the magazine pdf - South Florida ENT Associates

Volume 1 Issue 1
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Welcome
would like to personally welcome you to the first edition of the South Florida ENT (Ear,
Nose and Throat) Associates’ Magazine! We are very excited to bring you the latest news
in ENT care and services. In this issue, we will provide you with information on state of the art
treatments and procedures as well as common problems we see as ENT physicians.
Our group consists of 42 board certified ear, nose, and throat physicians in the South Florida.
We are located throughout Miami-Dade, Broward, and Palm Beach County. The physicians of South Florida ENT
Associates have been caring for patients in the South Florida area for over 30 years. We are proud to bring you the best
care for ENT conditions in the South Florida area. Our services are wide ranging and comprise every service for ENT,
allergy and hearing services to ensure your complete care and comfort.
Our services extend beyond just ear, nose and throat to include complete Audiological Services, Facial Plastics and
Cosmetic Procedures, Voice Rehabilitation, Allergy Services and a range of diagnostic procedures. For additional
information about our locations, services, or to contact us, please visit our website at www.sfenta.com.
South Florida ENT is dedicated to keeping abreast of the most advanced and current technology and by doing so; the
past year has been filled with many exciting new advances made in our practice which enable us to better serve the
community.
•
Expansion into Broward and Palm Beach County, adding locations in Boca Raton, Lighthouse Point, Ft.
Lauderdale, and Margate.
Implemented a state-of-the-art EMR (Electronic Medical Record) system which provides continuity of care,
the ability to share data, electronic prescribing and many patients’ safety features into each of our 35 plus
locations.
The new Web-based Patient Portal lets patients and doctors communicate easily, safely, and securely over
the Internet.
•
•
SFENTA Physicians have the finest training and experience and can treat a variety of conditions. Our ENT services
include diagnostics and treatment for sinusitis treatment, sinus surgery, allergy treatments, facial plastic surgery, head
and neck surgery, laser surgery, nasal and laser endoscopic sinus surgery, Robotic surgery, voice disorders, sleep
apnea and other sleep disorders, hearing disorders, digital hearing aids, Rhinoplasty, vertigo treatment, pediatric ENT
care, and more. Please feel free to contact us if you have any questions or would like to share your feedback on any of
the articles by sending an email to info@southfloridaent.com. We look forward to our next edition and hope you enjoy
your readings!
Sincerely,
Jonathan D. Cooper, M.D.
President, South Florida ENT Associates, P.A.
Inside This Issue
Letter from the CEO
The Minimal Incision Necklift…The surgical solution for the aging neck
The Physicians of South Florida Associates, P.A.
When Professionals Lose Their Voice...Medical Technology Offers Help
New Technique in Treating Chronic Sinus Infections Now Available in South Florida
Undiagnosed and Untreated
Allergy Season
Medical
South Florida ENT Associates, P.A. Magazine is designed and published by Custom Medical Design Group. To advertise in an
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3
Letter from the CEO
his has been an exciting year for South Florida ENT Associates. Not only are our physicians fully electronic
utilizing our Electronic Health Record system, but we are also implementing a Web-based Patient Portal which
allows patients and doctors to communicate easily, safely and securely over the Internet. Patients are provided a
secure password that allows them to log into our system to see their own private set of documents including labs,
diagnostics, statements and messages. Doctors can automatically remind patients of their appointments, procedure
due dates and also send them patient statements and lab results electronically—minimizing the need for patients to
call the office.
Our Patient Portal uses leading edge technology to promote healthcare. It is an exceptional tool to communicate with patients and is fully HIPAA compliant.
The Patient Portal allows patients to schedule appointments, view prescription information, lab results, diagnostic results and appointment
information in a timely manner. Patients can also request prescription refills, send and receive messages to and from the doctor or nurse, complete
health assessments, examine their statements to see their balance and much more.
Using the Patient Portal, providers have faster and timelier interaction with the patient, and no wasted time playing “phone tag” with patients. Instant
Medical History provides an additional level of secure communication between patient and provider, allowing providers to be informed and pro-active
at the time of the encounter.
