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    places and fatigue may make it worse Approximately 10 percent of the population is affected to some degree It becomes more common as we age Left untreated tinnitus can lead to irritability poor concentration difficulty sleeping and even depression It is a difficult and challenging condition While there is no cure fortunately treatments are available The first step is to have an evaluation to determine the cause as this will determine what treatments are most suitable Latest News Shea Ear Clinic Physicians Present Research Development Posted on May 01 2013 At the American Neurotology Society Spring Meeting Dr Brian J McKinnon s team presented their latest ongoing research on the development of a novel cochlear implant thin film array electrode Continue reading Dr John Shea Donates Professional Papers to Memphis Library Posted on April 15 2013 Throughout the course of his life Dr John Shea Jr has made major historical breakthroughs and advancements in medicine Recently Shea donated 406 papers including more than 300 published articles to the Memphis Public Library s Memphis Room Continue reading read more Our Blog Hunting and Hearing Loss Posted onAugust 28 2015 Hunting and shooting are one of the most popular past times for

    Original URL path: http://www.sheaclinic.com/services/17/Tinnitus (2016-02-01)
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    Thus if you have a sudden hearing loss see an otologist as soon as possible Specialized tests like brain stem audiometry or brain MRI can determine if the loss is related to acoustic neuroma a tumor on the balance nerve Causes of sudden hearing loss may include Viral inner ear infection Rupture of a delicate membrane in the inner ear Acoustic neuroma tumor on the hearing and balance nerves Meniere s disease excessive pressure in the inner ear Autoimmune inner ear disease immune system attacking inner ear Head trauma Circulatory problems Steroids like dexamethasone are one of the mainstays of treatment for sudden hearing loss Intratympanic perfusion with dexamethasone is particularly effective in some cases of sudden sensorineural hearing loss Dexamethasone perfusion of the inner ear may improve the hearing loss and reduce the fullness noise and dizzy spells associated with sudden sensorineural hearing loss also Latest News Shea Ear Clinic Physicians Present Research Development Posted on May 01 2013 At the American Neurotology Society Spring Meeting Dr Brian J McKinnon s team presented their latest ongoing research on the development of a novel cochlear implant thin film array electrode Continue reading Dr John Shea Donates Professional Papers to Memphis

    Original URL path: http://www.sheaclinic.com/services/18/Sudden-Hearing-Loss (2016-02-01)
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    into the middle ear space which then may become infected with bacteria producing a middle ear infection otitis media In some patients middle ear fluid can be relieved by popping the ears This can be done by holding the nostrils and blowing air out to force air into the ears through the eustachian tubes or by using a Mathes inflation bulb while swallowing If the fluid is infected antibiotics may help clear it up When this is not successful a myringotomy tiny lancing incision in the ear drum may be performed to drain the fluid from the middle ear This usually results in immediate improvement in symptoms Latest News Shea Ear Clinic Physicians Present Research Development Posted on May 01 2013 At the American Neurotology Society Spring Meeting Dr Brian J McKinnon s team presented their latest ongoing research on the development of a novel cochlear implant thin film array electrode Continue reading Dr John Shea Donates Professional Papers to Memphis Library Posted on April 15 2013 Throughout the course of his life Dr John Shea Jr has made major historical breakthroughs and advancements in medicine Recently Shea donated 406 papers including more than 300 published articles to the Memphis

    Original URL path: http://www.sheaclinic.com/services/19/Middle-Ear-Fluid (2016-02-01)
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    the middle ear space which then may become infected with bacteria producing a middle ear infection otitis media In some patients middle ear fluid can be relieved by popping the ears This can be done by holding the nostrils and blowing air out to force air into the ears through the eustachian tubes or by using a Mathes inflation bulb while swallowing If the fluid is infected antibiotics may help clear it up When this is not successful a myringotomy tiny lancing incision in the ear drum may be performed to drain the fluid from the middle ear This usually results in immediate improvement in symptoms Latest News Shea Ear Clinic Physicians Present Research Development Posted on May 01 2013 At the American Neurotology Society Spring Meeting Dr Brian J McKinnon s team presented their latest ongoing research on the development of a novel cochlear implant thin film array electrode Continue reading Dr John Shea Donates Professional Papers to Memphis Library Posted on April 15 2013 Throughout the course of his life Dr John Shea Jr has made major historical breakthroughs and advancements in medicine Recently Shea donated 406 papers including more than 300 published articles to the Memphis Public

