General Practitioners

• Osteoporosis
• Headaches
• Sinusitis
  If you suffer from chronic sinusitis and typical medical interventions–such as antibiotics, nasal steroids or allergy treatments–have not worked, you may be a good candidate for balloon sinuplasty.
• Medical Weight Loss
• Pediatric Care
  As the wife of a Navy pilot, you might imagine that Erin Burns has moved around quite a bit. She has, which explains why her experience as a physician assistant is so well rounded. Since 2006, Erin has worked in a variety of clinical settings, including neurosurgery, general surgery, pediatrics and urgent care.
• Snoring
  Dr. Mingrone is a board certified otolaryngologist, who specializes in snoring and sleep apnea issues. He has over twelve years of experience and is highly trained in medically proven, minimally invasive treatments for snoring and sleep apnea. Dr. Mingrone has appeared in numerous national publications and on television as an expert on ear, nose and throat issues, and has helped thousands of patients resolve snoring and sleep problems. Dr. Mingrone’s interest in this area, combined with a desire to help serve patients suffering from sinus-related sleep conditions, led to his interest and interest and involvement with eos sleep.
• Smoking Cessation
• Ear Infections
  Having an ill child can be a frightening and disruptive experience for families. Our team of ENT caregivers is well equipped to care for your child’s ear, nose and throat disorders—from the ordinary to the unusual. We regularly treat children with common illnesses such as tonsillitis, sinusitis and ear infections (otitis media) using the latest guidelines for medical treatment and the most advanced techniques for surgical treatment.
• Emergency Care
  From the start, this doctor’s passion and drive have defined his career trajectory. As a medical student at the University of Washington School of Medicine, Dr. Romaneschi often went to the emergency room to get extra suturing practice to hone his skills. During his residency at Johns Hopkins, he worked on a patient who had fallen off a ladder and was in danger of losing his nose. Dr. Romaneschi meticulously worked to sew him back up, saving his nose and leaving almost no evidence of the accident. It was a success that reinforced his career path.
• Constipation

Internists

• Kidney Stones
  A Parathyroid disorder is when the parathyroid gland is considered overactive and calcium is pulled from the bones. If bones are deprived of calcium, osteoporosis may set in and cause brittle bones and fractures. Having too much calcium in the blood increases the risk of stroke, kidney stones, fatigue and weakness.

Neurologists

• Multiple Sclerosis
  Disorders of the central nervous system (including Parkinson’s disease, multiple sclerosis, or amyotrophic lateral sclerosis, more commonly known as ALS or Lou Gehrig’s disease)

Psychiatrists

• Depression
• Mental Health
  Balance problems can be sustained or episodic in nature and are often highly disruptive to daily functions. As a result, individuals suffering from balance problems may cease normal activities and experience anxiety, depression, or other physical or mental health issues. This can have profound social and economic ramifications.
• Anxiety

Endocrinologist

• Endocrinology
  Thyroid nodule treatment differs depending upon the diagnosis and can range from “watchful waiting” to thyroid surgery. Our doctors work closely as a team with our endocrinology colleagues to recommend the best course of treatment and/or surgery, if needed.
• Hypothyroidism
  Hypothyroidism is a condition in which the thyroid gland doesn’t produce enough thyroid hormone. It is also known as underactive thyroid. The main purpose of thyroid hormone is to run the body's metabolism so it is understood that people with this condition typically have a slow metabolism.
• Thyroid
  A lump in the neck can have a variety of causes, including a bacterial or viral infection, cancer, thyroid disease or allergic reaction. The most common lumps or swellings are enlarged lymph nodes. These can be caused by bacterial or viral infections, cancer, or other more unusual causes. Swollen salivary glands under the jaw may be caused by infection or cancer. A tumor is abnormal growth of cells that serves no purpose. A benign tumor is not a malignant tumor, malignant tumors are called cancers. In some cases, benign tumors need no treatment.
• Thyroid Cancer
  Thyroid cancer is cancer in the thyroid gland. The thyroid gland is at the base of the throat. It has two lobes, one on the right side and one on the left. The thyroid gland makes important hormones that help the body function normally. There are four kinds of thyroid cancers: papillary (the most common), medullary, follicular and anaplastic.

