Category: Patient Resources
Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.
Balloon Sinuplasty™ Technology Animation
What is Balloon Sinuplasty?
A clinically proven, minimally invasive technology for treating chronic sinus inflammation is now available at Virginia Head and Neck Surgeons and Our Specialized Hearing Center. The Balloon Sinuplasty™ system by Acclarent™ uses a small catheter and balloon to quickly open and expand blocked sinuses.
Sinusitis is one of the most common chronic health problems in the U.S., afflicting 37 million Americans each year. Patients suffer headaches, congestion, fatigue and other symptoms. This condition significantly impacts an individual’s physical, functional, and emotional quality of life.
Historically, sinusitis patients were limited to two treatment options: medical therapy such as antibiotics and topical nasal steroids, or conventional sinus surgery such as Functional Endoscopic Sinus Surgery (FESS). Medical therapy can help alleviate symptoms as many as 80% of patients but is inadequate for the rest. For them, sinus surgery is often the best option. However, FESS is a conventional surgery that requires bone and tissue removal in order to open up blocked sinus passageways. In lieu of a desired treatment, approximately 900,000 patients each year elect to live with painful sinus conditions.
There is an alternative solution in endoscopic sinus surgery with the Balloon Sinuplasty™ technology by Acclarent. A small, flexible balloon catheter is placed through a nostril into the blocked sinus passageway. The balloon is then inflated to gently restructure and open the sinus passageway, restoring normal sinus drainage and function.
Virginia Head and Neck Surgeon’s is proud to have its own Audiologist dedicated to the diagnosis and treatment of hearing and balance disorders. We also specialize in hearing aid evaluations and fittings. The hearing center is run by Dr. Andrew Silva, an Ear Nose and Throat Specialist and Dr. Kathryn Stover, Audiologist. We offer a wide array of hearing testing that can aid in the early diagnosis and treatment of hearing and balance disorders.
I am sure that everyone has heard the saying that ” not every patient is the same.” This is especially true when it comes to hearing testing. Different tests and techniques must to be used when testing children as opposed to adults. Depending on the patients age and level of understanding, a particular hearing test will be selected. We offer the following tests in our office:
Hearing Aid Evaluations and Fittings can be performed when significant hearing loss is determined and amplification is necessary. Our Audiologist will discuss with you the various styles and technology of hearing aids available, and will help you make an informed decision on instruments most appropriate for you. We offer the latest styles and technology in this rapidly changing field. You must have a current comprehensive audiogram, and children require medical clearance.
Comprehensive Audiometry is performed within the sound booth on children older than three to four years of age and adults. Pure tone sounds of different pitch and volume are presented through earphones. The patient will press a button to respond. The patient is also asked to repeat words to determine speech discrimination ability.
Conditioned Play Audiometry (CPA) is commonly used to test your toddler in the sound booth. Sounds are presented to your child through earphones at different volumes and pitches. A game is made out of the test by asking the child to place a block in a bucket each time they hear the sound. This test does require your child’s cooperation and the assistance of a parent or caregiver.
Visual Reinforcement Audiometry (VRA) is a different technique in the sound booth that can be used to get your child’s cooperation. In this test, the audiologist trains your child to look in the direction of a visual reinforcement when he or she hears a sound. This is commonly used in children six months to three years of age.
Behavioral Audiometry is commonly used to test toddlers. This test is performed in a sound booth where your childs response to certain sound levels is observed and documented.
Tympanometry is a very helpful tool to analyze the middle ear pressure and determine if there might be fluid in the middle ear space. The test also indirectly measures how well a patient’s eustachian tube functions, and can detect if there is any stiffening of the ear drum or hearing bones.
Evoked Otoacoustic Emissions (OAE) are commonly used in children to do initial or follow-up newborn screenings mandated by the Virginia Department of Health. This test is also used for children under the age of 3 yrs., when testing in the booth is difficult. It is a painless test that can be completed within minutes. It does not require your child to respond, making it perfect to use in the very young or developmentally delayed child.
Auditory Brainstem Response (ABR) testing is commonly used in both children and adults. The ABR test records the brain’s response to sound via electrodes placed on the head and ears. Small ear phones deliver the sound stimulus and record the response. This test requires the patient to be sleeping or in a very relaxed and cooperative state. The brain wave activity can be analyzed for indications of hearing loss, most commonly used to see if there is a delay between activity being relayed from the ear to the brain which might suggest a tumor or degenerative brain process.
Electrocochleography (ECOG) is a very useful test in determining the cause of vertigo in patients. It is commonly used to identify a patient at high risk for having Meniere’s Disease.
Patients and referring doctors can request a visit with our Audiologist for diagnostic hearing testing alone, or a visit with both our Audiologist and our Ear Nose and Throat Specialist. If our Audiologist feels immediate medical attention is necessary, then the physician can be consulted.
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Surgery and Surgical Patient Information
Pre-op Surgery Information
- Preop Clearance
- Loudoun Surgery Center
- Loudoun Hospital Center
- Reston Surgery Center
- Reston Hospital Center
Post-op Surgery Patient Information
- Pain Management
- Neck Surgery
- Sinus Surgery
Listed below are some of the most common surgical services and procedures that Dr. Silva and Dr. Fox perform. Click on the condition to see information from the American Academy of Otolaryngologists or related links. There are a variety of other surgical procedures that are often performed, but not listed. If you have questions, please feel to contact the office.
- Ear Aches and Tubes
- Snoring and Sleep Apnea
- Stridor and Airway Surgery
- Vocal Cord Nodules
- Cleft Lip and Cleft Palate
- Ear Tubes
- Lymphatic Malformations
- Branchial Cleft Abnormalities
- Tonsillectomy Surgery
- Facial Sports and Fracture Injuries
- Endoscopic Sinus Surgery
- Neck Masses
- Thyroglossal Duct Cyst
- Tympanoplasty (Perforated Ear Drum Repair)
- Salivary Gland Surgery
- Foreign Body Removal
- Vocal Cord Paralysis
All surgical procedures can be performed at any of the following hospitals and/or surgical centers:
- Inova Loudoun Hospital
- Inova Loudoun Ambulatory Surgical Center
- Inova Fairfax Hospital (at surgeon’s discretion)
- Point of Rocks Surgery Center
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