An Introduction to Sublingual Immunotherapy

Sublingual Immunotherapy pic
Sublingual Immunotherapy
Image: aaaai.org

As president of Port Huron Ear, Nose, and Throat in Michigan, Dr. Frank Brettschneider offers a variety of treatments for allergies. Dr. Frank Brettschneider and his colleagues make use of sublingual immunotherapy, a non-injective treatment methodology.

Sublingual immunotherapy offers preventive care for allergies by increasing tolerance to the allergen over time. It involves first determining the patient’s specific sensitivities. This information then allows the treating physician to prepare or prescribe a targeted allergen extract, which the patient places under the tongue for up to two minutes before swallowing. The patient repeats the process at home, three to seven days per week for approximately three to five years, depending on individual needs.

Sublingual immunotherapy currently stands out as the first preventive treatment not to require injections at an allergist’s office. It enables patients to self-administer, provided they adhere to specific dosage instructions and remain watchful for potential reactions, which may require treatment cessation and/or medical attention. It is currently available off label and for certain inhalant allergies, including dust mites and ragweed.

Sleep Apnea in Children

 

Sleep Apnea pic
Sleep Apnea
Image: sleepapnea.org

Dr. Frank Brettschneider, who heads an otolaryngology practice, helps patients with nose, ear, and throat conditions, including sleep apnea. In addition to seeing adults with the condition, Dr. Frank Brettschneider has treated children experiencing the sleep disorder.

Children with sleep apnea, a condition in which their breathing becomes blocked during the night, can experience a number of negative side effects on their overall health and well-being. For instance, they might have headaches or feel sleepy during the school day due to poorer-quality sleep at night. Parents often have a tough time waking up a child with sleep apnea in the morning. They might also notice that the child snores loudly at night and breathes through his or her mouth.

Sleep apnea in children has a number of possible causes. For instance, larger-than-normal adenoids and tonsils can partially block air flow as the child breathes while asleep. Excess weight, factors related to jaw and mouth structure, and experiencing second-hand cigarette smoke may be other contributing factors. If parents suspect that their child has sleep apnea, they should take him or her to a qualified medical professional for evaluation and treatment to address the issue as necessary.

The Many Uses of BOTOX or Botulinum Toxin

BOTOX

 

Dr. Frank Brettschneider is an accomplished otolaryngologist, surgeon, allergist, and osteopathic doctor with a private practice at Port Huron E.N.T. in Michigan. With a triple board certification in otolaryngology, otolaryngic allergy, and oro-facial plastic, Dr. Frank Brettschneider can provide a range of services to his patients for health or cosmetic reasons. One of the many services available at Port Huron E.N.T. is BOTOX injections.

BOTOX is the trade name for onabotulinumtoxinA, a drug containing botulinum toxin, which is derived from the generally quite poisonous clostridium botulinum bacterium, which is also the cause of the deadly disease botulism.

Botulinum toxin has been used in other contexts for years, and BOTOX was created in 1987, when an ophthalmologist named Jean Carruthers was using it to help patients with spasms in their eye region and noticed that it also made wrinkles disappear. Since then, BOTOX has been approved in 78 countries for cosmetic use, and is a very common treatment today for wrinkles and fine lines. It is generally quite safe in its current use, but there can be side effects and it’s important to get the treatment from a qualified professional.

Increasingly, researchers are studying a range of possible medical uses for botulinum toxin, and it has been shown to help with severe chronic migraines, arthritis, and even for excessive underarm sweating. A small Norwegian study showed that botulinum injections into the lower half of the stomachs of 20 people with obesity helped 75 percent of them lose weight.

Preventative Measures against Loss of Hearing

Loss of Hearing pic
Loss of Hearing
Image: webmd.com

An accomplished ear, nose, and throat specialist, Dr. Frank Brettschneider sees patients at his Port Huron, Michigan, office. Among the individuals Dr. Frank Brettschneider treats are those with hearing loss.

Hearing loss is a common condition that often occurs as people age. However, certain factors can speed up the problem or make it more likely to occur. Therefore, doctors recommend that people follow certain guidelines to prevent hearing loss or slow the progression of the condition.

For instance, you should take care to avoid places and situations with excessively loud noises. You can tell if the noises are too loud if you need to yell to make yourself heard over them. Music at high volumes and noise from construction equipment are a couple of examples. By leaving the area as soon as possible, you can minimize the potential harmful effects of the noise. Similarly, wearing well-fitting earmuffs, earplugs, or even a combination of the two when in a loud place can further help safeguard your hearing.

