By Lora Hull, R.N.
April 23, 2015
Category: Allergy

By having allergy skin testing and knowing what your allergy triggers are, you can learn to identify

and therefore reduce exposure to those triggers. Avoiding your allergic triggers can help reduce your symptoms, making medical treatments more effective.  If you believe you could be suffering from allergies and would like to know exactly what it is that you are allergic to, please contact our allergy department today at 386-774-9880 option 5.



Pollens are tiny airborne particles given off by trees, weeds, and grasses.  The pollen count is currently high in Central Florida, so those of you with allergies to pollen may be suffering from increased symptoms this time of year.  The following are some tips to help reduce your exposure to these allergens, hopefully decreasing your symptoms:

  • Remove clothes outdoors / in the garage after working outside and carry them in a bag to the washer.

  • Shower after working outside – make sure to wash your hair, as pollens can hide here.

  • Stay indoors when pollen counts are high. Check pollen reports on the news or log on to for updated info.

  • Keep lawns closely mowed for less pollination.

  • Have someone else do your yard work or wear a micro fiber facemask when working in the yard.

  • At home and when driving, keep windows closed and when possible, use air conditioners on re-circulate.

  • Use high-efficiency particulate air (HEPA) filters for AC/furnace and vacuum cleaners.

  • Avoid highways or industrial plants; exhaust and air pollution make symptoms worse.

  • When exercising, breathe through your nose.

  • Do not hang clothing or towels outside to air-dry.

  • Pollens are most prevalent in the morning as the sun rises and heats the air; avoid outdoors at this time.

  • Check landscaping around your house: Keep plants away from windows. Do not keep plants you are sensitive to – if unsure take clippings to your local nursery for identification.

By Atlantic Ear, Nose & Throat
April 09, 2015
Category: ENT
Tags: hoarsness   swallowing   head   neck   cancer   headache   lump   pain  

April is Head & Neck Cancer Awareness Month. Head and neck cancer accounts for five to ten percent of all cancers in the United States. Head and neck cancer is more common in people over age 50 and three times more common in men than in women. If detected early, it is often curable. In fact, it can be prevented easily through some basic lifestyle changes.

Head and neck cancer includes cancer of the following:

-Lip, tongue, salivary glands, gums and other oral cavity tissues such as the inner lining of the cheeks

-Floor of the mouth


-Throat or pharynx

-Voice box or larynx

-Lymph nodes in the neck

-Nasal cavity



Oral cancer is the most common type of head and neck cancer.


Awareness Color: Burgundy/Ivory


Symptoms to look for:

  • A sore that does not heal

  • A growth in the mouth or on the tongue that persists

  • Painless swelling in the neck or side of the face

  • Nasal problems, obstruction, or chronic sinus trouble

  • Blood in saliva or phlegm for several days

  • Pain when swallowing food or liquids

  • Decreased hearing or persistent earache, particularly if accompanied by swallowing difficulties, hoarseness or a lump in the neck

  • Hoarseness or other voice change lasting more than two weeks

If you have experienced any of the above symptoms, please call Atlantic ENT for an evaluation at 386-774-9880.


By Atlantic ENT
March 26, 2015
Category: ENT
Tags: CT   CAT Scan   Sinus   images   MiniCAT  

CT Sinus:


How do doctors diagnose sinus or ear problems? Typically, your doctor will talk with you about your symptoms and review your medical history, perform a physical exam, and , if needed, order a CT scan of your sinuses.

What is a CT scan? CT stands for “Computed Tomography”. CT scans create three-dimensional x-ray images of the anatomy providing doctors with valuable information to help diagnose disease. At Atlantic Ear, Nose & Throat, our doctors use a CT scan called the “MiniCAT”.

How is the MiniCAT™ different that traditional CT scanners in hospitals? Unlike traditional CT scanners which are often used to image many different parts of the body, the MiniCAT™ is specifically designed to image the sinuses and skull base . By focusing only on the sinuses and temporal bones, the MiniCAT™ can deliver superior image quality compared to a traditional CT.

How does MiniCAT™ work? You sit comfortably upright in a chair while an overhead arm makes a single rotation around your head. Within seconds, your CT scan will appear on your AENT doctor's computer monitor.

How long does a scan take? A typical scan will take only 20 seconds or less.

Is it safe?Yes, the MiniCAT™ scans have a significantly lower radiation dose than sinus and ear scans taken on full-body scanners in the hospital.

For your convenience, CT scans of your sinuses and temporal bones using the MiniCAT are offered in our Orange City office.

By Carinda Stout, M.A.S.L.P., CCC-SLP
February 27, 2015
Category: Voice
Tags: Children   voice   raspy   nodules   strain  

Causes and Treatments for a Child’s Raspy Voice:


Childhood nodules or vocal strain includes one or more of the following:

  • Hoarse, breathy or rough voice

  • Recurring, temporary loss of voice especially first thing in the morning and at the end of the day, or after specific events such as a sports day

  • Voice breaks (as though it “cuts out” for a second) during speech or singing

  • Pitch breaks which are abrupt changes in the pitch of the voice during speech or singing, usually from a lower note to a higher note

  • An excessively loud voice

  • Inability to sustain a note when singing, the voice wavers or “cuts out”

  • Producing voice seems to require special effort


Vocal strain and nodules are caused by stress to the larynx (voice box). This stress is generally referred to as “vocal abuse” or misuse. Children with nodules are typically in the habit of talking too long, too loudly and with too much effort.

Usually children develop vocal nodules or strain due to the interaction of two or more of the following, done in excess:

  1. Talking and singing, for example, excessive or over-enthusiastic rehearsal of school plays or concerts, cheer leading, lengthy talking without a quiet “recovery time”

  2. Forceful use of the voice

  3. Coughing or loud forceful sneezing

  4. Crying, laughing, and loud, prolonged outbursts of emotion, for example, children who frequently tantrum

  5. Grunting, for example, while load-bearing during lifting

  6. Throat clearing

  7. Shouting

  8. Making sound effects during play

  9. Dryness, for example, from over use of cough lozenges, antihistamines, caffeine

  10. Restricted fluid intake


Risk Factors

Some children are more vulnerable to developing vocal nodules and vocal strain than others. Children who are more at risk may have one or more of the following:

  1. A family with loud voice habits

  2. Chronic asthma or allergies (post nasal drip or rhinitis)

  3. Recurrent and frequent upper respiratory tract infections including infected tonsils, sinuses, adenoids and throat

  4. Gastric reflux

  5. ADD or hyperactivity disorders

  6. Behavior problems - outbursts of emotions such as crying

  7. Excessive stress in the child’s life

  8. A loud, outgoing, competitive personality



Vocal nodules and strain are diagnosed by an Ear, Nose and Throat provider. Once the child has an ENT examination, speech therapy for the voice is usually recommended. The goal of voice therapy is to teach a healthy, non-abusive voice production patterns so the vocal cords can heal, allowing a return to a normal voice.


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