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17.12.2013
Previous work with this practice also includes a 20,000 SF medical office building at Dupont Medical Park.
With admitting and surgical privileges at both Connecticut Children’s Medical Center and Hartford Hospital, Dr.
The most common cause of earache in a child is "Otitis Media", or inflammation of the middle ear.
Blockage of the eustachian tube during a cold, allergy, or upper respiratory infection and the presence of bacteria or viruses lead to the accumulation of fluid (a build-up of pus and mucus) behind the eardrum.
The surgeon selects a ventilation tube for your child that will remain in place for as long as required for the middle ear infection to improve and for the eustachian tube to return to normal.
The decision for surgery involves many factors, including the evaluation of the throat, the ears, lymph nodes in the neck, a history of allergies to antibiotics or a peritonsillar abscess, and possibly the results of other tests such as x-rays and throat swabs.
Vigorous nose blowing that ruptures superficial blood vessels in the elderly and in the young.
Fractures of the nose or of the base of the skull that can cause bleeding and should be regarded seriously when the bleeding follows a head injury. Rarely, tumors (both malignant and nonmalignant) have to be considered, particularly in the older patient or in smokers. Most nosebleeds begin in the lower part of the septum, the semi-rigid wall that separates the two nostrils of the nose. The septum contains blood vessels that can be broken by a blow to the nose or the edge of a sharp fingernail. More rarely, a nosebleed can begin high and deep within the nose and flow down the back of the mouth and throat even if the patient is sitting or standing.
Obviously, when the patient is lying down, even anterior (front of nasal cavity) nosebleeds may seem to flow to the back of the nasal cavity, especially if the patient is coughing or blowing his nose. It is important to try to make the distinction since posterior (back of nasal cavity) nosebleeds are often more severe and almost always require a physician's care. Posterior nosebleeds are more likely to occur in older people, persons with high blood pressure, and in cases of injury to the nose or face. Anterior nosebleeds are common in dry climates or during the winter months when heated, dry indoor air dehydrates the nasal membranes. The tissue lining the upper one-third of the nose contains sensory cells for our sense of smell.
The loss of the sense of smell and taste may often be restored by eliminating the sinusitis, septal deviation or polyps, or controlling the allergies that caused the disorder. Signs and symptoms of sinusitis may include facial pain or pressure, nasal obstruction, discolored nasal discharge, headache, fatigue, diminished sense of smell, pain in the upper teeth, cough, fever, bad breath, and an aggravation of asthma. The initial treatment for sinusitis is usually 2 weeks of antibiotic therapy accompanied by decongestants. Patients who experience a repeated pattern of infections in their sinuses may have chronic sinusitis.
Inflammation of the mucous membrane lining in the sinuses can cause swelling and narrowing of the sinus opening, thereby blocking the flow of mucus. Sinus surgery enlarges the natural opening to the sinuses and removes areas of obstruction, resulting in the normal flow of mucus. Basic sinus surgery is performed through the insertion of an endoscope, a very thin fiberoptic tube, into the nose. The procedure is usually performed under general anesthesia and is done as a same day surgery, not requiring an overnight stay. The patient usually returns to normal activities within four to seven days; full recovery takes about four weeks. The latest revolutionary technique in performing sinus surgery is the advent of Image Guided Surgery. Nasal surgery may be performed for cosmetic purposes, or a combination procedure to improve both form and function. Some patients suffer from chronic nasal stuffiness that may be due to chronic breathing problems that don't respond well to standard medical treatment.
Bruises around the eyes or a slightly crooked nose following injury usually indicate a fractured nose. Evaluation is necessary to determine whether the nasal bones have been displaced, or just fractured or broken. Fox Valley Ear, Nose, and Throat offers a free hearing test over the phone that takes only seconds of your time.
Call 847-742-TEST (8378) any time for a recording to evaluate your ability to distinguish four different tones. If you fail this basic screening, you may benefit by coming into our office for a thorough hearing evaluation.
The process of choosing a hearing aid usually begins with medical and hearing examinations.


