- Multiple SclerosisCentral vertigo occurs when there is a problem in the brain, usually affecting the brainstem or the cerebellum. These parts of the brain are responsible for interactions between the visual and balance systems; any disturbance can lead to vertigo. The most common cause of central vertigo is a migraine headache. Other less common conditions that can trigger central vertigo include stroke, tumors, acoustic neuroma, multiple sclerosis, alcohol and certain drugs.
- ImmunizationsYou can’t always stave off an ear infection, but there are steps you can take to reduce the chances of your child developing one. These include breastfeeding your baby, making sure he or she is up-to-date on vaccinations, practicing good hygiene (e.g., regular hand-washing), keeping your child away from tobacco smoke, and enrolling them in as small a day care or preschool facility as possible. Simply put, fewer children mean fewer germs.
- Osteoporosis
- Headaches
- Arthritis
- SinusitisIf you’re suffering from chronic sinusitis and have exhausted your treatment options, you may be a candidate for Balloon Sinuplasty. This minimally invasive surgical solution is a safe and effective method of enlarging your sinus passages for easier breathing and a drastic reduction in sinusitis symptoms.
- Medical Weight LossHyperthyroidism is the name given to a disorder that is the result of too much TH hormone. This causes the metabolism to speed up, leading to rapid or irregular heartbeat, anxiety, irritability, nervousness, fatigue, heat intolerance, excessive sweating, tremors, weight loss and increased bowel movements. Hyperthyroidism can be caused by an autoimmune disorder known as Grave’s disease, nodules, goiter, inflammation of the thyroid gland and too much iodine. The condition is usually treated with drugs such as beta-blockers, antithyroid medications like methimazole, radioactive iodine or surgery.
- Pediatric CareHearing loss can affect those of all ages, including children. Diagnosing and treating hearing loss in the pediatric population requires different instruments than those used on adults. Children may also suffer from different disorders.
- Primary CareMany of our patients have been referred to us after a visit to a primary care physician. But patients visit us directly as well, when they understand the extent and depth of our specialty.
- Ear InfectionsA Bone Anchored Hearing Aid, or BAHA, is a hearing device that relies on direct bone conduction to transmit sound. This surgically implanted device bypasses the auditory canal and middle ear, utilizing bones as a pathway for sound to reach the middle ear. It’s an alternative for people with chronic ear infections, congenital external auditory canal atresia and single-sided deafness. These patients usually do not benefit from conventional hearing aids.
- Sleep DisordersSnoring is extremely common: 45 percent of American adults snore occasionally, and 25 percent are habitual snorers. While many consider it a mere nuisance, snoring is actually a sleep disorder that can be the sign of a serious medical condition.
- Constipation
- X-Rays
- Computed TomographySymptoms of cholesteatoma include drainage from the ear, a feeling of fullness, hearing loss, earache and dizziness. Since these are also present in other conditions, tests such as CT scans and electronystagmography can be used to rule out other conditions and confirm the diagnosis. Cholesteatomas continue to grow if not treated and can lead to complications such as...
- ChemotherapyTreatment depends upon several factors. The size and location of the tumor, its stage, and your age and health must all be taken into consideration. Our team at Topeka ENT will make a decision based on these unique factors. Options might include surgery, radiation therapy, chemotherapy, targeted therapy or a combination of the above.
- Radiation TherapyAnosmia occurs when the sinuses become swollen and inflamed. The most common causes include colds, flu, allergies, sinusitis and nonallergic rhinitis. Nasal obstructions such as polyps, tumors and other deformities can block the flow of air through the nose and lead to a loss of smell. There are many other possible causes including Alzheimer’s disease, brain tumor, aneurysm, diabetes, cocaine use, chemical exposure, malnutrition, hormonal imbalances, medications, Parkinson’s disease, rhinoplasty, radiation therapy and old age, among others.
