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Audiology Awareness Month

Did you know that hearing loss affects one in ten North Americans each year? Every October is recognized as Audiology Awareness Month. The purpose is to increase awareness of audiology and to educate the public on the importance of healthy hearing and the professionals who dedicate their lives to helping others hear again.

What is Audiology?

Audiology is known as the science and study of hearing. Audiologists are experts who help to prevent, diagnose and treat hearing and balance disorders. Through treatment with an audiologist, patients can not only improve their hearing, but improve their quality of life.

Audiology at GKENT

At Greater Knoxville ENT, we provide the best hearing care services available, including comprehensive diagnostic hearing evaluations, as well as hearing aids and Bluetooth accessories to help you get the most out of life. Our audiologists have met state and national requirements and have attained the highest level of preparation for providing healthcare to those with hearing problems.

Our talented group of physicians can help you uncover a new world of improved hearing and overall ear health! We treat a number of conditions related to audiology and hearing. Call 865-244-4396 to schedule an appointment or contact us here.


Lenoir City Office Opening Soon!

5779 Creekwood Park Blvd, Suite 21
Lenoir City, TN 37772

Greater Knoxville ENT is excited to announce the opening of our new location in Lenoir City.

The Lenoir City office will open on September 11th. Our newest physician, Dr. Joseph White, will be practicing there. Hours and contact information will be announced soon.


Better Speech & Hearing Month

Each May, Better Hearing & Speech Month provides an opportunity to raise awareness about communication disorders.

Hearing loss is a common communication disorder, and approximately 48 million Americans experience some degree of hearing loss. Communication disorders, including hearing loss, can compromise physical and emotional health and affect social, educational, and recreational aspects of a person’s life. Symptoms of hearing loss for adults can include asking others to repeat themselves, difficulty hearing in the presence of background noise, and feeling that others mumble or do not speak clearly. Symptoms of hearing loss in children may include delayed or poor speech.

At Greater Knoxville ENT, we provide the best hearing care services available. Our six licensed audiologists, who all hold a doctorate degree in Audiology, are committed to reconnecting patients to the world through better hearing. They perform careful evaluations of hearing sensitivity to determine the type and degree of hearing loss so that the appropriate treatment can be administered. They also fit a full range of digital hearing aids.

If you believe you may be experiencing symptoms associated with hearing loss, contact Greater Knoxville ENT at (865) 512-1291 to schedule an appointment with one of our audiologists.


Dr. Elise Denneny Named TMA President-Elect

Greater Knoxville ENT is proud to announce that Dr. Elise Denneny has been named President-elect for the Tennessee Medical Association, effective in May.

When she takes office as the 2019-2020 TMA President, Dr. Denneny will be the third female president in TMA history.

“In thirty years of practicing medicine across every kind of practice setting I’ve seen the relevance and impact of organized medicine. It impacts the lives of physicians, patients families and communities. The Tennessee Medical Association fights for those interests along with federal, state and local societies. TMA has momentum on the back of recent legislative successes,” says Denneny.

Dr. Denneny is a current member of the TMA Board of Trustees and is past president of the Knoxville Academy of Medicine.


Galina Discusses Her Experience with Dr. DePersio

See Galina Kremenchugskaya, patient at Greater Knoxville ENT, discuss her experience with Dr. Richard DePersio.

Dr. DePersio has a special interest in head and neck surgery, facial plastic surgery, and endoscopic sinus surgery. He has board certification in both otolaryngology and facial plastic and reconstructive surgery.

Interested in cosmetic surgery at Greater Knoxville ENT? Request an appointment online, or call (865) 244-4396.


Local musician regains hearing with help from Greater Knoxville ENT.

Knathan Halliburton, a member of the Knoxville band The Wild Things, had developed a hearing problem that was dramatically affecting his life. After being diagnosed with otosclerosis at Greater Knoxville ENT, Halliburton received custom hearing aids and treatment that helped him regain his hearing and brought sound back to his life. Halliburton wrote and recorded a song about his experience as a way of thanking Greater Knoxville ENT.

Watch Knathan’s story below, and listen to his original song here.

 




How Do I Know if I Have Allergies?

See Dr. William Horton of Greater Knoxville Ear Nose & Throat share common signs and symptoms that may indicate you’re suffering from allergies.


Thyroid Disorders and Surgery

Your thyroid gland is one of the endocrine glands that makes hormones to regulate physiological functions in your body, like metabolism (heart rate, sweating, energy consumed). Other endocrine glands include the pituitary, adrenal, and parathyroid glands and specialized cells within the pancreas.

The thyroid gland is located in the middle of the lower neck, below the larynx (voice box) and wraps around the front half of the trachea (windpipe). It is shaped like a bow tie, just above the collarbones, having two halves (lobes) joined by a small tissue bar (isthmus.). You can’’t always feel a normal thyroid gland.

WHAT IS THYROID DISEASE?

Diseases of the thyroid gland are very common, affecting millions of Americans. The most common thyroid problems are:

  • •An overactive gland, called hyperthyroidism (e.g., Graves’’ disease, toxic adenoma or toxic nodular goiter)
  • •An underactive gland, called hypothyroidism (e.g., Hashimoto’s thyroiditis)
  • •Thyroid enlargement due to overactivity (as in Graves’’ disease) or from under-activity (as in hypothyroidism). An enlarged thyroid gland is often called a “goiter.”

Patients with a family history of thyroid cancer or who had radiation therapy to the head or neck as children for acne, adenoids, or other reasons are more prone to develop thyroid malignancy.

If you develop significant swelling in your neck or difficulty breathing or swallowing, you should call your surgeon or be seen in the emergency room.

WHAT TREATMENT MAY BE RECOMMENDED?