After your hearing evaluation, you and your audiologist are ready to select your hearing aid. The term "hearing aid" seems outdated today, as most devices are actually small computers that fit right into the ear.
When a patient has been probing his ears with such things as cotton-tipped applicators, bobby pins, or other objects, it only pushes the wax deeper into the ear canal. If you suffer from earwax blockage, our physicians can prescribe various numbers of home treatments that can be used to soften the wax.
Allergy testing is done to help gather specific information so your doctor can determine what you are allergic to, and how to provide the best treatment for your allergy. All of these allergens are typically made of proteins, and the allergy tests will identify those proteins to which you might react. Moeller, MD is a board-certified Ear, Nose and Throat (ENT) Doctor, serving both pediatric and adult patients. Moeller joined Connecticut Ear, Nose, and Throat Associates in 2011, after attending Loyola University Chicago-Stritch School of Medicine and completing his residency and training in Otolaryngology-Head & Neck Surgery at Loyola University Medical Center. Moeller prides himself on adopting the latest treatment techniques and formulating an individual plan of care for every adult and pediatric patient he treats. But more commonly, the pus and mucus remain in the middle ear due to the swollen and inflamed eustachian tube.
Two main problems that can occur with this tissue are swelling, which can make breathing and eating difficult, and repeated infections. This will be dependent not only on you and the doctor's preferences, but also on your insurance plans. Using an endoscope, a tube with a light for seeing inside the nose, your physician may find a problem within the nose that can be fixed.
Scientists have found that the sense of smell is most accurate between the ages of 30 and 60 years. Upper respiratory infections, nasal allergies, sinusitis, or nasal obstruction from polyps or a deviated nasal septum are often blamed for smell and taste disorders. Acute sinusitis is a short-term condition that responds well to antibiotics and decongestants; chronic sinusitis is characterized by at least four recurrences of acute sinusitis. Inhaling steam or nasal saline spray is often recommended to alleviate the sinus congestion and help moisturize the nasal passages.
These patients require a full examination in our office by one of our physicians, and may be referred for other diagnostic tests including allergy testing, nasal endoscopy, or a CT scan of the sinuses. If antibiotics, decongestants, nasal sprays and other therapies prescribed by your doctor are not effective, sinus surgery is often needed to correct the problem. In the majority of cases, the surgical procedure is performed entirely through the nostrils, leaving no external scars. The sinuses are physically close to the brain, the eye, and major arteries, always areas of concern when a fiber optic tube is inserted into the sinus region. It may alleviate or cure nasal breathing problems, correct deformities from birth or injury, or support an aging, drooping nose. The blockage may be related to structural abnormalities inside the nose or to swelling caused by allergies or viruses. A deviated septum (the partition between the nostrils) can be crooked or bent as the result of abnormal growth or injury. If the nasal bones are markedly displaced, surgeons often will attempt to realign the bones into a straighter position under local or general anesthesia.
The common causes are wax buildup in the ear canal, a perforated eardrum, fluid in the middle ear, or damaged ossicles. For example, adequate hearing can often be restored by removal of wax from the ear canal, drainage of fluid from the middle ear (placement of tubes in the eardrum), repair of a perforated eardrum, or middle ear bone reconstruction. Together you will decide which style of aid is really best for you, which features you need, and whether you need one or two hearing aids. Thanks to electronic technology, many revolutionary valuable features are available for hearing aids.
Usually the wax accumulates a bit, dries out, and falls out of the ear canal carrying the dirt and dust with it. Everyone has heard the old admonition - Never put anything smaller than your elbow in your ear! If those are not effective, he may prescribe eardrops designed to soften the wax, or he may wash or vacuum it out. Common tests used to determine the allergic sensitizations of a patient are the MQT skin test and Hytec blood test.
A native of suburban Chicago, he met his wife, Sarah Dolan of Wethersfield, CT, at the College of the Holy Cross (Worcester, MA). It is the most common cause of hearing loss in children, and may impair learning capacity and even delay speech development.


Chronic infections in the adenoids can also cause recurrent ear infections, and recent studies have indicated that an adenoidectomy can be very helpful in those situations. Our office staff will help you in determining what facility fits within your insurance plan. This can be prevented if you place a bit of lubricating cream or ointment about the size of a pea on the end of your fingertip and then rub it inside the nose, especially on the middle portion of the nose (the septum). It begins to decline after age 60, and a large proportion of elderly persons lose their smelling ability.
Sometimes a certain medication is the cause of the disorder, and improvement occurs when that medicine is stopped or changed.
Allergies may also cause internal nasal swelling, and allergy evaluation and therapy may be necessary. But if the swelling distorts the nose, waiting 48 - 72 hours for a doctor's appointment may actually help the doctor in evaluating your injury as the swelling recedes. This is usually done shortly after the injury, so that the bones don't heal in a displaced position. A mixed hearing loss can occur when a person has wax blockage in the ear canal and damage to the cochlea.
However, there are times when medical intervention cannot restore hearing adequately and the patient is referred for evaluation for a hearing aid.
The hearing test will be carefully administered by one of our audiologists, a health professional who specializes in evaluation and nonmedical treatment of hearing loss. Most of the hearing aids fitted today fall into one of four styles that range from behind-the-ear models to the smallest units that fit completely within the ear canal.
The ear canal may be blocked by wax when attempts to clean the ear push wax deeper into the canal and cause a blockage. This old saying is still relevant today because the skin of the ear canal and eardrum is very thin and fragile and is easily injured. If you want to clean your ears, you can wash the external ear with a cloth over a finger, but do no insert anything into the ear canal. Occasionally, our ENT specialists may need to remove the wax using microscopic visualization. The type of testing that will be performed is dependent on what your insurance plan will allow. Protein found in the dander (skin secretions), saliva, and urine are the most probable causes.
Our practice is staffed by Board Certified Otolaryngologists, Certified Audiologists and Allergy Medical Technologists. Moeller treats common ENT ailments, such as acute sinus infections, allergies, and ear infections, as well as more complex problems, such as adult and pediatric sleep apnea and snoring, salivary gland tumors, thyroid tumors, and chronic sinusitis and nasal polyps. However, if it is treated promptly and effectively, hearing can almost always be restored to normal. Often after the acute infection has passed, the effusion remains and becomes chronic, lasting for weeks, months, or even years. This involves a small surgical incision (opening) into the eardrum to promote drainage of fluid and to relieve pain. Otherwise, the tube causes no trouble, and you will probably notice a remarkable improvement in hearing and a decrease in the frequency of ear infections. Allergies or intolerances to antibiotics may influence the exact number of infections required prior to surgery.
Although certain medications can cause these disorders, others-particularly anti-allergy drugs- seem to improve the senses of taste and smell. It is a three dimensional mapping system that provides your surgeon with information about the exact position of surgical instruments in relation to the anatomy of structural landmarks surrounding the sinuses. If the fracture doesn't "pop" back into place, corrective nasal surgery may be required so that the injury doesn't compromise breathing. The test results, called an audiogram, will show whether your ears are healthy, what type of hearing loss you have, and exactly what you can and cannot hear.
This condition makes one subject to frequent recurrences of the acute infection and may cause difficulty in hearing.
The incision heals within a few days with practically no scarring or injury to the eardrum. In fact, the surgical opening can heal so fast that it often closes before the infection and the fluid are gone. A ventilation tube can be placed in the incision, preventing fluid accumulation and thus improving hearing.



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