productive. It just happens. If you do this Challenge and DO NOT feel better, there is likely more to your sleep problem than not taking care of yourself. Talk to your primary care doctor to make sure that there are no health problems looming that impact sleep.

 

Dr. Mark Brown's Smarter Sleep: Real Answers. Science Based Solutions. Healthier Sleep

 

Mark T. Brown, MD, FACS

 

Read More from Smarter Sleep

 

 

 

 

 

 

Reprinted by permission from Mark T. Brown, MD from Smarter Sleep, Clear Answers, Science Based Solutions, Healthier Sleep. Old Wives Tales Publishing, 2015.

 

Dr. Mark Brown is an Otolaryngologist (Ear, Nose and Throat) specialist at Great Hills ENT in Austin, TX who is double Board Certified in Otolaryngology and Sleep Medicine. Dr. Mark Brown, MD is the author of Smarter Sleep: Real Answers, Science Based Solutions, Healthier Sleep. Dr. Brown treats sinusitis, nasal congestion, nasal fractures, dizziness/vertigo, ear infections, tonsilitis, sleep apnea and insomnia for both adults and pediatrics. Great Hills ENT serves the greater Austin area including Georgetown, Cedar Park, Lago Vista, Jonestown, Steiner Ranch, Lakeway, Spicewood and Point Venture. We are proud to provide excellent care to our patients for general Ear, Nose and Throat (ENT) services, hearing loss, dizziness/vertigo and sleep disorders.

By Mark T. Brown, MD, FACS
October 03, 2017
Category: Nose

What is Radiofrequency Turbinate Reduction?

 

    New developments in medical technology have made it possible to comfortably open your nasal airway under local anesthesia in your ENT’s office. Really. This approach saves time, money, and keeps you on your feet. It is even covered by insurance.

 

    The procedure goes like this. When you are comfortably seated in the exam chair, local anesthetic is sprayed into your nose. When that has kicked in the same topical medication is soaked onto cotton and placed in there for a while to further numb your nose. Finally, more local anesthetic is injected into the turbinates directly.

 

After you are completely numbed, a slim probe is introduced into the nose using a small endoscope.

Radiofrequency Turbinate Reduction Austin, TX

 

It is applied at 5 or 6 spots along the turbinate and radiofrequency energy is transmitted through the lining (mucosa) into the swollen tissues that cause your obstruction. That injury shrinks the turbinate so, when you are healed up, there is more space for breathing.

 

    After the procedure, you walk to your car and drive home. Simple, effective, and quick.

 

 

Mark T. Brown, MD, FACS

 

 

 

 

Dr. Mark Brown is an Otolaryngologist (Ear, Nose and Throat) specialist at Great Hills ENT in Austin, TX. Dr. Brown treats sinusitis, nasal congestion, nasal fractures, dizziness/vertigo, ear infections, tonsilitis, sleep apnea and insomnia for both adults and pediatrics. Great Hills ENT serves the greater Austin area including Georgetown, Cedar Park, Lago Vista, Jonestown, Steiner Ranch, Lakeway, Spicewood and Point Venture. We are proud to provide excellent care to our patients for general Ear, Nose and Throat (ENT) services, hearing loss, dizziness/vertigo and sleep disorders.

 
By Mark T. Brown, MD, FACS
October 02, 2017
Category: Sinus

 

Turbinate Reduction Surgery

 

    Those pesky turbinates (normal structures that live on the side wall of your nose) can be enlarged and obstructive.

 

    

But all is not lost. If medical therapies to control allergies and nasal inflammation are not successful, they can be reduced in the office or in the operating room. Obviously, a procedure without an anesthetic in the OR sounds great. And it is possible to do using a radiofrequency probe to reduce the swollen tissues. But sometimes, turbinate enlargement is only part of the problem. The septum may also need to be corrected, which is something you can’t comfortably do in the office. In that case we can take care of your turbinates during the same surgery.

 
 
 
Mark T, Brown, MD, FACS
 
 
 
 
Dr. Mark Brown is an Otolaryngologist (Ear, Nose and Throat) specialist at Great Hills ENT in Austin, TX. Dr. Brown treats sinusitis, nasal congestion, nasal fractures, dizziness/vertigo, ear infections, tonsilitis, sleep apnea and insomnia for both adults and pediatrics. Great Hills ENT serves the greater Austin area including Georgetown, Cedar Park, Lago Vista, Jonestown, Steiner Ranch, Lakeway, Spicewood and Point Venture. We are proud to provide excellent care to our patients for general Ear, Nose and Throat (ENT) services, hearing loss, dizziness/vertigo and sleep disorders.




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