In the future, South Florida ENT Associates will be looking forward to integration with the Health Information Exchange (HIE), currently in the process
of being developed with local hospitals. The HIE, which is under federal regulations, will again improve patient care. It enables faster more accurate
diagnosis, enhances care coordination, prevents harmful drug interactions, and eliminates redundant tests and procedures. This technology will
improve patient care and reduce cost and inefficiencies of isolated medical files.
South Florida ENT Associates is proud to be a leader in the South Florida community both clinically and with technological solutions to improve and
enhance the patient experience.
If you would like to contact me about the magazine, group or have any questions please email me at scitrin@southfloridaent.com.
Sincerely,
Stacey Citrin, MBA
Chief Executive Officer, South Florida ENT Associates, P.A.
South Florida ENT Associates, P.A. Locations
� Aventura, FL
21150 Biscayne Blvd., #102
Aventura, FL 33180
305-935-6000
305-682-8831
2845 Aventura Blvd., #248
Aventura, FL 33180
786-488-6542
20601 East Dixie Hwy., 310
Aventura, FL 33180
305-932-6375
#
� Boca Raton, FL
7284 Palmetto Park Rd., #105
Boca Raton, FL 33433
561-353-7377
� Coconut Grove, FL
3661 S. Miami Ave., #409
Miami, FL 33133
305-854-5971
� Coral Gables, FL
6705 Red Rd., #704
Coral Gables, FL 33143
305-666-0203
4
747 Ponce De Leon Blvd. #305
Coral Gables, FL 33134
305-444-4903
� Doral, FL
8726 NW 26th St., Unit #3
Doral, FL 33172
786-228-3164
777 East 25 St., #320
Hialeah, FL 33013
305-836-2044
9915 NW 41st St., #220
Doral, FL 33178
305-822-9035
� Hollywood, FL
3850 Hollywood Blvd., #401
Hollywood, FL 33021
954-961-8153
� Ft. Lauderdale, FL
1317 SE 4th Ave.
Fort Lauderdale, FL 33316
954-583-7770
4700 Sheridan St., Suite K
Hollywood, FL 33021
954-966-7000
1625 SE 3rd Ave., #717
Fort Lauderdale, FL 33316
954-760-7836
� Homestead, FL
925 N.E. 30th Terrace, #214
Homestead, FL 33030
305-245-5881
3079 E. Commercial Blvd., 1st Fl.
� Kendall, FL
Fort Lauderdale, FL 33308
8940 N. Kendall Dr., #504
954-776-0620
Miami, FL 33176
305-595-6200
� Hallandale, FL
2100 E. Hallandale Bch Blvd., #405
9000 SW 137 Ave., #115
Hallandale, FL 33009
Miami, FL 33186
954-454-0544
305-380-6773
� Hialeah, FL
9275 SW 152nd St., #212
7100 West 20 Ave., #315
Miami, FL 33157
Hialeah, FL 33016
305-255-5995
305-558-1417
305-254-9631
7100 West 20 Ave., #105
Hialeah, FL 33016
305-557-4016
11760 SW 40 St., #743
Miami, FL 33175
305-225-5774
� North Miami, FL
1190 NW 95 St., #200
Miami, FL 33150
305-691-2550
� Lauderdale Lakes, FL
4850 West Oakland Park Blvd., #102 � Pembroke Pines, FL
601 N. Flamingo Rd., #106
Lauderdale Lakes, FL 33313
Pembroke Pines, FL 33028
954-486-4180
954-432-6620
954-442-0571
� Lighthouse Point, FL
954-431-8281
3170 N Federal Hwy., #204
Lighthouse Point, FL 33064
17913 NW 7 St., #102
Pembroke Pines, FL 33029
� Margate, FL
954-438-4380
#
5800 Colonial Dr., 105
Margate, FL 33063
� Miami, FL
1321 NW 14 St., #204
Miami, FL 33125
305-325-0090
1350 SW 57 Ave. #210
Miami, FL 33144
305-441-0744
500 N Hiatus Rd., #101
Pembroke Pines, FL 33026
954-438-7171
18501 Pines Blvd. #210
Pembroke Pines, FL 33029
954-237-2505
11760 SW 40th St., #743
Miami, FL 33175
� Plantation, FL
201 NW 82nd Ave. #404
Plantation, FL 33324
954-472-1212
� Miami Beach, FL
4302 Alton Rd., #650
Miami Beach, FL 33140
305-531-7637
� Weston, FL
17180 Royal Palm Blvd.,#1
Weston, FL 33326
954-389-1414
WWW.SFENTA.com
The Minimal Incision Necklift…The surgical
solution for the aging neck
By Andres Bustillo, M.D., F.A.C.S.
