General Practitioners

• Sinusitis
  If you’ve been diagnosed with chronic sinusitis and are not responding well to medication, or if you have recurrent acute rhinosinusitis, you may be a candidate for Balloon Sinuplasty.
• Pediatric Care
  Dr. Sprague is originally from Maryland. She received her Bachelor’s degree in Communication Sciences and Disorders with a minor in Special Education from James Madison University. Dr. Sprague moved to North Carolina to complete her Doctorate in Audiology at the University of North Carolina at Chapel Hill. Prior to joining ENT & Audiology Associates, Dr. Sprague worked as an educational audiologist for Wake County Public Schools and served as a clinical audiologist at several ENT practices. Her areas of professional interest include pediatrics, hearing aids and assistive listening devices.
• Snoring
• Primary Care
• Ear Infections
  In 1999, Drs. Douglas and Randi Holmes opened this private practice to help the greater Raleigh community with their everyday ENT and audiology issues. Our specialists help patients with everything from sinus infections to sleep apnea, thyroid problems, hearing loss, and ear infections.
• Immunizations

Neurologists

• Autism
  My son has autism we have had to get two sets of tubes with Dr. Holmes and we can not say enough good things about him and his staff we would definitely recommend them to other special needs families!

Psychiatrists

• Anxiety

Endocrinologist

• Thyroid

Radiologist

• Ultrasound
  If you have a lump or fullness that doesn’t go away, come in and see us. We’ll do an examination, ultrasound, CT, fine needle aspirate for diagnosis, and – as needed – a surgical excision.
• MRI
  In the inner ear, you will find a sophisticated nerve network that collects and transmits hearing (cochlear nerve) and balance (vestibular nerve) data that is transferred via the vestibulocochlear nerve to the brain. ABR’s and MRI’s are used to make sure there are no growths on this nerve.
• Computed Tomography
  He will then recommend a hearing test and an ENG (electonystagmogram) test for balance. To get more data about your inner ear fluid pressure, he may suggest you take an ECOG (electrocochleography) test. Plus, he may suggest a CT (computed tomography) test or MRI (magnetic resonance imaging) test to rule out the presence of a growth on your hearing and balance nerve. He can then make an assessment whether your case of Meniere’s Disease is definite or probable and then develop a treatment strategy for you.

Surgeons

• Otolaryngology
  Otolaryngology is a medical specialty focused on the ears, nose, and throat. Otolaryngologists are specialists trained in both medicine and surgery, and are commonly referred to as ENT’s. Meet Our ENT Doctor.

Plastic Surgeons

• Botox
  …Dr. Holmes is one of only a handful of physicians in the eastern US providing botox injections to help patients suffering from “no burp,” as well as a provider of esophageal botox injections for those who struggle to swallow.

Physical Therapists

• Physical Therapy
  Despite the fact that there is no single cure for Meniere’s Disease, patients do learn to cope with the disease through a personalized strategy that can be guided by a trained ENT & Audiology specialist. Your medical team will propose a combination of diet, physical therapy, medications and surgical options to manage the disease. With your ENT & Audiology team by your side, you are not alone in your effort to control Meniere’s Disease.

Allergists

• Allergies
  After reviewing your medical records and discussing your personal life,and environment, Dr. Holmes will recommend an allergy test. Allergy testing involves having a skin or blood test to find the specific substance, or allergen, that is responsible for triggering an allergic reaction.