Depending on the nature of your condition, treatment may include the following:

Hypothyroidism treatment:

Thyroid hormone replacement pills

Hyperthyroidism treatment:

  • Medication to block the effects of excessive production of thyroid hormone
  • Radioactive iodine to destroy the thyroid gland
  • Surgical removal of the thyroid gland

Learn more

Goiters (lumps):

If you experience a goiter, your doctor will propose a treatment plan based on the examination and your test results. He may recommend:

  • •An imaging study to determine the size, location, and characteristics of any nodules within the gland. Types of imaging studies include CT or CAT scans, ultrasound, or MRIs.
  • •A fine-needle aspiration biopsy—a safe, relatively painless procedure. With this procedure, a hypodermic needle is passed into the lump, and tissue fluid samples containing cells are taken. Several passes with the needle may be required. Sometimes ultrasound is used to guide the needle into the nodule. There is little pain afterward and very few complications from the procedure. This test gives the doctor more information on the nature of the lump in your thyroid gland and may help to differentiate a benign from a malignant or cancerous thyroid mass.
  • Thyroid surgery may be required when:
    • the fine needle aspiration is reported as indeterminate, suspicious or suggestive of cancer
    • imaging shows that nodules have worrisome characteristics or that nodules are getting bigger
    • the trachea (windpipe) or esophagus are compressed because one or both lobes are very large

Historically, some thyroid nodules, including some that are malignant, have shown a reduction in size with the administration of thyroid hormone. However, this treatment, known as medical “suppression” therapy, has proven to be an unreliable treatment method.

WHAT IS THYROID SURGERY?

Thyroid surgery is an operation to remove part or all of the thyroid gland. It is performed in the hospital, and general anesthesia is usually required. Typically, the operation removes the lobe of the thyroid gland containing the lump and possibly the isthmus. A frozen section (immediate microscopic reading) may be used to determine if the rest of the thyroid gland should be removed during the same surgery.

Sometimes, based on the result of the frozen section, the surgeon may decide not to remove any additional thyroid tissue, or proceed to remove the entire thyroid gland, and/or other tissue in the neck. This decision is usually made in the operating room by the surgeon, based on findings at the time of surgery. Your surgeon will discuss these options with you preoperatively.

As an alternative, your surgeon may choose to remove only one lobe and await the final pathology report before deciding if the remaining lobe needs to be removed. There also may be times when the definite microscopic answer cannot be determined until several days after surgery. If a malignancy is identified in this way, your surgeon may recommend that the remaining lobe of the thyroid be removed at a second procedure. If you have specific questions about thyroid surgery, ask your otolaryngologist to answer them in detail.

WHAT HAPPENS AFTER THYROID SURGERY?

During the first 24 hours:

After surgery, you may have a drain (tiny piece of plastic tubing), which prevents fluid and blood from building up in the wound. This is removed after the fluid accumulation has stabilized, usually within 24 hours after surgery. Most patients are discharged later the same day or the next day. Complications are rare but may include:

  • •Bleeding
  • •Bleeding under the skin that rarely can cause shortness of breath requiring immediate medical evaluation
  • •A hoarse voice
  • •Difficulty swallowing
  • •Numbness of the skin on the neck
  • •Vocal cord paralysis•
  • Low blood calcium

At home:

Following the procedure, if it is determined that you need to take any medication, your surgeon will discuss this with you prior to your discharge. Medications may include:

  • •Thyroid hormone replacement
  • •Calcium and/or vitamin D replacement

Some symptoms may not become evident for two or three days after surgery. If you experience any of the following, call your surgeon or seek medical attention:

  • •Numbness and tingling around the lips and hands
  • •Increasing pain
  • •Fever
  • •Swelling
  • •Wound discharge
  • Shortness of breath

If a malignancy is identified, thyroid replacement medication may be withheld for several weeks. This allows a radioactive scan to better detect any remaining microscopic thyroid tissue, or spread of malignant cells to lymph nodes or other sites in the body.

HOW IS A DIAGNOSIS MADE?

The diagnosis of a thyroid function abnormality or a thyroid mass is made by taking a medical history and a physical examination. In addition, blood tests and imaging studies or fine-needle aspiration may be required. As part of the exam, your doctor will examine your neck and ask you to lift up your chin to make your thyroid gland more prominent. You may be asked to swallow during the examination, which helps to feel the thyroid and any mass in it. Tests your doctor may order include:

  • •Evaluation of the larynx/vocal cords with a mirror or a fiberoptic telescope
  • •An ultrasound examination of your neck and thyroid
  • •Blood tests of thyroid function
  • •A radioactive thyroid scan
  • •A fine-needle aspiration biopsy
  • •A chest X-ray
  • A CT or MRI scan
Reprinted from http://www.entnet.org/content/thyroid-disorders-and-surgery with permission of the American Academy of Otolaryngology-Head and Neck Surgery Foundation, copyright © 2009. All rights reserved.

GKENT Physicians Named CityView Magazine Top Docs

Each year, CityView Magazine asks working physicians in the medical community to nominate physicians who provide exemplary specialized care for the annual Top Docs recognition. This year, the magazine recognizes more than 350 physicians chosen by their peers, and we are proud to have our talented doctors honored and among such exceptional care providers.

Congratulations to the GKENT physicians below on being named CityView Magazine Top Docs in Otolaryngology!

2016 CityView Magazine Top Docs

  • Leslie Baker, M.D.
  • Elise C. Denneny, M.D., FACS
  • Richard DePersio, M.D., FACS
  • Robert Crawley, M.D., FACS
  • William D. Horton II, M.D., FACS
  • Christopher John Rathfoot, M.D.
  • Allan Moris Rosenbaum, M.D.

See the special CityView Magazine Top Docs issue here.