NTRODUCTION
The necklift is a surgical procedure that rejuvenates
the neck. This is an operation that helps to improve the
neck contour in certain patients that may not need the
comprehensive facial rejuvenation that a facelift provides.
The aging seen in the neck begins in the late twenties. However,
visible changes usually become apparent in the late thirties.
These changes are due to transformations that occur in the skin,
fat, and muscles of the neck.
The skin is one of the first components that begins to age. The
amount and quality of the collagen and elastin, both important
structural proteins in the skin, begin to decrease. This allows for
weakening and thinning of the skin. The skin looses elasticity
and increases in laxity. You can test your skin’s laxity by
pinching the area under the chin, pulling it and then letting it go.
Skin that is lax will not snap back.
The platysma
muscle originates
in the lower face
and runs down the
entire neck. This
muscle descends,
in both the face
and neck, with age.
It can sometimes
cause the bands that
appear in the front of
the neck.
Female demonstrating the beginning of the
neck aging process. The is mild platysma
descent and skin laxity.
THE AGING NECK:
REDUNDACY,
INFLATION, AND
MUSCLE DESCENT
The aging neck is one of the most challenging areas to treat in
facial rejuvenation surgery. The transformations that occur in
the neck as a result of the aging process are increasing skin
redundancy, inflation, and muscle descent. The surgeon should
plan and address these during the surgery to maximally improve
the neck contour.
The platysma muscle runs from the lower face down into the
neck. With aging, this muscle descends and may cause the
neckbands that are commonly seen in the neck. In addition,
the loosening of the muscle may add fullness in the neck below
the jawline. The necklift procedure addresses the muscle by
tightening it centrally below the chin and laterally near the corner
of the jawbone.
Female patient demonstrating an
aging neck. There are platysma
neck bands and skin laxity.
Same patient, oblique view.
The submental area, just underneath the chin, is an area
where the accumulation of fat can cause an inflation in the
neck. Fat removal should be performed judiciously in order to
sculpt the neck adequately, yet maintain a natural appearance.
Overzealous fat removal in this area can skeletonize the neck
and allow the underlying neck structures to be visible through
the skin.
Over time, the neck
skin can loose elasticity
and become lax. This
leads to a redundancy
of the skin over the
neck. While the necklift
procedure tightens
the underlying neck
muscles and removes
the excess skin
redundacy, it does not
address the inherent
Female patient with an aging neck.
laxity that the person’s
skin may have. The person with excessive skin laxity may have
a less then ideal result in the neck as a consequence. This
patient may benefit from certain skin tightening non-invasive
procedures after the surgery. It is a well-known fact that necklifts
may not satisfy all patients in the neck area. The reason is
usually excessive skin laxity, which surgery cannot completely
address.
TECHNIQUE AND INCISIONS
The necklift procedure treats the aging neck by removing the
fat accumulation under the neck, tightening the neck muscles
and then removing the excess skin. The procedure is performed
through three small incisions. The first incision is below the
chin, hidden in the small crease that lies just behind the chin.
Through this incision, the fat is removed and the platysma neck
muscles are tightened (centrally). The other two incisions are
placed behind each ear. These are used to tighten the neck
5
muscles laterally and to remove the excess skin. By tightening
the platysma centrally and laterally, maximum tightening of the
underlying tissues is achieved. The incisions are all placed in
hidden areas. Once healed, they are virtually imperceptible.
technique, results are better than they ever were, there are
still limitations. It is important that the patient have a good
understanding of what can be achieved. Clear communication
between the patient and the surgeon is very important.
ARE YOU A CANDIDATE FOR THE NECKLIFT
The majority of patients that undergo the necklift operation do
so in their early forties and on. Occasionally, patients with
premature neck aging or weight loss will undergo the surgery at
an earlier age. Patients that have had a facelift, and are content
with the facial rejuvenation but are discontent with the neck
rejuvenation are also good candidates for the necklift.
