An Introduction to Sublingual Immunotherapy

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Sublingual Immunotherapy

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


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Sleep Apnea

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.

Preventative Measures against Loss of Hearing

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Loss of Hearing

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

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Dr Frank Brettschneider

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


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Balloon Sinuplasty

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.

Educational Webinars for Medical Professionals

Specializing in otolaryngology, Dr. Frank Brettschneider owns and operates a private practice in Port Huron, Michigan. Ensuring patients receive the highest level of care, Dr. Frank Brettschneider stays actively involved with the American Osteopathic Association, the Michigan State Medical Society, and the American Osteopathic Colleges of Ophthalmology and Otolaryngology.

The American Osteopathic Colleges of Ophthalmology and Otolaryngology gives members access to a variety of educational seminars to enhance their field of practice. The organization also works in conjunction with the American Osteopathic Association to offer a menu of on-demand webinars that focus on business operations and patient care.

Among the more recent webinars released is one titled Electronic Health Record (EHR) Optimization. Recorded on April 7, 2015, the webinar features Vanessa Bisceglie of EHR & Practice Management Consultants, Inc. An expert in health care technology, she discusses the continuous need to review optimization practices due to changing regulatory stipulations. Emphasis is placed on improving workflow, developing an understanding of end user frustrations and needs, and identifying system configurations that may impact efficiency.

An Overview of Acute Sinusitis

Board-certified in otolaryngology-head and neck surgery, oro-facial plastic surgery, and otolaryngic allergy, Dr. Frank Brettschneider is president of Port Huron ENT. Since 1990, Dr. Frank Brettschneider has helped numerous patients achieve relief from the full spectrum of ear, nose, and throat conditions, including sinusitis.

The sinuses are hollow cavities on either side of the nasal passages and in the forehead. They are normally filled with air and lined with a thin mucosal layer. Sinusitis occurs when these passages experience swelling and inflammation. This swelling prevents normal drainage of mucus, which then builds up and creates pressure, pain, and difficulty breathing through the nose. Patients may also have a cough and a discharge of a thick, yellow mucus from the nose or in the back of the throat.

Acute sinusitis comes on suddenly and may be triggered by a cold virus, allergies, bacteria, or a fungal infection. If caused by a virus, sinusitis will eventually run its course, and the goal of treatment is to ease symptoms with preparations such as saline nasal spray, corticosteroid nasal sprays, decongestants, and over-the-counter analgesics. Bacterial sinusitis is treated with antibiotics, and the rare fungal infection of the sinuses can be addressed with antifungal medications. Acute sinusitis should last no longer than four weeks. Infections lasting eight weeks or longer are labeled chronic sinusitis and may stem from other causes such as nasal polyps or a deviated septum.