- SinusitisSinusitis is a common condition in adults, and the Center for Disease Control and Prevention reports that over 12 percent of adults suffer from diagnosed sinusitis. At Chesapeake Ear Nose & Throat in Baltimore, MD, we offer diagnosis and treatment of both acute and chronic sinusitis. Our team of doctors can diagnose the cause of your condition and provide targeted sinusitis treatment to alleviate your symptoms and help you find relief.
- Medical Weight Loss
- Pediatric CareDr. Julia L. Visaggio, Au.D., CCC-A earned her Bachelor of Science degree in Communication Sciences and Disorders from Adelphi University and her Clinical Doctorate in Audiology from Towson University. She has special interests in pediatric diagnostic evaluations, vestibular disorders, tinnitus, and hearing aids (adults and pediatrics). Dr. Visaggio is certified by the American Speech-Language and Hearing Association.
- SnoringSnoring can be a sign of obstructive sleep apnea, a condition characterized by many brief episodes of interrupted breathing during sleep. Sleep apnea can make patients feel fatigued or moody, and increase their risk of heart disease and other serious conditions. We offer solutions for both snoring and sleep apnea to protect your health and help you achieve more restful sleep.
- Primary CareIMPORTANT NOTICE: IF YOU HAVE NEW ONSET OF COUGH, FEVER, FATIGUE, OR FEELING ACHY, PLEASE CALL YOUR PRIMARY CARE PROVIDER. IF YOU ALREADY HAVE AN APPOINTMENT SCHEDULED WITH US, PLEASE CALL 410-356-2626 TO RESCHEDULE FOR AT LEAST 3-4 WEEKS FROM NOW. WE WILL NOT BE ABLE TO TREAT YOU. THANK YOU FOR YOUR UNDERSTANDING.
- Ear InfectionsEar infections are the most frequently diagnosed illness in children, following the common cold. In fact, most children will have experienced at least one by the time they are three years old. An ear infection is often the result of a bacterial or viral infection that causes fluid to build up behind the ear drum. Children are especially susceptible because their immune systems are not as strong as adults. Our doctors provide comprehensive treatment options to alleviate pain and other symptoms.
- Sleep DisordersFirst of all, it is absolutely necessary to rule out obstructive sleep apnea or other sleep disorders. Be wary of any doctor who says it is not necessary. Behavioral and lifestyle changes may be suggested. Losing weight, sleeping on your side, refraining from alcohol and sedatives are often recommended.
- Diarrhea
- ImmunizationsAdults and children of any age can be tested for allergies. Because different allergens bother different people, your allergist will take your medical history to determine which test is the best for you. Some medications can interfere with skin testing. Antihistamines, in particular, can inhibit some of the skin test reactions. Use of antihistamines should be stopped one to several days prior to skin testing. Reasons for allergy testing: To help you manage your allergy symptoms most effectively, your allergist must first determine what is causing your allergy. For instance, you don’t have to get rid of your cat if you are allergic to dust mites but not cats, and you don’t need to take medication all year if you have a seasonal allergy to ragweed. Allergy tests provide concrete information. And once you know the specific allergens causing your symptoms, you can try to: avoid exposure to the allergens; get specific medical treatment; and if necessary, consider specific vaccination with the allergen, or “allergy shots.”
- Labor and Delivery, practice to help patients experiencing breathing difficulties or nasal congestion. Although a deviated septum can occur during fetal development or childbirth, you can also develop it from a broken nose or other impact nasal injuries. It is estimated that as many as 80 percent of all septums have some degree of deviation. Symptoms can include chronic sinus infections
- EndoscopyGrowths or tumors: Growths in your nasal passage, mouth, throat, or lungs can severely constrict your airways. Our team can identify and diagnose these issues with a nasal endoscopy, in which a flexible tube with a light and camera is inserted through the nose to examine your nasal passage. If any growths or tumors found are cancerous, we will refer you to an oncology professional.
- Lung Cancer
- Insomnia
- Anxiety
- Diabetes Care
- HypothyroidismThyroiditis: Characterized by inflammation of the thyroid gland, this condition often leads to months of hyperthyroidism followed by hypothyroidism, or an underactive thyroid. In most instances, the hypothyroidism lasts about a year to a year and a half – although there may be cases in which it lasts indefinitely.
- Thyroid
- Thyroid CancerNodules within the thyroid gland are very frequent in the adult population. Some studies suggest up to 50% of the adult population have thyroid nodules. Thyroid nodules commonly are benign, but may represent thyroid cancers. The risk of thyroid cancer is higher in an elderly age group, and is higher with a past history of radiation therapy. Also, the larger a thyroid nodule is, the higher the risk of malignancy for some nodules. Thyroid nodules may be identified during routine physical exams by general medical physicians, or may be identified by the patient during a shower or during shaving. Thyroid nodules, when they are large enough, can also be sensed as a lump in the neck, especially noticeable during swallowing.
- UltrasoundThe evaluation of the thyroid nodule involves a complete history and head and neck physical exam, including evaluation of vocal cord function. The nerve to the vocal cord travels just deep to the thyroid and can occasionally be affected by thyroid nodules. This requires a vocal cord evaluation after a complete history and physical exam. Testing is typically recommended, usually a blood test to assess the functioning of the thyroid and often a thyroid ultrasound to assess the exact nature and size of the thyroid nodule. This is a painless test which involves no radiation. The central test for work-up of the thyroid nodule is a fine needle aspiration. Fine needle aspiration (FNA) can be considered a microscopic needle biopsy. This often allows definitive diagnosis. Surgery is typically reserved for lesions that are identified as malignant or suspicious on fine needle aspiration. Other treatment options are available for lesions that are benign on fine needle aspiration. For large thyroid masses/goiter, additional evaluation is often necessary, and may include CT scanning, MRI scanning, or barium swallow. The purpose of these tests is to assess the relationship of the thyroid mass to the adjacent swallowing tube (esophagus) and breathing tube (trachea).