Surgeons are human and therefore are not perfect. While
most necklift patients enjoy the benefits of an improved neck,
it is important to remember that surgery, like all other human
actions, is not perfect. A skilled surgeon can achieve near
perfection. However, one must remember that the skin and
soft tissues the surgeon works with can have inherent laxity
and weakness
CONSULTATION
The consultation begins with a discussion about the specific
issues and concerns that the patient may have. It is important to
discuss whether the neck aging has occurred slowly over time or
recently in the last several years. Any recent weight loss or plans
for weight loss are discussed so that the surgery can be planned
at the appropriate time.
Female with aging neck. There
is some platysma descent and
moderate skin laxity.
Same patient after undergoing a
necklift procedure by Dr. Bustillo.
People are many times confused about what exactly a necklift
corrects. The goal of a necklift procedure is to rejuvenate the
neck. The face and jowls are not rejuvenated with a necklift.
The facelift is the procedure of choice for rejuvenation of these
two areas.
Female with a history of a previous Same patient after a necklift
facelift by another surgeon who
procedure by Dr. Bustillo.
now experiences a sagging neck.
The decision about having the necklift operation is a very important and personal one. You should consult with your surgeon
and your family. For most people that undergo the procedure,
the results are life changing. Patients describe an increase in
confidence and boost in self-esteem. They feel rejuvenated and
feel more comfortable in social settings and in pictures.
The ideal patient must have the proper expectation before
undergoing surgery. Although with the minimal incision necklift
6
A thorough physical examination is performed. The neck is
examined and palpated. The amount of neck fat is determined
and then the amount of muscle descent is examined. The skin
laxity is tested. The laxity will help to determine the degree of
correction that the patient will achieve.
The patient and I then have a discussion about the
result that I believe can be achieved with surgery. The patient
should understand exactly what the necklift procedure will
achieve for them, so that an informed decision can be
made. The procedure is explained in detail and all questions
are answered.
PREPARATION
All patients are required to obtain pre-operative labs and a
medical clearance from their primary care physician prior to
surgery. All aspirin, anti-inflammatory products (naproxen,
ibuprofen), and vitamins such as A, ginkgo biloba, and St.
John’s wart should be discontinued ten days before surgery
because they may interfere with blood clotting and cause
bruising. Alcohol should also be avoided for five days before
surgery to avoid swelling. Patients are required to start high
dose vitamin C two weeks before and two weeks after to help
with the healing and to reduce bruising.
ANESTHESIA
The facelift surgery is performed on an outpatient basis in
AAASF-certified surgical facility. Because I believe that patients
recover best outside of a medical environment, they are allowed
to allowed to return home or to their hotel room the same day
after they recover. All surgeries that require anesthesia are staffed
by board certified anesthesiologists, which are part of the Baptist
Hospital Anesthesiology Department.
The necklift procedure can be performed
under different anesthesia modalities,
depending on the patient and the
adjunctive procedures being performed.
If the patient is having the necklift
operation alone, it may be done with
either local anesthesia or IV sedation
anesthesia. However, if the necklift is
being performed in combination with
eyelid surgery, either IV sedation or
general anesthesia is used. Certain
patients may require general anesthesia
for safety reasons. The necklift
procedure takes about one and a half
hours to perform.
RISKS
The necklift operation, like all surgery,
does have risks aside from those of
anesthesia. The highest risk patients are
smokers. Patients who smoke should
refrain from smoking for approximately
two weeks before the surgery. The
nicotine patch is not a substitute for
smoking cessation as far aesthetic
surgery is concerned. Nicotine causes the
small blood vessels to become narrower,
which decreases the blood flow to the
skin. The potential complication in a
smoker is the death of the neck skin,
resulting in a poor outcome with facial
scarring and possible infection. The
necklift surgery will not be performed on
an active smoker.
A hematoma is a collection of blood
that can accumulate under the skin.
Although rare, it can occur after a
necklift. The risk of hematoma is about
1%. The treatment usually entails
draining it in the office. Most patients
that have a hematoma after surgery
recover well without any complications.
Infections after necklift surgery are also
rare. Patients are given antibiotics prior
to surgery and after surgery to help
prevent infections.
RECOVERY
The patient is discharged home the
same day after surgery. The first night
should be spent relaxed. Activity should
be kept to a minimum. A liquid diet is
best for the first eighteen hours after
anesthesia. The head should be kept
elevated using two pillows to help
reduce swelling.
