Procedure promises to alleviate pounding sinus pressure - Balloon Sinuplastywave3.com-Louisville News, Weather
The treatment, called Inspire Upper Airway Stimulation, was developed by Maple Grove, Minn.-based Inspire Medical Systems Inc. Patients are implanted with a pacemaker-sized device near their collarbone. Wires running from the device are connected to the nerves that move the tongue and the chest.
Dr. Andrew Gould, a surgeon at Louisville-based Advanced ENT and Allergy, is set to implant a device in a patient on Monday. Company officials believe this to be the first such procedure performed in Kentucky. The treatment was approved by the U.S. Food and Drug Administration last summer.
In an interview on Friday, Gould told me that this concept has been in development some time. He first heard about it 15 years ago and it's taken some time to develop, conduct trials and bring to market. Gould was involved in a clinical trial of a similar device that enrolled 14 patients in 2012.
The device essentially pushes the tongue forward, slightly past the teeth. He said it isn't painful for patients, but they can feel the tongue being moved. Using a wireless transmitter, patients program it to be active only during the hours they sleep. The device is under the skin and isn't visible, for the most part — although its outline might be visible on a very thin patient.
Gould said the device is generally for patients who have not had success with conventional treatments, such as continuous positive airway pressure , or CPAP, machines. He believes the Inspire treatment is better than alternative surgeries, which remove tissue from inside the patient's airways. Those procedures are very aggressive and often require a lot of recovery time. The Inspire device can be implanted during an outpatient procedure.
He declined to say how much the treatment costs. He also noted that insurance companies are not paying for it yet because they still consider the treatment experimental despite the FDA approval.
Advanced ENT and Allergy has been doing clinical research since 2000, according to Gould, who is a partner in the practice and its director for clinical research. It has conducted more than 60 clinical trials in that time.
"We all love the innovation and new technology and the challenges that it brings."
The practice has 14 doctors at 10 locations, including in Louisville, Southern Indiana, Shelbyville and Bardstown.
A Kentucky native, Dr. Ingram received her Doctorate of Medicine with honors from the University of Louisville, and completed her Otolaryngology Head and Neck Surgery Residency at Southern Illinois University in Springfield, also with honors. She is a Magna Cum Laude graduate of Georgetown College in Georgetown, Ky., where she received her undergraduate degree in 2005. With the addition of Dr. Ingram, the group of 14 physicians will be increasing their availability in providing full service ear, nose, throat, allergy and audiology services to patients throughout Kentuckiana. “It is very exciting to have Dr. Ingram join our practice. I am impressed with her excellent blend of education and knowledge with a passion for community healthcare”, said Advanced ENT and Allergy CEO Jolene Eicher.
“I’m pleased to be coming back home to Kentucky and participating in the growth of Advanced ENT and Allergy in the Louisville area,” said Dr. Ingram. “My career objective has been to ensure people have access to ear, nose and throat care, and I’m excited to be able to do that in my native Kentucky.” Advanced ENT and Allergy physicians care for children and adults, treating common conditions such as allergies, sinus infections, tonsillitis, sleep apnea, hearing loss, thyroid disorders among many other conditions. They also are recognized for treating complex conditions such as head and neck cancer. Advanced ENT and Allergy offers 10 licensed audiologists that provide hearing tests and an array of other technologically advanced hearing services throughout its network.
Advanced ENT and Allergy has 10 office locations and same day appointments are available by calling (502) 893-0159.
Louisville, KY - Louisville’s Advanced ENT and Allergy is pleased to announce the expansion of the practice, with the opening of their ninth location at Norton Brownsboro Medical Plaza, in Louisville, KY.
This state-of-the-art medical office will serve the growing population on the east side of Louisville, including Prospect and other Oldham County communities. The staff will provide full-service Otolaryngology and Audiology medical services to adults and children. Advanced ENT and Allergy is the largest ENT practice in the Kentuckiana area, offering 13 board certified physicians and 10 licensed audiologists.
Otolaryngologist Dr. Andrew Gould, who currently practices at the Dupont and Bardstown locations, will lead the practice at the new location. “This addition brings much needed ENT and allergy relief services to this fast-growing area of our city.” Dr. Gould said.
Dr. Gould is a Board Certified ear, nose and throat physician with related head and neck surgery certification. He is currently the Director of Research at Advanced ENT and Allergy, conducting more than 55 clinical trials that have been instrumental in the development of many medications and techniques in sinus surgery. Dr. Gould has been named one of our region’s top endoscopic sinus surgeons by Louisville Magazine.
“We are pleased to continue to grow Advanced ENT and Allergy’s footprint in Kentuckiana and we’re committed to offering the highest level of care to allergy and ENT patients at all of our locations,” said Advanced ENT and Allergy’s CEO Jolene Eicher.
The office is located in suite 200 of the Norton Medical Plaza II building at 9880 Angie’s Way in Louisville, KY. Same day appointments are available by calling (502) 893-0159.
LOUISVILLE, KY (WAVE)- A new device for the treatment of sleep apnea is being studied across the country including one study site in Louisville. It's called the Apnex HGNS System. Dr. David Winslow is the Medical Director and Principal Investigator for Kentucky Research and with the help of Advanced ENT & Allergy's Dr. Andrew Gould to implant the device, he'll enroll 10 to 15 patients locally.
