General Practitioners

• Headaches
• Arthritis
• Sinusitis
  Acute sinusitis is a short-term condition that typically follows a cold and lasts for up to three weeks. This type responds well to antibiotics and decongestants, and sufferers can experience a complete recovery.
• Medical Weight Loss
  Non-surgical approaches include weight loss and other lifestyle modifications or the use of an oral appliance to reposition the jaw.
• Ear Infections
  The most common pediatric disease seen by an otolaryngologist is persistent or recurrent ear infections (otitis media). Otitis media can be serious because the infection in the ear can spread to nearby structures in the head. It also is the most common cause of hearing loss in children. Hearing loss, especially in children, may impair learning capacity and even delay speech development. If treated promptly and effectively, a child’s hearing can almost always be restored to normal. In addition, the pain associated with an ear infection can be severe causing extreme discomfort for the child.
• Sleep Disorders
• High Cholesterol
• Infectious Diseases
  The Head and Neck – Otolaryngologists are trained to treat infectious diseases of the head and neck area, both benign and malignant (cancerous) tumors including the thyroid, facial trauma, and deformities of the face (both cosmetic and reconstructive).

Internists

• Endoscopy
  Endoscopic sinus surgery (endoscopy) is a technique that allows the doctor to clearly see and operate inside the patient’s sinuses to remove blockages. Because it causes little tissue damage, the patient has less swelling, bleeding, and discomfort than with external open surgery, and there is no visible scarring. Endoscopic sinus surgery also results in a less painful recovery with quicker relief from symptoms. Endoscopy is most effective when the patient also takes steps to control future colds and other infections or allergies – the most common causes of sinus problems.

Psychiatrists

• Anxiety

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• MRI
  If we are concerned that there might be a specific reason or cause for your head noise, we might recommend highly specialized hearing or radiologic tests to make sure that you don’t have this type of problem. These might include balance testing, a special radiologic examination of your ear and brain called a magnetic resonance image (MRI), laboratory work, or a complicated hearing test called brainstem auditory evoked response (ABR or BAER). If we don’t find any specific cause for your tinnitus, you might find the following list of suggestions can help lessen the severity of the sound in your head.

Surgeons

• Minimally Invasive Surgery
• Otolaryngology
  The physicians of two otolaryngology (ear, nose and throat) groups in Winston-Salem joined together to create Piedmont Ear, Nose & Throat Associates (PENTA), the premier otolaryngology group in the Triad. The merger of Forsyth Head & Neck Associates and Salem Ear, Nose & Throat Associates took place on July 1, 1999. All of PENTA’s physicians are board certified by the Academy of Otolaryngology – Head & Neck Surgery.

Plastic Surgeons

• Plastic Surgery
  PENTA has a fully integrated clinical research site located within our Winston-Salem office. Our goal is to advance health care and provide novel therapies for our patients by conducting clinical research trials. We conduct Phase I, II, III, and IV trials in the areas of allergy/asthma, ear, nose, and throat, cosmeceuticals, ENT surgical procedures, plastic surgery procedures, device, audiology, and hearing healthcare.

Dermatologists

• Skin Cancer
  Yes, as many as 90 percent of head and neck cancers arise after prolonged exposure to specific factors. Use of tobacco (cigarettes, cigars, chewing tobacco or snuff) and alcoholic beverages are closely linked with cancers of the mouth, throat, voice box, and tongue. (In adults who neither smoke nor drink, cancers of the mouth and throat are nearly nonexistent.) Prolonged exposure to sunlight is linked with cancer of the lip and is also an established major cause of skin cancer.

Physical Therapists

• Physical Therapy
  BPPV is a disorder of one of the balance centers in the inner ear, usually the posterior semicircular canal. It is one of several types of positional vertigo and by far the most common. BPPV is benign because it is not life-threatening; paroxysmal because the dizziness comes on suddenly and without warning; it is positional because the dizziness either starts or is made worse with head or body movement; and it is vertigo because the dizziness is a whirling type of sensation. BPPV is thought to be caused by a previous head injury that could have happened years before the dizziness started. The main symptoms of BPPV are vertigo, imbalance and nausea that last for a short time, only to return with a change in body or head position. Some people report a feeling of imbalance that lasts throughout the day. BPPV is a very common problem and accounts for almost half of the balance problems seen by our group. BPPV is usually relieved by performing special balance exercises or using a canalith repositioning maneuver. The canalith repositioning maneuver, or Epley maneuver, is a physical therapy we perform in our office that effectively eliminates the dizziness associated with BPPV in 90% of people. Rarely, an operation will be needed to control the vertigo associated with BPPV.

Allergists

• Allergies