- Myringotomy with Tubes
- Nasal Irrigation
- Nasal Surgery
- Scar Revision and Growths
- Submucosal Palatoplasty
- Trans-Nasal Esophagoscopy
- Turbinate Procedures
- Uvulopalatopharyngoplasty (UPPP)
- Wound Care
At the time you and your doctor make the decision for surgery, a surgical scheduling agreement will be completed. We make every attempt to accommodate your preferences for dates and facilities; however, we may be limited in our ability to do this by the policies of your insurance company, availability of operating room time, and the doctors’ schedules. You should receive a call within one week from the surgery scheduling coordinator. In addition to scheduling your surgery, she will obtain pre-certification from your insurance company if necessary. An explanation of surgical billing is here. She will review your pre-operative instructions with you by telephone and will also mail you written instructions. IT IS EXTREMELY IMPORTANT THAT YOU READ THESE CAREFULLY. These instructions are to ensure that your surgical procedure is done under the safest circumstances. Please call us if you have any questions about these instructions.
In general, you should not eat or drink within 8 hours of your scheduled surgery if it is being done under general anesthesia or with sedation. This may be relaxed a little for certain procedures but you should double check with your doctor especially if you have a medical condition that requires food every few hours. You should avoid aspirin, ibuprofen, Motrin®, Advil®, Aleve®, and Vitamin E for two weeks before surgery, as these can increase the probability of bleeding complications. However, Tylenol® (acetaminophen) can be taken safely.
Parents are allowed in the operating room to help their child feel safe while they are waiting to fall asleep. However as every hospital has different procedures, please double check with your operating room. If a parent is allowed to remain with the child, please one parent only.
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Some of the more common disorders we deal with at our Center are:
Obstructive Sleep Apnea
Approximately 5% of the general population suffers from this chronic disorder of nighttime breathing. The patient or bed partner may notice loud snoring, pauses in breathing, or un-refreshing sleep. Over the short term, this condition causes daytime sleepiness or fatigue. Over the long term, this disorder can contribute to high blood pressure, strokes, heart attacks, heart failure and diabetes. This disorder affects men and women of all ages, as well as children. This can be readily treated by our physicians.
Restless Leg Syndrome/Periodic Limb Movement of Sleep
Approximately 15% of the general population suffers from this chronic condition of discomfort in the legs and thighs. This syndrome is characterized by a ‘creepy crawly’ sensation in the legs at night that causes an uncontrollable urge to move. This disorder can continue throughout the night, causing un-restful, fragmented sleep.
Excessive Daytime Sleepiness
This condition may be caused by many disorders including obstructive sleep apnea, periodic limb movement of sleep as well as chronic insufficient sleep and narcolepsy. Part of this investigation may include a sleep study.
Chronic insomnia can occur in up to 15% of the general population. Treatment can involve behavioral and pharmacologic treatment and possible sleep testing.
Capital Sleep Specialists can provide many services to you directly as a patient, or as part of the care that your primary care physician provides. We can do overnight polysomnograms (formal sleep testing in our sleep rooms), pediatric sleep studies, overnight CPAP titrations (formal treatment of obstructive sleep apnea). We also offer immediate fitting and delivery of CPAP equipment with most insurance plans.
With our large group of multispecialty physicians, we can provide clinical evaluations and treatment of your condition whether you are investigating surgical treatments for your sleep disorders or less invasive approaches. We can provide one-stop referrals for all aspects of your sleep care.
The physicians associated with Capital Sleep Specialists have ownership interest in laboratory services provided and therefore are much attuned to the quality of the center environment.
- Easy scheduling of appointments to accommodate your needs
- Comfort and quality in a clean, quiet, safe environment
- Shower facilities, TVs with cable, lounge chairs and premium bedding
- Kind, courteous staff who understand your sleep disorder
- Queen size beds – perfect for accommodating adults spending the night with their children for pediatric sleep studies
Our Audiology Department offers complete diagnostic services for adults and children, including infants. Using state-of-the-art audiometric, immittance, otoacoustic emissions (OAE), and evoked potentials equipment, we can measure hearing levels, analyze middle ear and inner ear function, and assess auditory nerve integrity. Our expertise includes age-related hearing loss and diseases of the ear, as well as newborn hearing screening. We work closely with our Ear, Nose, and Throat physicians to evaluate our patients accurately and to work towards their successful rehabilitation.
Diagnostic services are provided through our office and complete, personalized Hearing Aid services are provided through our separate Hearing Center. Hearing loss is more than an inconvenience. It can seriously affect your quality of life, interfere with your ability to communicate effectively with others, enjoy social settings, and live life to its fullest. Hearing aids can help you to function better in cases of permanent hearing loss. Our Audiologists are experts in amplification and fit the latest hearing aids from all of the leading manufacturers. We offer all sizes, styles, and levels of technology tailored to your individual needs. Our office also offers osseointegrated device/bone conduction hearing aids.
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Hearing Center Silver Spring,
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Medical & Surgical Services
We provide all aspects of the care encompassed by the specialty of Otolaryngology – Head and Neck Surgery: treatment of head and neck cancers, facial plastic and reconstructive surgery, otology, diseases of the oral cavity, nose and paranasal sinuses, pediatric otolaryngology, and snoring / sleep apnea.
Allergy Testing – We offer a range of allergy testing including scratch testing. Home therapy treatment is available to patients that are good candidates.
Ears – ear aches, outer and middle ear infections, ear tubes for children and adults, repair of eardrums, hearing loss, hearing screening, sudden hearing loss, cholesteatoma, middle ear surgery & bone anchored hearing aids.
Mouth/Throat – tongue-tie (ankyloglossia), sore throat, tonsillitis, enlarged tonsils, pediatric sleep disordered breathing, enlarged adenoids, grinding teeth (temporomandibular joint disorder) & snoring. We can provide in-office frenectomy for newborns with feeding problems due to tongue tie.
Facial plastic and reconstructive surgery – straightening the nose (rhinoplasty), Moh’s surgery for reconstruction after skin cancer removal, eyelid surgery (blepharoplasty) & facelift (rhytidectomy).
Sinus / Rhinology – treatment for allergic rhinitis and sinusitis, straightening the septum (septoplasty), sinus surgery, balloon sinuplasty & image-guided sinus surgery.
Head and Neck cancers – we can arrange comprehensive care for tumors of the head and neck: mouth cancer, throat cancer & laryngeal cancer (cancer of the voice box).
Thyroid / Parathyroid disorders – we perform thyroid and parathyroid surgery with interoperative nerve monitoring.
We also have an overnight sleep center and provide innovative procedures for sleep apnea. For your convenience, we have a complete audiology division, which includes audiology testing & special testing. Our doctors and audiologists care for both adults and children.
We take pride in being able to provide you with new and innovative procedures for diagnosis and treatment, including transnasal esophagoscopy, balloon sinuplasty and bone anchored hearing aids (Cochlear BAHA and Sophono).