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At Lakeshore ENT PA, we believe that each doctor and patient become a team for treating an individual's ear, nose and throat problems.
We want our patients to be informed about ear, nose and throat issues and treatments, because informed patients make better decisions about their health and well being. Atlantic Ear, Nose & Throat is a comprehensive, full-service Otolaryngology practice with offices in both Seminole and Volusia counties. Nose and Sinuses including chronic sinusitis, nasal polyps, and tumors of the nasal cavity. Our Medical Providers maintain privileges at several area hospitals, including Arnold Palmer Hospital for Women and Children and South Seminole Hospital. Richmond ENT, in affiliation with our sister corporation Richmond Hearing Aids, provides medical evaluation and treatment for a variety of ear conditions.
I received my calling to heal the sick in eighth grade and pursued my education with focused determination for the next 18 years.
If you are tired of being rushed through the office of a physician who will only listen to one complaint per visit, consider the board-certified ear nose and throat specialists at Richmond ENT. Carol Byrd, MD is a graduate of the University of Richmond and the Medical College of Virginia. Tony Giordano, MD, PhD is a respected otolaryngologist who has practiced in Richmond for more than 30 years. We combine the best medical and surgical solutions to approach various types of ear, nose, and throat disorders. Our ENT doctors are passionate about their field and they work closely to help patients with their conditions, and educate them on promoting health. Sven, originally from Minneapolis, MN received his Master's degree in Audiology in 1986 from the University of Minnesota. 3 Signs of increased pressure inside the skull Decreasing mental status or altered responsiveness. Our otolaryngologist (doctor who specialize in ear, nose and throat) spend most of his time listening to understand your concerns and responding with the best treatment options for you. That is why we've included an extensive section on this website covering common topics associated with ear, nose and throat diagnostics and treatments.
Devang Shah, MD and Daniel Rothbaum, MD combine surgical excellence with compassionate bedside manner. For more than 10 years, she has limited her practice exclusively to laser and light based skin treatments to remove fine wrinkles, blemishes, spider veins, hair and unwanted tattoos.
A graduate of Hahnemann Medical College, with a PhD from the University of Rochester, he trained in otolaryngology at the University of Minnesota. Offering both medical and surgical services for different conditions in the ears, nose, sinuses, and throat, our ENT team commits to delivering the best our patients deserve.
Whether it’s a simple removal of earwax or a complex procedure such as uvulopalatopharyngoplasty (UPPP), our ENT experts makes sure to provide excellent patient experience from consultation to completion of the procedure. Backed by the latest technology and years of experience, Pacific Specialists’ ENT experts will help you keep your eyes, nose, and throat healthy and free from any condition. Suspect spine injury in any victim with suspected brain injury; stabilize the head and neck as described later in this chapter.


Depressed—An object strikes the skull, leaving an obvious depression or deformity; bone fragments are often driven into the membranes or the brain itself by the force of the impact. Obtain a history that includes the mechanism of injury, whether the victim’s level of consciousness has deteriorated, and whether the victim has been moved. Bleeding from a scalp laceration, as from any other soft- tissue injury, is best controlled with _________. The top priority is establishing and maintaining an open airway with adequate oxygenation 2. The top priority in treating victims of head injury is establishing and maintaining ____________. Note the mechanism of injury—especially the type of movement and amount of force that was involved in the injury 2.
Tenderness in the area of the injury; lacerations, cuts, punctures, or bruises over or around the spine indicate forceful injury. The general rule for management of spinal injury is to ____________ the spine, head, torso, and pelvis. With the help of our professional staff, they also follow up to make sure problems are resolved and your health improves. We encourage you to look through these pages whenever you have an interest or concern related to ear, nose and throat health. We serve the following communities: DeLand, Deltona, DeBary, Orange City, Sanford, Lake Mary, Longwood, Altamonte Springs, Winter Park, Maitland, Apopka, Orlando, Daytona, Ormond, Seminole County, and Volusia County. Her practice includes the skin of the entire body, and complements the cosmetic treatments offered by our surgeons. Board-certified in otolaryngology-head and neck surgery, his special interests include balance and hearing disorders, sleep apnea, sinus and allergy diseases, and surgery of the thyroid and salivary glands. 2 13.1 Types of Head Injury Injury to the Scalp Injury to the Scalp Injury to the Brain Injury to the Brain Injury to. Control bleeding; face and scalp wounds may bleed heavily, but such bleeding is usually easy to control with direct pressure. If the mechanism of injury suggests spinal injury and the victim is unconscious, assume spinal injury has occurred. Pain associated with movement; suspect spinal injury if the victim complains of pain when moving an apparently uninjured neck, shoulder, or leg. We hope you'll find our practice offers the accessibility and personal commitment you look for from an ear, nose and throat specialist. The American Board of Otolaryngology, founded in 1924, is the second oldest medical certifying body in the United States. Board-certified in both otolaryngology and in facial plastic surgery, he provides comprehensive treatment of nasal, sinus and allergic disorders, including cosmetic and reconstructive surgery. Establish and monitor the victim’s ABCDs; ensure the airway is open, provide rescue breathing if the breathing is inadequate.
Linear—The most common type of skull fracture, a linear fracture causes a thin-line crack in the skull.
If possible, have someone stabilize the head, neck, and spine in a neutral in-line position.


One First Aider should stabilize the helmet by placing hands on each side of the helmet, fingers on the mandible (lower jaw) to prevent movement.
Rothbaum received their training at Johns Hopkins Hospital, whose Otolaryngology department has been consistently ranked #1 in the country. He is a leader in the development of office based surgical treatments for sinusitis, such as Balloon Sinuplasty. Inspect for contusions, deformities, lacerations, punctures, penetrations, or swelling; palpate for areas of deformity. Anticipate vomiting; be prepared to keep the victim’s head and neck stabilized as you roll the victim on his or her side to prevent aspiration. If the victim sustained a medical or nontraumatic injury, place the victim on the left side; elevate the head slightly, keep the victim warm, but avoid overheating 5. Breathing that involves little or no chest movement indicates that the victim is breathing with only the ____________.
Comminuted—A comminuted fracture appears at the point of impact, with multiple cracks radiating from the center (it looks like a cracked eggshell).
Check the head; look for depressions, fractures, lacerations, deformities, bruising, and other obvious problems. While waiting for emergency personnel to arrive: Dress any facial and scalp wounds that have not been dressed. Ask others at the scene about the mechanism of injury and the victim’s mental status before you arrived on the scene. The second First Aider should place one hand on the mandible at the angle of the jaw, and the other hand at the back of the head. Basilar—A basilar skull fracture occurs when there is a break in the base of the skull; it is often the result of a linear fracture that extends to the floor of the skull. Maintain in-line stabilization, check the neck and spine for lacerations, bruises, swelling, protrusions, or other obvious deformities; ask the victim if there is pain, or muscle spasm. Inspect the back for contusions, deformities, lacerations, punctures, penetrations, and swelling 4. The First Aider holding the helmet should pull the sides of the helmet apart (to provide clearance for the ears), gently slip the helmet halfway off the victim’s head, then stop. Head injury is indicated by blood or ______________ dripping from the ears, nose, or mouth. The First Aider who is maintaining stabilization of the neck should reposition, sliding the hand under the victim’s head to secure the head from falling back after the helmet is completely removed. Continually monitor the airway and the victim’s Continually monitor the airway and the victim’s neurological status.
Loss of sensation, weakness, or paralysis in the arms or legs Loss of sensation, weakness, or paralysis in the arms or legs Urinary or fecal incontinence. If the victim is ____________ and the mechanism of injury suggests it, suspect spinal injury.



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