The neck will be wrapped with a
bandage used to keep the skin flat.
Pain should be minimal. Tylenol is
usually enough to control any minor
discomfort. Additional pain medication
will be provided, in the event that it is
needed. Any significant pain should be
reported to Dr. Bustillo immediately, as
this may signal bleeding under the skin.
If a blepharoplasty was performed,
some mild bruising may be visible
around the eyes.
The patient is then seen the morning
after surgery. The bandage will be
removed on the first day after surgery. It
is normal for some bruising to appear in
the neck. A small bandage is then worn
for five days while the healing occurs.
On the fifth post-operative day, the small
stitches under the chin are removed.
Patients can usually shower and wash
their hair after this second visit.
Most patients return to work and
daily activities about one week after
surgery. Seventy percent of the swelling
resolves in the first two weeks. It is
recommended that physical activity,
such as running or lifting be resumed
three weeks after the surgery. The
remainder of the swelling can take up to
two months to completely resolve. This
remaining swelling is imperceptible.
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The final results of the surgery may
not be completely evident until several
months after the surgery. The results
of a necklift operation usually turn back
the clock approximately ten years and the
results last about ten years. Most patients
who undergo neck rejuvenation surgery
are extremely happy with the results.
Andres Bustillo, MD, FACS
Facial Plastic Surgery
6705 Red Road, Suite 706
Coral Gables, FL 33143
305-663-3380
www.drbustillo.com
7
8
Augustin Arrieta, M.D.
William J. Brown, M.D.
Richard Callari, M.D.
Jonathan Cooper, M.D.
Steven Fletcher, M.D.,
F.A.C.S.
A. Clifford Foster, M.D.,
F.A.C.S.
Paul Foster, M.D.,
F.A.C.S.
Scott Goldberg, M.D.
Sabine Hesse, M.D.
Edward Hillman, M.D.,
F.A.C.S.
Abraham Jaguan, M.D.
David Jassir, M.D.
Meron J. Levitats, M.D.
Robert Maliner, M.D.,
F.A.C.S.
Felipe Martinez, M.D.,
F.A.C.S.
Moises Mitrani, M.D.
Ignacio Rodriguez, M.D.
Craig Shapiro, D.O.
Mark Sukenik, M.D.
Steven Tarkan, M.D.
Physicians
William Ditkowsky, M.D.
Brian Dougherty, M.D.
Carl Drucker, M.D.,
F.A.C.S.
Alberto Fernandez, M.D.
Lawrence Grobman, M.D.
Horacio Groisman, M.D.
Kendall L. Hanft, M.D.
Jorge Helo, M.D.
Paul Kleidermacher, M.D.
Moises Kravecas, M.D.
Frank Kronberg, M.D.
Todd A. Kupferman, M.D.
Rolando Molina, M.D.
Michael Owens, M.D.,
F.A.C.S.
Bradford D. Ress, M.D.
Eugene Rivera, M.D.
WWW.SFENTA.com
Julio Torres, M.D.,
F.A.C.S.
Bruce Weismann, M.D.,
F.A.C.S., F.A.A.O.
Vijaykumar Zaveri, M.D.
9
A Fresh Start
for the Sinuses
99% Reduction of Bacterial Coverage in vitro1
Research indicates that bacterial infections
are intimately associated with chronic
rhinosinusitis.2,3 The Hydrodebrider™ System
offers a fresh start, using powered endoscopic
irrigation to remove bacteria directly from the
sinuses. Each handpiece delivers a safe, rotating
spray of pressurized saline at 5 mL/sec.
Hydrodebrider™ Standard Handpiece
• Innovative Flex-Tip with
270° articulation and
suction for irrigation and
fluid removal
Flex-Tip Irrigation/Suction
• Ideal for accessing the
maxillary, ethmoid, and
sphenoid sinuses
Hydrodebrider™ Frontal Handpiece
• 2.2 mm diameter for accessing the hard-to-reach frontal sinuses
• May be used with olive-tip suction for fluid control
For further information, please call Medtronic ENT at
800.874.5797 or 904.296.9600. You may also consult
our website at www.MedtronicENT.com.
www.Hydrodebrider.com
1. Desrosiers M, Myntti M, James G. Methods for removing bacterial biofilms: in vitro study using clinical chronic
rhinosinusitis specimens. Am J Rhinol 2007; 21(5): 527-32.