Here's how it works: The implantable therapy is placed under the skin, much like a pacemaker. An electrode works with a patient's breath patterns to stimulate the nerve in the throat that controls the back of the tongue. Called the hypolglossal nerve, "it moves the tongue forward and opens up the lower airway " Dr. Winslow said, "and the lower part of the throat basically opens it up and cures sleep apnea in most cases."
The device can be programmed to come on and shut off automatically, or the patient can also control the device through a remote control. While the device is on, the patient is unable to speak, so it's only used during the sleeping hours.
It may become a surgical option for people who've not found success using more traditional treatments like C-Pap. People need to come to terms, am I at the point I want to consider a surgical procedure" Dr. Gould said, "it's not a simple thing. I think people need to be aware we're making several incisions although they're small, but we are placing electrodes on important nerves." In an initial study in Australia, the device appears to be quite promising. "In the original study they had around 36 patients," Dr. Winslow said, "and when it was all said and done almost every one of those patients were either cured or almost cured."
Bonnie Stark is the first patient in Louisville and across the country to get the implanted device activated. She's suffered with sleep apnea for 10 years and tried C-Pap without success.
Left untreated, some studies point to increased risk of heart disease, stroke and diabetes. Bonnie didn't hesitate to give the device a try. Within minutes of activating the device during Bonnie's sleep, years of sleep apnea induced snoring came to an end.
"The snoring got less and less and less and finally there was no snoring at all and her apnea went away. That was a big moment for me" described Winslow.
Stark feels that finally getting treatment for this condition could prolong her life.
It's an experimental treatment and is not without risks of infection and other complications.
Speech pathologists provide diagnostic and rehabilitative services for voice and/or swallowing disorders to patients with progressive neurogenic diseases, cancer of the head and neck as well as problems with voice that may result from improper use/abuse of the voice. Voice issues may also be the result of physiological issues such as reflux disease.
Difficulty producing normal sounding voice can occur at any age for a number of reasons. Unhealthy vocal cords can cause you to sound old, tired, or ill when you are not. The voice can be overused, misused and abused with predictable consequences. Symptoms of a voice disorder may include: hoarseness, breathiness, loss of pitch range, change in pitch where voice sounds either too high or too low, feeling short of breath, as well as breaks or stain in the voice.
Difficulty swallowing is called dysphagia. It can involve the mouth and the throat areas. Symptoms of a swallowing disorder may include: drooling, sensation of something stuck in the throat, frequent choking episodes, chronic cough, excessive phlegm, and frequent regurgitation of food and/or liquid. Dysphagia may lead to aspiration pneumonia. Aspiration pneumonia is an inflammation of the lungs as a result of food, liquid and/or saliva passing into the lungs instead of the stomach.
Discuss your symptoms with your physician. Your physician will conduct an exam and determine the nature of your complaint and refer to speech pathology as indicated.
The first visit to the speech pathologist will be to evaluate the nature or your voice and/or swallowing problems. Most initial visits last thirty minutes to one hour on length.
How Often Do I Have to Come to Therapy and How Long?
If therapy is recommended after your initial visit, the speech pathologist will discuss your plan of care with you. Most therapy visits last for thirty minutes. Frequency is usually once or twice a week. Duration is dependent on the severity of your problem.
Please contact any of our office locations for referral instructions and appointments.
To avoid poking through to the brain or into the orbit of an eye, there's a device around the patient's head with a guidance system that tells the surgeon, in three dimensions, exactly where his sharp instruments are on a CT scan of the patients head.
We are pleased to announce the formation of Advanced ENT and Allergy: a new practice partnership that unites Ohio Valley ENT & Allergy, Louisville ENT & Associates, and Commonwealth Ear, Nose and Throat.
The merger took effect March 1, 2010. What this means is:
By uniting the leading area ENT and Allergy physicians and consolidating some of our departments under a professional management team, we will now have more resources, more group knowledge and more time to spend on your care.
According to Dr. Kenneth M. Hodge, M.D., board chair of Advanced ENT and Allergy, the goal of bringing the practices together is to focus on new and developing technologies and patient services while continuing professional and personalized relationships that the practices have developed over the last 30 years.
“This new structure allows us to streamline our administrative tasks so that, as doctors, we can stay focused on our patients and bring our depth of talent and specialized training to any ear, nose and throat problem regardless of its size or scope,” said Hodge.
Together, the practices that now comprise Advanced ENT & Allergy are able to coordinate patient care by taking advantage of opportunities to integrate patient communications systems through electronic patient health records which enhance the timeliness of diagnostic reports, treatments and coordinated scheduling.
Advanced ENT and Allergy provides a full spectrum of ear, nose and throat care as well as head and neck surgery. The practice includes six centers of excellence: The Allergy Center, The Hearing Center, The Sinus Center, The Thyroid Center, The Aesthetic Center and The Clinical Research Center which tests and develops cutting edge products and services.
As a result of the merger, Advanced ENT & Allergy employees more than 125 supporting personnel including Timothy Jarm, CEO and Jolene Eicher, COO. The practice is expected to manage more than 50,000 patient visits per year. Advanced ENT & Allergy participates in all major insurance plans and is affiliated with almost all hospitals in the region.
We believe that the merger will give our doctors the opportunity to enhance their expertise and improve your care. Thank you so much and we look forward to serving you even better in the future. Ahead of the curve, relief right around the corner.