Radiologist

• Ultrasound
  When you visit us, we will begin with an interview about your medical history, symptoms and a physical exam. We may also recommend an ultrasound or radionuclide scan, a blood test to determine thyroid hormone levels and/or a biopsy of the nodule. Based on these results, we are able to create an individualized thyroid nodule treatment plan that works best for each of our patients.
• MRI
  The team at Sierra Nevada ENT specializes in diagnosing and treating labyrinthitis and vestibular neuritis. When a patient comes to our office, our doctors first take a detailed medical history and chart the onset, severity, frequency and duration of symptoms. We then perform a physical exam and hearing test. In some cases, we may request a Set of testing to include hearing test and balance test and/or magnetic resonance imaging (MRI) to rule out other neurological issues.
• Computed Tomography
  Referrals should include all pertinent patient information including demographics, insurance cards, office notes, operative reports, test results, diagnostic results like CT scans or MRIs, and reason for referral. Once this information has been received, our staff will contact the patient directly to schedule a consultation.
• Chemotherapy
• Radiation Therapy
  Loss of or reduction in the sense of smell and taste that may be caused by an upper respiratory infection, nasal polyps, dental issues, smoking, or radiation therapy. Symptoms: loss of or reduction in the sense of smell and taste.

Surgeons

• General Surgery
• Ear Surgery
  Sierra Nevada ENT is pleased to welcome Dr. Alexander Manteghi to our practice. Dr. Manteghi, a pediatric ENT specialist, joins the practice from St. Christopher’s Hospital for Children in Philadelphia, where he served as an Attending Physician for three years. He’s volunteered overseas performing ear surgery and currently sits on the editorial board for the Ear, Nose, and Throat journal among many other notable accolades. We are thrilled to have him as part of the Sierra Nevada Ear, Nose and Throat Team!
• Neurosurgery
• Otolaryngology
  If you are suffering from a head or neck condition, the doctors at Sierra Nevada Ear Nose & Throat (ENT) can help. Our physicians are trained in the field of otolaryngology–a combination of the Greek terms for ear (oto), throat (laryn) and nose (rhino). We are head and neck specialists with years of experience treating a wide range of disorders and diseases originating in or affecting areas above a patient’s shoulders. From diagnosis tsurgery to everything in between, our team at Sierra Nevada ENT is here to help.
• Reconstructive Surgery
  The head and neck include the important functions of sight, smell, hearing, and the appearance of the face. In the head and neck area, otolaryngologists (ENT specialists) are trained to treat infections, benign (non-cancerous) and malignant (cancerous) tumors, facial trauma, and deformities of the face. They perform both cosmetic plastic and reconstructive surgery.