2. Jervis-Bardy J, Foreman A, Field J, Wormald PJ. Impaired mucosal healing and infection associated with
Staphylococcus aureus after endoscopic sinus surgery. Am J Rhinol Allergy 2009; 23(5):549.
3. el-Fiky LM, Khamis N, Mostafa Bel D, Adly AM. Staphylococcal infection and toxin production in chronic rhinosinusitis.
Am J Rhinol Allergy 2009; 23(3):264-7.
This literature is intended for the exclusive use of physicians. Rx only. Hydrodebrider™ is a trademark of Medtronic, Inc.
© 2010, Medtronic, Inc. All Rights Reserved. 2011-075 07.10
When Professionals Lose Their Voice...Medical
Technology Offers Help
By Bruce Weissman, M.D., F.A.C.S., F.A.A.O.
ane Lambert (real name not used) is a professional
singer who found her voice getting raspy. After a four
hour gig, she could barely speak. No matter what she
tried... from gargling to skipping a week’s worth of jobs,
nothing seemed to work. She visited the Professional
Voice Institute in Hallandale, Florida and was seen by a
team of voice specialists. They diagnosed a vocal chord
irritation and prescribed vocal exercises to take the strain off the
area. Jane was soon back to singing... without putting strain on
her vocal chords.
The second computer starts when a patient speaks into a
microphone. The VisiPitch software analyzes the sound and
analyzes many parameters to show how speech and voice
are working. It boils it down to a color picture that helps the
Speech Pathologist to determine how bad the problem is. Often,
a patient is given vocal exercises to do at home (like humming
and pitch exercises) and is told to drink throughout the day to
keep their throat moisturized.
After a few weeks of voice therapy, the ‘red area’ of the computer
diagram (see photo bottom left) should begin to disappear,
indicating that the voice is returning to normal.
To most people, hoarseness or voice dysfunction is just a
nuisance. But some people depend on their voice to earn a
living: singers, lawyers, teachers, salespeople, etc. They often
run into trouble because of overuse or improper vocal technique.
The Professional Voice Institute team is able to determine if the
problem is due to a medical condition (lesion, nodules, cancer,
age related degeneration) or misuse or trauma.
The team that diagnosed her problem was made up of an ENT
doctor, a Speech Pathologist, and a Professor of Music. They
used two computer-based instruments to visualize Jane’s throat.
One is a Videostrobe that shows the vocal chords moving while
Jane speaks and sings. (See photo above). Ordinarily, the vocal
chords move too quickly to be seen. The computer’s strobe
slows them down to the point where the actual slow motion
waves can be seen. If the chords don’t come together properly,
or if there are lesions, they are seen in real time and full color.
The patient is given a DVD of the test.
The Institute was founded twenty years ago by Dr. Bruce
Weissman, who is Board Certified in Ear, Nose, and Throat. It is
unique in South Florida because it is the only “one stop” office
that has the equipment and team in place to rapidly assess
voice and swallowing disorders. Ordinarily a patient would
have to go to a hospital for the videostrobe, another office for
a vocal assessment, and another office for voice therapy. Dr.
Weissman’s staff has been with him for years and includes
Vivian Topp, a speech and language pathologist, and Dr. Rachel
Lebon, a Professor of Music.
The Institute also specializes in stuttering and swallowing
disorders. Often, medical assessment and treatment is covered
by Medicare, private insurance, or Worker’s Compensation.
The Professional Voice Institute can be reached at:
Dr. Bruce Weissman
2100 E. Hallandale Beach Blvd.
Suite 405
Hallandale, Florida 33009
Phone: 954.454.0544
Phone: 305.674.1201
Email: BWeissman@
SouthFloridaENT.com
Voice Institute Website:
DrWeissmanENT.com
South Florida ENT Associates
Website: Sfenta.com
11
New Technique in Treating Chronic Sinus Infections Now
By William J. Brown, M.D.
Available in South Florida
minimally invasive technique
for treating chronic sinus
infection is now available at
South Florida ENT Associates.
