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Medical and Surgical Services

We are dedicated to providing the highest level of care to patients with allergies and sinus problems using the latest in evidence-based research, minimally invasive surgical techniques and state of the art technology to relieve bothersome sinus and nasal symptoms and improve productivity and quality of life.  Patients are managed with both oral and topical medicines, in-office procedures such as balloon sinuplasty, and functional sinus surgery.  Dr. Thacker has extensive training in the management of sinusitis (sinus infections), sinus disorders and nasal/sinus/skull base tumors.

We offer advanced care for patients with:

  • Sinusitis
  • Nasal polyposis
  • Fungal sinusitis
  • Nasal obstruction
  • Septal deviation
  • Allergic rhinitis

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Sleep surgery is an effective treatment option for patients with obstructive sleep apnea who are unable to use or tolerate CPAP.  Surgery is frequently “multi-level” and tailored to each individual patient based on the site(s) of upper airway obstruction.

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Tonsils and adenoids are the first line of defense as part of the immune system.  They sample bacteria and viruses before they are able to infect critical organs, such as the lungs.  However sometimes they become chronically infected themselves, at which point they should be removed.  Tonsil and adenoid tissue may also enlarge to the point that they obstruct the nasal airway and/or cause sleep apnea.  It is time to discuss surgery if you or your child has:

  1. More than 7 throat infections per year, more than 5 in two consecutive years, or more than 3 in three consecutive years.
  2. Loud snoring, gasping, or witnessed pauses in breathing during sleep.
  3. Difficulty swallowing solid foods.
  4. Constant bad breath.

We treat all types of salivary gland pathology involving the parotid and submandibular glands.  Common disease processes that we see include sialoadenitis (infection of the salivary glands), sialolithiasis (salivary gland stones), and salivary gland tumors.

We treat all head and neck cancers, including oral cancer, pharyngeal and laryngeal (throat) cancers, nasal cavity and paranasal sinus cancers, and thyroid cancer.  Patients are discussed at a tumor conference every week and treated in a multidisciplinary setting in conjunction with radiation and medical oncologists in the region.

Dr. Chiaramonte is dedicated to providing comprehensive care for the diagnosis and treatment of patients suffering from disorders of function or tumors of the thyroid and parathyroid glands.  She works closely with endocrinologists to treat patients in a multidisciplinary manner.  She is highly skilled in head and neck endocrine surgery and tailors treatment plans to a patient’s individual risk profile.

Hearing loss treatments are available for the various types and degrees of hearing loss.  From hearing aids to bone conduction implants to cochlear implants, we treat all causes of hearing loss.

Bone Anchored Hearing Aid (BAHA):

A bone conduction implant bypasses problems in the middle ear by sending sound through the bone and directly to the hearing nerve.

Cochlear Implants:

A cochlear implant is an electronic medical device that replaces the function of a damaged inner ear.  The implant differs from a hearing aid in that it does not augment sound but replaces the function of the inner ear and directs sound signals directly to the brain.  You may be a candidate for a cochlear implant if you have:

  1. Moderate to profound hearing loss in both ears.
  2. Profound hearing loss in one ear and normal hearing in the other ear.
  3. Receive little or no benefit from hearing aids.
  4. Score 65% or less on sentence recognition tests administered by an audiologist.

Ear fluid is a build-up of liquid behind the eardrum caused by a cold, negative pressure in the middle ear, or normal congestion.  Nearly all children get ear fluid at least once by school age, and most ear fluid goes away on its own in weeks or months.  If fluid or mucus remains in the middle ear space for more than 3 months, the fluid becomes frequently infected by germs resulting in repeated ear infections, or if a child has delays in speech, language, learning or development, then the placement of tiny pressure equalizing tubes in the ear drums is recommended.  We are dedicated to keeping our pediatric patients’ ears healthy and functional.

Our clinic is equipped with state-of-the-art equipment to assess our patients with speech and swallowing complaints.  Videostroboscopy provides a magnified, slow motion view of the vocal cords in action to allow for an accurate diagnosis and direct care appropriately.  We treat a wide range of disorders, including laryngitis, laryngopharyngeal reflux, vocal cord nodules, vocal cord polyps, and laryngeal cancer.