Plastic Surgeons

• Botox
• Rhinoplasty
  Rhinoplasty is a great solution for people wishing to improve the cosmetic appearance of their nose. You may benefit from rhinoplasty if...
• Plastic Surgery
  Considering whether or not to pursue facial plastic surgery can be an intensely personal and sometimes daunting decision. It is important to talk to a medical professional to determine if you are a good candidate for surgery.
• Face Lift
  Our surgeons perform cosmetic, functional, and reconstructive surgical treatment of abnormalities of the face and neck and ear. Some procedures include deviated septum, rhinoplasty, face lift, cleft palate, drooping eyelids and ear deformities.
• Blepharoplasty
  Facial cosmetic surgery, which is performed for primarily aesthetic reasons. An example of this might be an eye lift (blepharoplasty) to correct age-related drooping and enhance the appearance of the eye.
• Nose Surgery
• Otoplasty
  The way otoplasty is performed varies from patient to patient based on their unique corrections. This surgery requires local anesthesia with sedation or general anesthesia. If the goal is to correct protruding ears, incisions are made on the inner parts of the ear to create or increase the antihelical fold and reduce excess cartilage. Incisions are commonly made on the backs of the ears to reduce the appearance of protruding ears. If incisions are necessary on the fronts of the ears, they are made within the ears’ folds to hide them. After the desired shape has been achieved, all incisions are closed with either internal or external stitches. The procedure usually takes about two hours and offers almost immediate results in cases of protruding ears.
• Scar Revision
  Facial reconstructive surgery, which is performed for medical reasons and rebuilds an area of the body that has been damaged. An example of this might be scar revision surgery for an individual who has suffered burns.
• Laser Resurfacing
  Dr. Romaneschi joined SNENT in 1996 just a year after it opened, reuniting with his residency colleague Dr. Paul Manoukian. While versed and skilled in all aspects of ear, nose and throat care, Dr. Romaneschi is highly experienced in sinus and allergy evaluation and surgery, thyroid and parathyroid surgery, and head and neck surgery. Always looking to further his knowledge, Dr. Romaneschi stays at the forefront of the Ear, Nose & Throat field, always working towards the newest and most advanced procedures. Dr. Romaneschi also specializes in facial surgery, otoplasty, rhinoplasty, scar revision, eyelid rejuvenation, and laser resurfacing are among his many strengths.
• Cosmetic Surgery
  Sierra Nevada Ear Nose and Throat offers premier ENT care in Carson City, NV.  We’re located in the Carson City Medical Center Campus near the Carson Tahoe Regional Medical Center. We offer care for a full range of pediatric and adult ear, nose and throat conditions. We also specialize in endoscopic sinus surgery and head and neck surgery and we are trained in the art of facial and neck cosmetic surgery. Schedule an appointment today.
• Forehead Lift

Dermatologists

• Skin Cancer
  Many different types of skin cancer can affect your skin and neck. Skin cancer occurs when cancerous (malignant) cells develop in the outer layers of the skin. The most common types of skin cancer are basal cell carcinoma (70 percent of all skin cancers) and squamous cell carcinoma (20 percent of all skin cancers). These types of skin cancer are classified as non-melanoma skin cancer. Melanoma (5 percent of all skin cancers) is the third type of skin cancer.
• Cyst
• Lesions
  Basal cell carcinomas are abnormal, uncontrolled growths or lesions that arise in the skin’s basal cells, which line the deepest layer of the epidermis (the outermost layer of the skin). Basal cell carcinoma typically occurs in areas of your neck or face that are exposed to the sun. Basal cell carcinoma is the most common form of skin cancer and the most frequently occurring form of all cancers. According to Skincancer.org, in the U.S. alone, more than 4 million cases are diagnosed each year.
• Chemical Peels
  Surgery using lasers, chemical peels, or derma-abrasion to improve the smoothness of the skin and minimize wrinkles and fine scars.
• Burns

Physical Therapists

• Sports Medicine
  Dr. Romaneschi served as Otolaryngology faculty member and lecturer for the Annual Symposium on Sports Medicine at Barton Memorial Hospital, a national sports medicine conference. He lectured specifically on ENT sports-related injuries at the conference. He also lectured for three years at the University of Nevada, Reno pre-med society and taught futuristic techniques. Also at UNR he served as a mentor for numerous physician assistants and pre-med students.
• Physical Therapy
  Dr. Anderson knew from an early age that she wanted to be a physical therapist. She was a competitive Irish dancer in high school and injured her ankle dancing. She ended up needing surgery and physical therapy. At the same time, she had an assignment to write about someone in the medical profession, and she chose to write about her physical therapist. That assignment and her positive experience in physical therapy inspired her to pursue the profession.

Allergists

• Allergies
  Sierra Nevada ENT has been providing specialized ear, nose and throat services since 1995. Our team takes a comprehensive approach to resolving or managing chronic sinus problems by creating an individualized treatment plan. This plan is based on a variety of factors, including the frequency, duration and severity of your symptoms, as well as an examination of your sinuses. In some cases, we also refer patients for imaging, allergy testing or additional cultures.