General Practitioners

• Sinusitis
  Any of these symptoms may be present however; it usually takes at least one primary and at least two secondary symptoms to consider the diagnosis. They may be quite severe or relatively mild and may be mainly a nuisance. In chronic sinusitis, these symptoms may be present for years. Frequently, chronic sinusitis is described as "the cold that won't go away."
• Snoring
  Snoring and sleep apnea are common problems. They are both caused by excess tissue in the throat. The primary obstructed areas are the soft palate and the base of the tongue. A long palate vibrating while breathing causes most snoring. Apnea is the cessation of breathing and may be due to an obstructive cause or to a central cause. Central sleep apnea results when the brain fails to tell the body to breathe. Obstructive sleep apnea results from excess soft tissue in the palate, base of tongue, and rarely, the sides of the throat collapsing in and blocking breathing. Obstructive sleep apnea occurs in the deeper stages of sleep when the body becomes very relaxed. Both types of apnea are relieved when the oxygen concentration in the blood drops low enough that the person feels starved for air and wakes up to breath. These brief waking episodes may occur hundreds of times a night and are not usually remembered by the patient. The result is a poor night's rest. Symptoms include daytime sleepiness, morning headaches, falling asleep at the wheel, irritability and short temper, and problems with concentration and memory. There is also an association with health problems such as high blood pressure, heart attack, and stroke.
• Ear Infections

Internists

• Endoscopy
  The history of the disease process is the most important factor in making the diagnosis. Physical examination may reveal the presence of nasal discharge, nasal polyps, inflammation of the throat, tenderness of the sinuses and swelling of the lymph nodes in the neck. In chronic cases, nasal endoscopy (looking up the nose with a special scope) is usually performed to fully evaluate the deeper passageways of the nose and look for the presence of contributing factors such as polyps, tumors and anatomic abnormalities. Computerized tomography or CT scanning is used to define the anatomy and help determine the extent of disease.

Endocrinologist

• Thyroid

Surgeons

• Otolaryngology
  Bozeman Otolaryngology Associates is located on the first floor in building one of the Bozeman Deaconess Hospital Medical Office Building. Our address and phone numbers are...
• Reconstructive Surgery
  Dr. Hetherington grew up in Butte, Montana where his father taught at Montana Tech. He attended Butte High School and was graduated in 1978. He obtained his undergraduate degree in biology at Carroll College in Helena, Montana. He then attended Saint Louis University School of Medicine, graduating in 1986. In 1992, he completed a five-year surgical residency training program in Otolaryngology-Head and Neck Surgery at Madigan Army Medical Center in Tacoma, Washington. This specialty is concerned with medical and surgical disorders of the ears, nose, throat, face, head and neck. After residency, he completed a fellowship program in Head and Neck Reconstruction and Skull Base Surgery at Rush-Presbyterian-St. Luke's Medical Center in Chicago, Illinois in 1994. The focus of the additional year of training was plastic, reconstructive and cosmetic surgery of the head and neck, surgical treatment of the head and neck cancer, and the treatment of nose and sinus disorders. During his military service, he was assigned to Tripler Army Medical Center in Honolulu, Hawaii where he was a Clinical Assistant Professor of Surgery and was responsible for the training of resident physicians. At that time, he held faculty appointments at the University of Hawaii and at the Uniformed Services University of the Health Sciences. He is board certified by both the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery.

Plastic Surgeons

• Eyelid Surgery
• Face Lift
• Cosmetic Surgery
  Snoring can have serious social consequences and can be a sign of sleep apnea, a potentially serious medical disorder. Chronic fatigue and

Dermatologists

• Skin Care

Allergists

• Allergies