    Original URL path: http://www.sheaclinic.com/services/20/Autophony (2016-02-01)
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    knife The patient s head is placed into a machine that aims beams of radiation at the tumor in order to kill the tumor cells There is no actual surgery or cutting involved It is a one day outpatient procedure and avoids the one week hospital stay associated with surgical resection Following treatment MRI scans are performed on a periodic basis to watch for signs that the tumor has started growing again However gamma knife is not risk free and does not result in disappearance of the tumor Acoustic neuromas are benign tumors and thus their cells are not rapidly dividing like cancer cells For this reason acoustic neuromas are not as susceptible to radiation as cancerous tumors In rare cases after gamma knife the tumor can begin to grow again necessitating surgical resection The complication rates and likelihood for facial nerve weakness with surgical resection after gamma knife failure are higher than if the patient had not had gamma knife Thus gamma knife is best suited for older patients or patients who may not be able to tolerate 6 10 hours of general anesthesia for medical reasons Surgical Removal The decision of which surgical approach is best is based on the size of the tumor and the amount of residual hearing In many cases it is not possible to save the hearing If hearing is saved it is no better than the preoperative level and may be worse The larger the tumor the less the chance of saving the hearing With poor preoperative hearing or a large tumor it is better to sacrifice the hearing in order to remove the entire tumor All procedures are performed under general anesthesia in a hospital by a team including a neurotologist like Paul F Shea M D or Brian J McKinnon M D who provides access to the tumor a neurosurgeon who actually removes the tumor an anesthesiologist a surgical nurse a circulating nurse and an audiologist who monitors function of the facial nerve during the operation The neurotologists at the Shea Ear Clinic work as a team with the experienced neurosurgeons at the Semmes Murphey clinic to provide the best possible care for patients electing to have surgical removal of their acoustic neuroma There are three surgical approaches that are used to remove an acoustic neuroma The most appropriate one for you will be determined by you and your surgeons Translabyrinthine Approach An incision is made behind the ear and the mastoid and inner ear structures are removed to expose the tumor The tumor is delicately dissected from the facial nerve and the opening is then closed with fat taken from a small incision in the abdomen This method sacrifices any remaining hearing in the affected ear resulting in permanent and complete hearing loss in that ear but reduces the possibility of brain swelling and other complications and offers an easier recovery for the patient in most cases It is the approach used in the majority of cases and is suitable

    Original URL path: http://www.sheaclinic.com/services/21/Acoustic-Neuroma (2016-02-01)
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    and hearing changes The diagnosis and treatment requires a skilled and experienced team Often patients with relatively mild to moderate weakness will recover to normal or almost normal some patient with very severe or complete weakness may benefit from surgery to decompress or take pressure off the nerve to help recovery often steroids in conjunction with oral antiviral medications are used to medically treat this early in the course of the facial weakness The earlier the patient can be diagnosed and medical therapy started the better the recovery can be The diagnosis and management may require MRI imaging hearing balance testing nerve testing and eye exam For those Shea Ear Clinic patients with Bell s palsy the team of experts caring for the patient may include neurosurgeons plastic surgeons ophthalmologists as well as others Latest News Shea Ear Clinic Physicians Present Research Development Posted on May 01 2013 At the American Neurotology Society Spring Meeting Dr Brian J McKinnon s team presented their latest ongoing research on the development of a novel cochlear implant thin film array electrode Continue reading Dr John Shea Donates Professional Papers to Memphis Library Posted on April 15 2013 Throughout the course of his life