The Balloon Sinuplasty™
system by Acclarent™ uses a
small catheter and balloon to safely open
and expand blocked sinuses.
Sinusitis affects more than 37 million
Americans a year, making it one of the most
common health problems in the U.S. Patients
experience pain, pressure, headaches,
congestion, fatigue and other symptoms. This
condition may impact an individual’s ability to
function physically and emotionally.
Classically, sinus sufferers were limited to
two treatment options: medical therapy with
nasal sprays, antihistamines and antibiotics,
or conventional sinus surgery. Twenty
percent of patients do not respond to medical
management. For these patients sinus
surgery may be the last option. However, as
many as 900,000 patients a year chose to
live with painful sinus conditions because they
are concerned about having surgery.
Now there is an alternative solution with the
Balloon Sinuplasty™ technology by Acclarent.
First a small, flexible balloon catheter is
placed through the nostril into the blocked
sinus passageway. The balloon is then
inflated to gently open and restructure the
sinus passageway, restoring normal sinus
drainage and function.
An international, multi-center study, CLEAR
[1], published in Otolaryngology-Head and
Neck Surgery [2], confirmed at all time points
for a two year period that Balloon Sinuplasty
instruments are safe and effective for opening blocked sinuses.
The CLEAR study reported:
� 91.6% functional patency rate at one-year; 70 patients
(217 sinuses) [3]
� No serious adverse events at two-years; 65 patients
(195 sinuses) [4]
� Symptom improvement for 85% of patients across the
two-year-postoperative period [5]
12
South Florida ENT physicians are some of the first in the country
to offer this technique. The Balloon Sinuplasty™ devices by
Acclarent offer a significant advance in sinus care because it
may lead to quicker recovery times and less postoperative pain.
Many patients are able to return to their normal activities the
next day with significant improvement in symptoms.
To learn more, Sinusitis sufferers who are considering the
Balloon Sinuplasty™ technology by Acclarent can visit
www.sfenta.com.
Undiagnosed and Untreated
By Dianne K. Cooper, Au.D.
staggering eighty percent of people with hearing loss go undiagnosed and
untreated. The stigma of hearing loss and the use of hearing aids seems
to prevail despite concrete evidence that shows that by using hearing aids
one can ease communication, enhance confidence, improve warmth and
intimacy with friends and family, improve emotional stability and increase
earning power. People with hearing loss delay a decision to get hearing
help because they are unaware of the fact that receiving early treatment for hearing
loss has the potential to literally transform their lives. Hearing aid usage is positively
related to an improved quality of life. In this age of incredible technologically advanced
hearing devices there is a solution for almost every type and degree of hearing loss.
The hearing aid industry has listened to the consumer and has addressed cosmetics,
price-sensitive devices, ease of use, multiple listening programs, remote controls,
bluetooth compatibility, wireless connectivity to television, MP3 players, computers,
rechargeability and the list goes on. If you are one of those people with a mild,
moderate or severe hearing loss, who is sitting on the fence, you owe it to yourself to
call us and schedule a comprehensive hearing test and to test-drive a pair of hearing
aids. Hearing aids hold such great potential to positively change your life.
We have 18 Audiologists and 42 Physicians that treat hearing loss and we
dispense hearing aids in multiple locations. To find a location near you visit
www.sfenta.com.
WANT SINUS RELIEF?
Providing E
in
Diagnostic
DPI of Plantation
(954) 449-7023
Providing
DPI of Excellence
Ft. Lauderdalein(954) 777-3466
Diagnostic
Imaging
DPI of Pembroke
Pines (954) 430-2044
DPI of North Broward (954) 570-5560
DPI of Plantation
(954) 449-7023
WE HAVE A
CLEAR SOLUTION.
DPI of Ft. Lauderdale
(954) 777-3466
DPI of Pembroke Pines
(954) 430-2044
There’s now a breakthrough technology to relieve your sinus
discomfort – the Balloon Sinuplasty™ system by Acclarent.
• Minimally Invasive
• Safe and Effective
Call us today for more information.
877-868-6673
• Clinically Proven
DPI of North Broward
(954) 570-5560
www.balloonsinuplasty.com
MKT00688 Rev. C
©2007-2009 Acclarent, Inc. All rights reserved. Acclarent and Balloon Sinuplasty are trademarks of Acclarent, Inc.