- UltrasoundTo determine if there is an abnormality with the thyroid or parathyroid, a physician may order an ultrasound guided fine needle aspiration (FNA) biopsy. This procedure is minimally invasive and leaves no scarring. During an FNA procedure, an ultrasound is used to guide the physician to the thyroid. Using a needle, a small sample of tissue is removed. These tissue cells are examined under a microscope to determine if a thyroid nodule is benign or malignant.
- MRIYour otolaryngologist can diagnose an acoustic neuroma primarily through a review of your symptoms in conjunction with a hearing test and imaging scans (CT or MRI). Because growth of the tumor is usually very slow, many times your doctor will simply want to monitor the tumor’s progress over time, especially when few symptoms are present. Regular imaging tests every six to 12 months can track any growth.
- CataractsWhen too little PTH is produced, calcium levels in the blood drop while phosphorous levels rise. This condition is known as hypoparathyroidism and causes weakness, anxiety, fatigue, muscle aches and cramps, headaches, muscle spasms, cataracts, depression, mood swings, memory loss and tingling sensations in the fingers, toes and lips. Injury to the parathyroid glands, endocrine disorders and genetic conditions are the most common causes of hypoparathyroidism. Calcium carbonate and vitamin D supplements are given to restore the proper balance of calcium and phosphorous in the body.
- General SurgeryTopeka Ear, Nose & Throat provides adult and pediatric ENT patients with complete diagnosis, treatment and surgical services, as well as hearing exams, hearing aids, speech therapy, cutting-edge allergy treatment and dizziness/balance disorder diagnosis and treatment. Topeka ENT also operates a Cleft Palate Clinic with surgical and therapy services.
- Ear SurgeryHe is an expert in adult and pediatric head and neck surgery with special interest in sinus and ear surgery. Dr. Meyers is a member of the American Academy of Otolaryngology – Head and Neck Surgery, the American Academy of Otolaryngic Allergy and the American Medical Association. He spends his spare time with his family and enjoys outdoor activities such as biking, camping and golfing.
- OtolaryngologyDr. Michael Franklin is a founding partner of Topeka Ear, Nose & Throat. He earned his undergraduate degree at the University of Kansas and his medical degree from the University of Kansas Medical Center with a specialty in otolaryngology/head and neck surgery. He decided to pursue a career in medicine while working with farm veterinarians as a teenager. His special interests include general otolaryngology, otologic surgery, sinonasal surgery, laryngology and general pediatric ENT. Dr. Franklin is a Fellow of the American Academy of Otolaryngology – Head and Neck Surgery and the American College of Surgeons. In his spare time, he enjoys attending activities with his five children.
- Reconstructive SurgeryDr. Matthew Glynn earned his undergraduate degree at Baker University and his medical degree at University of Kansas Medical School. He went on to complete his otolaryngology residency at Ohio State University. Dr. Glynn specializes in rhinology and reconstructive surgery. He chose to pursue a degree in the medical field after working for his father in a small-town pharmacy and seeing the great need in the health care industry. He is a member of the American Academy of Otolaryngology, the American Board of Otolaryngology and the American Association of Otolaryngology Head and Neck Surgeons. In his spare time, Dr. Glynn enjoys golfing, hunting, fishing, playing outdoor sports and spending time with family.
- Pregnancy
- Skin CancerSecondary cancers are tumors that have spread from primary tumors in other parts of the body to the head or neck. Most often, secondary tumors of the neck originate in the lung, breast, kidney or from skin cancers (squamous cell carcinoma or melanoma).
- Cyst
- EczemaWhen water becomes trapped in the ear, bacteria can cause inflammation and infection of the ear canal. This painful affliction is known as swimmer’s ear and can occur following exposure to any moist environment. It is most common in children and teenagers, individuals with eczema and anybody with excess earwax.
- LesionsBenign masses do not spread to surrounding tissue and are not cancerous. Nevertheless, benign masses can be serious if they impact nerves or exert pressure in the head and neck, and are often removed surgically. These include cysts, thyroid masses, vascular masses, salivary gland masses and others.
