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06.07.2015
His clinical interests include otolaryngic allergy, sinus and nasal disorders, endoscopic sinus surgery (including balloon sinuplasty), facial trauma, snoring and sleep apnea surgery, hoarseness, and ear disease.
In his spare time, he enjoys spending time with his family, coaching his son's soccer team, playing competitive sports (soccer, basketball, and softball), cross-training and weight lifting, and riding his motorcycle with his wife. His specialty and clinical facial plastic surgery interests include facelift and neck lift (rhytidectomy), nasal surgery (rhinoplasty), deviated septum surgery (septoplasty), eyelid surgery (blepharoplasty), facial and nasal injuries, surgical rehabilitation of facial paralysis, minimally invasive and endoscopic facial cosmetic surgery, and nonsurgical facial rejuvenation (Botox® Cosmetic, facial fillers, skin care). Otolaryngology, or ENT (ear, nose, and throat), is the branch of medicine and surgery that specializes in the diagnosis and treatment of the ear, nose, throat, head, and neck disorders. The training for an otolaryngologist usually includes 1 to 2 years of general surgery followed by 4 to 6 years of residency in otolaryngology itself. Diseases of the head and neck (tonsillitis, ear infections etc) are among the most common health related problems in the pediatric population. The most common disease entities our group treats in the pediatric population include: acute and chronic ear disease, sinusitis, chronic tonsillitis and sleep apnea. Ear, Nose & Throat Associates have been providing quality care in the Billings area for over 35 years.
Our muscles work with the nervous system to contract when stimulated with impulses (messages through the receptor arc) from motor nerves. Zapanta also serves as the Otolaryngology Residency Program Director, the Medical Education Fellowship Co-Director, and Associate Professor of Surgery at The George Washington University School of Medicine & Health Sciences. Zapanta has multiple publications and has presented and lectured at the local and national level. Chaboki earned his undergraduate degree in biomedical engineering at Northwestern University and his medical degree at the University of Illinois in Chicago.
Chaboki is a member of the American Academy of Facial Plastic and Reconstructive Surgery, the world's largest specialty association. Otolaryngologic surgeries can range from short, simple procedures such as ear tubes, to lengthy and complex cases such as a laryngectomy (removal of the larynx). This extensive training allows us to provide comprehensive medical and surgical treatment of the full gamut of head and neck disorders.
The most common procedures we perform include adenoidectomy, tonsillectomy, placement of ear tubes and pediatric sinus surgery.


We specialize in general adult and pediatric otolaryngology, head and neck surgery and facial plastic surgery. Arun Kumar, MD, will diagnosis and manage diseases of the sinuses, larynx (voice box), oral cavity, and upper pharynx (mouth and throat), as well as structures of the neck and face, and many other ENT problems in both children and adults. Otolaryngologists are equipped and trained to treat patients of all ages including the pediatric population. We pride ourselves on providing a comfortable and friendly environment for both children and their parents. Zapanta also serves his country as a Lieutenant Colonel in the United States Army Reserves Medical Corps. Bursae are small fluid filled at friction points near joints to protect ligaments and tendons from rubbing against bare bones.The SkeletonClick to see Larger Image of Skeletal SystemOur skeleton forms a strong, solid internal framework of bones for our body, yet our bones only make up about 14% of our total body weight. The hard outside of bones is reinforces by strong rods called osteons.Bones have special cells called osteoblasts that make new bone and osteoclasts that break up the old bone. The bones of the skeleton support our skin, give our body shape, protect and support our organs and make it possible for us to move by acting as single and double levers. Muscles cannot push against the bone, so muscles come in pairs, one muscle pulls the bone one way and the paired muscle pulls the bone back the other way.
Some bones come in pairs that are almost identical in size and shape — the bones in the left arm are the same as the bones in the right arm.
There are also single bones in the median plane of our body — the vertebrae in our back and neck.
However, since our bones are constantly being rebuilt as we get older, both their structure and form can change.
Our bones can be rigidly connected to each other or joined by rubbery cartilage, or flexibly linked by muscular or ligamentous joints. An adult skeleton has 206 bones, although some people have extra bones in their spine (backbone). There are two main parts of the skeleton—the axial skeleton and the appendicular skeleton.The Axial SkeletonThe axial skeleton (trunk) is made up of the 80 bones in our upper body. The appendicular skeleton is made up of our limbs or appendages—two arms and two legs—our pelvis and right and left shoulders.


Joints are classified by how much movement they allow—function—or what they are made of—structure. The tissue could be cartilage, fibrous tissue, synovial fluid, or some combination of the three. Functionally, joints can be classified by the degree of movement possible, the number of bones involved, and the complexity of the joint. A dislocated joint happens when the bones of the joint are forced out-of-place, usually while playing sports but can also happen with accidents. They bones are held together in the joint by ligaments lined with synovial membranes which produce the synovial fluid. The articulating surfaces are covered with a layer of hyaline cartilage that cushions and protects the bones. The synovial membrane defines the boundaries of the joint space—everything outside of the synovial membrane is outside the joint space. These ligaments direct the force that travels through the joint and keep the joint on track. Outside of these structures are the muscles that travel across the joint.Types of Synovial JointsSynovial Joints of the Skeletal SystemBased on the type of movement the joint allows and its structure, synovial joints can be put into several categories. The action of the hinge joint is like that of a door hinge and motion is limited to bending and straightening. The only ball-and-socket joints are the shoulders and hips.Joint Range of MotionRange-of-motion means how far and in what direction a joint can move. All joints have a normal range of motion–that is when they are healthy and normal they should be able to move a certain distance and direction. When you have a physical exam, your range of motion is checked to see if you have full or limited range of motion.
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