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.

The Many Uses of BOTOX or Botulinum Toxin



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

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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.

Causes and Signs of Hearing Difficulties in Infants

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Hearing loss in infants


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.

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.

Causes and Effects of Salivary Gland Stones

An experienced otolaryngologist, Dr. Frank Brettschneider has treated many conditions of the salivary glands. Dr. Frank Brettschneider provides both medical and surgical therapies for salivary stones and related conditions.

The parotid, sublingual, and submandibular glands produce the saliva that people need to digest food and fight against tooth decay. However, a condition known as sialolithiasis can block these glands and interrupt the release of saliva. This occurs when salivary chemicals like calcium collect in the gland or duct and begin to form stones, which are not noticeable to the patient until they close off the duct and cause saliva to collect in the gland.

As the saliva pools in the gland, the patient may feel intermittent pain. If the condition remains untreated, it may cause the gland to become infected or inflamed. When this happens, the patient may feel a lump or taste the drainage of pus into the mouth. Saliva-stimulating treatments or gentle massage may help to pass the stone in less severe cases, though some patients may require surgical removal of the stone from the gland.