- PsoriasisAnybody who comes into frequent contact with water could develop swimmer’s ear (also known as external otitis). Activities such as swimming, surfing, diving and bathing are the most common causes. Water entering the ear canal can become trapped, especially when earwax is present. Any cut in the skin of the ear canal can increase the risk, as will coming into contact with water that is polluted or contains excess bacteria. Despite the name, water exposure isn’t the only way of contracting swimmer’s ear; it can be caused by anything that damages the protective film of the ear canal, such as cotton swabs, chemicals found in hairspray or hair dyes, etc. Skin conditions like eczema, psoriasis and seborrhea may also contribute.
- Diabetes Care
- HypothyroidismWhen the opposite occurs and too little TH hormone is produced, the metabolism slows down and results in a condition known as hypothyroidism. Symptoms include depression, fatigue, sore muscles, dry skin, puffy face, swollen legs, weight gain, constipation and sensitivity to cold. An autoimmune disorder called Hasihomoto’s thyroiditis is the most common cause of hypothyroidism. Others include an inflammation of the thyroid gland called lymphocytic thyroiditis, thyroid destruction following radioactive iodine treatment or surgery, pituitary gland injury and iodine deficiency. Treatment for this disorder involves life-long therapy with synthetic thyroid hormone.
- ThyroidDizziness is the result of your brain receiving false signals from the balance system (comprised of the inner ear, eyes and sensory nerves). It senses movement and overcompensates, leading to a spinning sensation, weakness and faintness. There are many possible causes of dizziness including low blood pressure, anemia, dehydration, heat-related disorders, endocrine system disorders (e.g., diabetes, thyroid disease), heart conditions, high blood pressure, viral and bacterial infections, head trauma, hyperventilation, neurological disorders and certain medications.
- Thyroid CancerOther cancers can form in this part of the body (brain tumors, esophageal cancer, thyroid cancer, etc.) but these behave very differently and are not classified as heck and neck cancers.
- Kidney StonesHyperparathyroidism occurs when too much PTH is secreted into the bloodstream. This creates an imbalance of high calcium levels and low phosphorous levels. Symptoms include osteoporosis, kidney stones, bone and joint pain, weakness, lethargy, loss of concentration, depression, loss of appetite, constipation, nausea and vomiting. The cause may be linked to a benign tumor or enlarged parathyroid gland. Surgery is the preferred treatment for hyperparathyroidism.
- EndoscopyYour doctor will diagnose non-allergic rhinitis based on your symptoms and medical history, and will want to rule out an allergic cause through skin and blood tests. Sinus problems present similar symptoms, so you may also need a nasal endoscopy or CT scan to rule out nasal polyps or a deviated septum.
- AllergiesRhinitis is similar to hay fever, but is caused by something other than an allergen. Dubbed non-allergic rhinitis to differentiate the two, it produces cold-like symptoms that can leave you feeling miserable and worn-down. It may take allergy testing to rule out hay fever and accurately diagnose non-allergic rhinitis.
- Depression
- Anxiety
- RhinoplastyIf the deviated septum isn’t too severe, symptoms may respond to treatment with medications. Antihistamines, decongestants and nasal steroid sprays can reduce congestion and inflammation in some patients. When medicines are ineffective, a surgical procedure known as a septoplasty may be necessary to reposition a crooked septum and improve breathing. This involves removing excess bone or cartilage in order to create a larger breathing space, and is typically performed in an outpatient setting using local or general anesthesia. A rhinoplasty – surgery to reshape the nose – is often performed at the same time.
- Physical TherapyTreatment varies depending on the type and severity of vertigo. Some forms disappear without treatment. The most common type, BPPV, responds well to head maneuvers, while other types are successfully treated with medication. When the condition persists, physical therapy can help.
- Occupational TherapyTreatment for dizziness takes many forms, depending on the cause. Your doctor will try to target the underlying condition in order to reduce or eliminate the symptoms. Options include medications (antihistamines, sedatives, antibiotics, steroids), physical or occupational therapy, surgery, repositioning exercises, vestibular retraining programs and lifestyle modifications such as dietary changes and elimination of alcohol and nicotine.