    Original URL path: http://www.sheaclinic.com/services/22/Bells-Palsy (2016-02-01)
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    kind of hoarseness is very resistant to medical therapy Rest and time are the only ways to cure hoarseness that is not associated with other symptoms Crying shouting and excessive talking or singing will only make the problem worse Be patient the healing process may take several days Don t talk unless it is absolutely necessary and avoid whispering Whispering can strain the vocal cords more than speaking does Gargling does not help the vocal cords Avoid decongestants because they dry the vocal cords and prolong irritation If you smoke reduce or stop smoking Humidifying the air with a vaporizer or drinking fluids can offer some relief Treat conditions such as Alcoholism Allergies Bronchitis Laryngitis What to Expect at Your Office Visit The doctor will examine your throat and mouth You will be asked questions about your symptoms and medical history including Quality Did you lose your voice completely Is your voice weak Does it sound breathy scratchy or husky Time pattern Does the voice change persist Does the voice change occur repeatedly recurrent Has the condition worsened gradually over time How long have you had this symptom Aggravating factors Have you been shouting singing or otherwise overusing your voice Have you been exposed to irritating fumes Have you swallowed a harsh caustic liquid Have you swallowed a foreign object Do you use alcohol Do you smoke Do you have a history of allergies Has the infant or child been crying a lot Have you had recent surgery or a procedure on the mouth or throat Other What other symptoms do you have Do you have a fever Do you have malaise Are you coughing Are you weak Do you have a sore throat Do you feel fatigued Do you have postnasal drip Tests that may be done include Blood

    Original URL path: http://www.sheaclinic.com/services/23/Hoarseness (2016-02-01)
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    get worse High fever along with a darkened nasal discharge for at least 3 days Nasal discharge with or without a cough that has been present for more than 10 days and is not improving Exams and Tests The doctor will examine you or your child for sinusitis by Looking in the nose for signs of polyps Shining a light against the sinus transillumination for signs of inflammation Tapping over a sinus area to find infection Regular x rays of the sinuses are not very accurate for diagnosing sinusitis Viewing the sinuses through a fiberoptic scope called nasal endoscopy or rhinoscopy may help diagnose sinusitis This is usually done by doctor who specializes in ear nose and throat problems ENT However these tests are not very sensitive at detecting sinusitis and are often considered unnecessary A CT scan of the sinuses may also be used to help diagnose sinusitis If sinusitis is thought to involve a tumor or fungal infection an MRI of the sinuses may be necessary If you or your child has chronic or recurrent sinusitis other tests may include Allergy testing Blood tests for HIV or other tests for poor immune function Ciliary function tests Nasal cytology Sweat chloride tests for cystic fibrosis Treatment Try the following measures to help reduce congestion in your sinuses Apply a warm moist washcloth to your face several times a day Drink plenty of fluids to thin the mucus Inhale steam 2 4 times per day for example sitting in the bathroom with the shower running Spray with nasal saline several times per day Use a humidifier Be careful with over the counter spray nasal decongestants They may help at first but using them beyond 3 5 days can actually worsen nasal congestion Also for sinus pain or pressure Avoid flying when you are congested Avoid temperature extremes sudden changes in temperature and bending forward with your head down Try acetaminophen or ibuprofen Antibiotics are usually not needed for acute sinusitis Most of these infections go away on their own Even when antibiotics do help they may only slightly reduce the time you or your child is sick Antibiotics may be prescribed sooner for Children with nasal discharge possibly with a cough that is not getting better after 2 3 weeks Fever higher than 102 2 Fahrenheit 39 Celsius Severe swelling around the eyes Headache or pain in the face At some point your doctor will consider prescription medications antibiotics further testing or referral to an ear nose and throat ENT or allergy specialist Other treatments for sinusitis include Allergy shots immunotherapy to help prevent the disease from returning Avoiding allergy triggers Nasal corticosteroid sprays and antihistamines to decrease swelling especially if there are swollen structures such as nasal polyps or allergies Acute sinusitis should be treated for 10 14 days Chronic sinusitis should be treated for 3 4 weeks Some people with chronic sinusitis may need special medicines to treat fungal infections Surgery to clean and drain the sinuses may

    Original URL path: http://www.sheaclinic.com/services/24/Sinusitis (2016-02-01)
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