In-Office Procedures for ENT Care at ENT Specialists
At ENT Specialists, we offer comprehensive ear, nose, and throat care to families and individuals in Novi, Brighton, and Bingham Farms. Our world-class doctors have assisted patients in overcoming problems related to vocalizing, sleeping, disordered breathing, hearing loss, allergies, and head and neck cancer for over three decades.
Laryngeal Videostroboscopy
Diagnosing vocal cord conditions has never been easier or more comfortable. Performed in the office, our doctors pass a thin laryngeal strobe through the mouth or nose and direct it toward the larynx, or voice box, where they can clearly visualize abnormalities under magnification. The process lasts only a few minutes and is painless.
Botox for Spasmodic Dysphonia and Vocal Tremor
Our doctors frequently treat vocal hoarseness and tremors with BOTOX®. This quick, injectable procedure relaxes the laryngeal muscles to alleviate vocal cord spasms for two to six months for a more natural-sounding voice.
Awake Injection Medialization Laryngoplasty
A simple, injectable procedure can manage glottic insufficiency, vocal cord paralysis or weakness, and age-related vocal cord atrophy. This can help improve voice and swallowing symptoms. Endoscopic-guided injection medialization laryngoplasty works by applying a biocompatible injectable into the vocal cords to restore volume where it is missing. Our doctors make this in-office procedure comfortable with a nasal numbing spray and local anesthetic.
Awake Laser-Based Vocal Cord Procedures
Awake laser procedures are the next generation of vocal cord treatments. Using a blue laser guided by an endoscope, our physicians treat early-stage laryngeal cancer, precancerous lesions, laryngotracheal stenosis, vocal cord paralysis, and benign vocal fold lesions. This is done with local anesthesia on an outpatient basis.
Awake Injections for Velopharyngeal Insufficiency
Nasal-sounding speech and nasal regurgitation during eating may signal velopharyngeal insufficiency (VPI), wherein the soft palate fails to meet the pharynx during swallowing or speaking. During awake-injection pharyngoplasty, our doctors administer injectable material to close the gap.
Steroid Injections for Subglottic Stenosis
Noisy breathing and shortness of breath are common symptoms of subglottic or tracheal stenosis, or narrowing of the breathing passage just below the vocal cords. To prolong the benefits after endoscopic dilation, your ENT specialist may inject a corticosteroid into the area—a quick, relatively painless in-office procedure.
Superior Laryngeal Nerve Block
People living with chronic cough often have their symptoms misdiagnosed or ignored, yet constant coughing greatly interferes with their quality of life. An SLN block is a groundbreaking, minimally invasive, neurogenic cough treatment that only takes 1-2 minutes to perform. Your doctor will inject a solution of lidocaine and triamcinolone acetonide adjacent to the superior laryngeal nerve. A series of one or more sessions can result in a significant reduction in cough severity.
Functional Endoscopic Evaluation of Swallow
The first step to treating swallowing difficulties (dysphagia) is a diagnosis. Our otolaryngologists rely on fiberoptic endoscopic evaluation of swallowing (FEES) to quickly and accurately identify the root cause of swallowing disorders so our patients can take the next step and receive the proper treatment.