13
Allergy Season
choo!
April showers have fallen and May
flowers have bloomed—allergy season
is in full swing.
Allergies are an exaggerated Immune response
or reactions to substances in the environment ie
inhalants or foods, symptoms can vary but they
usually include: coughing, itchy eyes, burning eyes,
nasal congestion, watery nose, sneezing, soar and
dry throat.
Miami ranks among one of
“the 100 challenging places to
live with allergies,” according to
a 2010 annual survey conducted
by the Asthma and Allergy
Foundation of America
Allergies are severely prevalent in the United States.
An estimated 50 million people suffer from the
chronic disease, Asthma and Allergy Foundation of
America. This year may be especially bad for those
suffering with allergies. Experts have reported that
the long-lasting.
Unfortunately for South Florida residents, Miami
ranks among one of “the 100 challenging places
to live with allergies,” according to a 2010
annual survey conducted by the Asthma and
Allergy Foundation of America. The statistic is not
surprising given our climate and our South Florida
Landscaping. Typically I see 30-35 patients a week
who complain of allergy symptoms during this time
of year.
You may have your parents to thank for your eyes
burning or constantly sneezing when dust gets the
best of you. Studies she a link between allergies
and genetics.
Although there is no cure for allergies, treatments
and medications can alleviate the symptoms.
Allergy shots for example help by producing
antibodies to the body to prevent the exaggerated
body response.
14
By Dr. Felipe J. Martinez, M.D., F.A.C.S.
Whats NEW in
Hearing!
The staff at Siemens Hearing Instruments is excited to have an
opportunity to present what’s new in hearing healthcare. We have over
130 years experience providing some of the most innovative hearing
aid technology in the market today. You have many choices for hearing
healthcare in the South Florida area and we wanted to make sure that
you were aware of our hearing aid sales and service.
Siemens offers a range of sophisticated instruments that are designed to
address various hearing requirements and lifestyles. Our goal at Siemens
Hearing Instruments is to provide the most comprehensive hearing
healthcare services to the residents of South Florida. Find out how new
hearing aid technology can help you enjoy every decibel of life.
Thank You to Our Sponsors
� Acclarent
� Alk-Abello
� Diagnostic Professionals
� Executive One Catering
� Group Benefit Concepts, Inc.
� Mitchell F. Green, Esq.
Kramer, Green, Zuckerman, Greene & Buchsbaum, P.A.
4000 Hollywood Blvd. Suite 485 S
Hollywood, FL 33021
Tel. No. 954-966-2112 • Fax No. 954-981-1605
e-mail mgreen@kramergreen.com
� Medtronic
� McGrane, Nosich & Ganz, P.A.
75 Valencia Ave., # 1100
Coral Gables, FL 33134
Phone: (305) 442-4800
website: mnglaw.net
� National Pet Scan
� Siemens
� Sinus Dynamics
� Dell Services
� The Physicians Advocate
YOUR POSSIBILITIES. NOW
W I D E O P E N.
Introducing the new Dell Services. Dell and Perot Systems
are now one company with one purpose. Your purpose.
Instead of coming in with a one-size-fits-all approach,
we listen to what’s on your mind. And then we put our
technology expertise and healthcare knowledge to work
to create effective solutions that will produce measurable
results. So you can achieve whatever your vision of success
looks like. It’s why healthcare organizations trust us every
day. Whether it’s managing your IT operations, improving
your business and clinical processes, or deploying cloud
computing, Dell Services delivers. Where would you like to go? As
far as we’re concerned, the future is wide open. Dell.com/services
• Scientific Leadership
• Allergy Supplies
• Business Services
• Industry Partnership
ALK provides comprehensive
allergy solutions for your
practice, so you can provide
your patients with long term
allergy relief.
Applications
Business Process
Consulting
Infrastructure
Support
Services
© 2010 Dell Inc. All rights reserved.
www.alk-abello.com/us
15
Clinical Study Shows “82.9% of Patients had
”Good” or “Excellent” Response”
Particle Size Matters
Deep Sinus Penetration
d
e
r
fer
Pre
Fast 3 Minute Treatment*
3.2 Micron Particle Size
Portable/Handheld Nebulizer
Silent
No Medication Waste