Other helpful actions include cleaning earwax out of the ears safely. Instead of using a cotton swab, which can make earwax get stuck inside the ear, use an irrigation product specifically designed to remove wax from the ear. Additionally, be sure to get your hearing tested periodically, especially if you start to notice changes in the way you discern sounds. A doctor can identify potential problems at this visit and recommend treatment if necessary.

Options for Treatment of Sinusitis

Dr Frank Brettschneider pic
Dr Frank Brettschneider
Image: porthuronent.com

As president of Port Huron Ear, Nose, and Throat, Dr. Frank Brettschneider builds on more than 30 years of practice experience. Dr. Frank Brettschneider regularly treats patients with acute or chronic sinusitis.

Treatment of sinusitis depends on its duration, severity, and cause. Patients with bacterial sinusitis can benefit from a course of antibiotics, though some physicians believe that such infections are rare and that antibiotics are unhelpful for the majority of sinusitis sufferers, whose condition is more likely to stem from viruses or allergies.

Those with sinusitis due to allergies may find relief through antihistamines or allergy shots. Some symptom relief may be achieved through painkillers and decongestants, the latter of which can help to thin collected mucus and improve drainage. Patients may achieve a similar effect through nasal irrigation, warm heat, or steam vapor inhalation, although those with severe swelling may require a prescription for an inhaled or oral steroid.

If a patient’s sinusitis recurs or endures for an extended period of time, surgery may be necessary. Performed either endoscopically or through a traditional incision, surgery aims to remove blockages and encourage the sinuses to drain. Finally, some patients may be eligible for an alternative surgery known as balloon sinuplasty, which allows the surgeon to effect incision-free drainage using an inflatable catheter.

The Benefits of Balloon Sinuplasty

 

Balloon Sinuplasty pic
Balloon Sinuplasty
Image: porthuronent.com

A Michigan-based otolaryngologist, Dr. Frank Brettschneider treats patients at Port Huron Ear, Nose, and Throat, PC. Dr. Frank Brettschneider specializes in orofacial plastic surgery, laryngoscopy, and balloon sinuplasty.

An endoscopic, catheter-based system, balloon sinuplasty offers relief from sinus pain. The technology, which takes an average of 73 minutes to administer, allows otolaryngologists to open up blocked sinus passageways without cutting the nasal bone or any tissue. As a result, patients experience less bleeding and minimal pain following a procedure. In addition, they typically have quicker recovery times, returning to regular activity within two days.

The technology has been used to treat more than 380,000 patients to date. Most patients who undergo a balloon sinuplasty enjoy long-term relief. In fact, the Annals of Otology, Rhinology, and Laryngology reported that 95 percent of 1,036 patients observed in a clinical study of balloon sinuplasty outcomes continued to experience symptom relief of sinus pain following nine months of treatment. Another study, published in Otolaryngology-Head and Neck Surgery, found that a majority of patients maintained an improved quality of life and symptom relief after two years.

Causes and Signs of Hearing Difficulties in Infants

Hearing loss in infants Image: cdc.gov
Hearing loss in infants
Image: cdc.gov

 

Dr. Frank Brettschneider, a privately practicing otolaryngologist and oro-facial plastic surgeon, welcomes a diverse range of patients with hearing loss. Dr. Frank Brettschneider builds on extensive experience in performing hearing screenings for newborn babies.

Hearing loss in children may be either a congenital or acquired condition. Congenital hearing loss, often diagnosed at birth, develops as a result of heredity or from problems in pregnancy or delivery. Premature birth may also put a baby at risk of congenital hearing loss, as can a neurologic disorder.

However, some infants do develop hearing loss during the first months or years of life. Hearing loss in these children may be a secondary condition to an infection, such as meningitis or influenza. Children may also lose hearing following a head injury, after exposure to extremely loud noise, or as a reaction to a particular medication. Parents are often the first to notice hearing loss in such cases.

Many parents begin to suspect hearing loss when they realize that their babies no longer jump or startle at a loud noise. They may notice that the baby is not responding to music or soothing voices, or that the child does not appear to be producing sound as expected. Most babies begin to coo by 2 months of age and babble by 4 to 8 months of age, and failure to do so may be a sign of hearing loss. This is particularly likely if the child does not turn toward an unseen sound, respond to changes in tone of voice, or enjoy playing with noisemaking toys.

Development in hearing and speech involves a variety of processes, and only a physician can assess whether a child’s delays stem from hearing problems or other issues. Parents should discuss any concerns they might have with the child’s pediatrician or a specialist.