- MRIThe evaluation of a neck lump, nodule, or mass is performed by the Otolaryngologist. It is important to assess a history of smoking in a patient with a neck nodule. A complete head and neck exam is essential to view the entire upper aerodigestive tracts (breathing/swallowing passage). During the ENT office exam, the location of the nodule can often given a clue as to its identity. CT and MRI scanning and other radiographic evaluation is sometimes necessary. Fine needle aspiration (please see thyroid nodule above) is often a centrally important test in the work-up of a neck nodule and represents a microscopic biopsy that usually provides definitive diagnosis without surgery.
- X-Rays
- Computed TomographyTo properly diagnose sinusitis, one of our doctors will evaluate your sinuses using a special tool called an endoscope to look into your nasal cavities. Diagnostic imaging such as a CT scan or x-ray might also be used to gain a comprehensive view of the sinuses and nasal area.
- ChemotherapyReducing your cholesterol level may reduce your tinnitus. Vascular Abnormalities: Arteries may press too closely against the inner ear machinery or nerves. This is sometimes correctable by delicate surgery. Stress: Stress is not a direct cause of tinnitus, but it will generally make an already existing case worse. Diet and Other Lifestyle Choices: Like stress above, a poor diet can worsen an existing case of tinnitus. Alcohol, tobacco, caffeine, quinine/tonic water, high fat, high sodium can all make tinnitus worse in some people. Drugs: Many prescription and over-the-counter drugs may cause tinnitus and/or hearing loss that may be permanent or may disappear when the dosage is reduced or eliminated. Before starting treatment with any prescription drug, tinnitus sufferers should always ask their physician and/or pharmacist about the potential for ototoxic side effects. These drugs include; salicylate analgesics (higher doses of aspirin), naproxen sodium (Naprosyn, Aleve), ibuprofen, many other non-steroidal anti-inflammatories, aminoglycoside antibiotics, anti-depressants, loop-inhibiting diuretics, quinine/anti-malarials, oral contraceptives, and chemotherapy.
- Radiation TherapyTreatment for head and neck cancer is very dependent on the type of tumor, where is has occured, and how large the tumor is. The goal in all cancer treatment is to remove the tumor with as little damage as possible to important structures in the head and neck. For many tumors treatment involves a combination of surgery and radiation therapy. There are some tumors that are treated best with only radiation therapy, and others that can be totally cured with surgery alone. There are too many variables to describe in general how a head and neck tumor is best treated, and each case must be considered on an individual basis by your physicians.
- Wound CareFinally, the irrigation catheter is removed, leaving the passageway open and clear to allow the return of normal sinus drainage and nasal breathing. Because there are no incisions placed or tissue removed, you will not require special packing and wound care.
- Minimally Invasive SurgeryVocal cord nodules are a common condition, especially among performers, coaches, and public speakers. These benign callus-like growths can cause hoarseness and vocal fatigue, and can require increased effort when you speak. Our doctors will guide you through the lifestyle changes that can help improve nodules, and if necessary, can perform safe, minimally invasive surgery.
- Ear Surgery
- OtolaryngologyDr. Scott D. London graduated from the University of Virginia undergraduate and medical schools. Dr. London trained in the Department of Otolaryngology Head and Neck Surgery at the University of Virginia Health Sciences Center where he is published on areas such as advanced treatment of sinus diseases and facial plastic reconstruction.
- Reconstructive Surgery
- Eyelid Surgery
- RhinoplastyDr. Duggal is an expert in problems of the nose and sinuses and practices general ENT. He specializes in sinus disease, disorders of nasal breathing, primary and revision sinus surgery, functional and cosmetic rhinoplasty, and endoscopic approach to skull base masses. When not spending time with his family he enjoys playing basketball, running, fantasy football and watching The Walking Dead.
- Face Lift
- Nose Surgery
- Otoplasty
- Chin Augmentation
- LesionsThe sufferer might hear the pulsatile flow of the carotid artery or the continuous hum of normal venous outflow through the jugular vein when in a quiet setting. It can also be an early sign of increased intracranial pressure and is often overshadowed by other neurological abnormalities. The sounds may arise from a turbulent flow through compressed venous structures at the base of the brain. Subjective Tinnitus. This form of tinnitus may occur anywhere in the auditory system and is much less understood, with the causes being many and open to debate. Anything from the ear canal to the brain may be involved. The sounds can range from a metallic ringing, buzzing, blowing, roaring, or sometimes similar to a clanging, popping, or nonrhythmic beating. It can be accompanied by audio-metric evidence of deafness which occurs in association with both conductive and sensorineural hearing loss. Other conditions and syndromes which may have tinnitus in conjunction with the condition or syndrome, are otosclerosis, Meniere’s Disease, and cochlear or auditory neve lesions. Hearing loss, hyperacusis, recruitment, FMS, and balance problems may or may not be present in conjunction with tinnitus.
- Physical TherapyOur Balance and Fall Prevention practice offers evaluation, testing and treatment. Chesapeake Ear, Nose, & Throat provides both office based physical therapy as well home-based balance programs that can save patients time and money.
- AllergiesAllergy testing is an important part of an ear, nose, and throat evaluation. Left untreated, allergies such as hay fever can cause your sinus tissues to become swollen and infected, resulting in pain, loss of smell and taste, and difficulty breathing. Allergic reactions to food, the environment, and animals can contribute to sinus complications. We provide comprehensive allergy testing to diagnose the cause of your symptoms. We offer also immunotherapy treatment, which can strengthen your immune system to combat these everyday allergies.