- Osteoporosis
- SinusitisDr. Rogers has been with Puget Sound Ear, Nose and Throat since 2000 and for 19 years has developed a wide range of specialties relating to ear, nose, and throat conditions. Her clinical focus includes allergy, chronic cough, chronic rhinitis, deviated septum medical and surgical treatment of ear conditions, head and neck masses, medical and surgical treatment of hearing loss, mouth and throat disorders, medical and surgical treatment of nasal blockage, nasal fracture, nose bleeds, pediatric specialty care, salivary gland surgery, medical and surgical treatment of sinus conditions and chronic and acute sinusitis, snoring and sleep apnea, swallowing disorders, tonsil and adenoid surgery and voice disorders.
- Medical Weight LossOnce OSA is diagnosed, treatment is recommended. Treatment options include weight loss, positioning during sleep, continuous positive airway pressure or CPAP, an oral appliance and surgical therapy. Surgical treatment options include correction of nasal airway obstruction, upper airway surgery and hypoglossal nerve stimulation (Inspire Therapy).
- SnoringWe offer a range of snoring and sleep apnea treatment options that are non-surgical including Continuous Positive Airway Pressure (CPAP) and Inspire Upper Airway Stimulation Therapy.
- Primary CareIf you develop a cold, you may start an over the counter decongestant. If you have heart disease or high blood pressure, check with your primary care doctor prior to starting decongestant. Call the office if ear pain, drainage or reduced hearing occurs.
- Ear InfectionsFor more than 22 years in the Northwest, Dr. Backous has provided leading-edge treatments for patients with hearing loss, deafness, chronic ear infections, cholesteatoma acoustic neuromas and facial nerve disorders. His professional passion is ensuring access to care for patients who choose to hear with cochlear implants, brainstem implants, osseointegrated devices (Baha and Ponto) and other hearing devices. He treats adults and children.
- Emergency CarePROBLEMS: Fever 101 degrees or above, nausea, vomiting, or bleeding from the nose or mouth. Call the office (day or night). Sometimes bleeding needs to be evaluated in the emergency room. Significant bleeding may need to be treated in the operating room.
- Electrocardiogram
- Bronchitis
- Pneumonia
- Kidney StonesThe parathyroid glands are four small glands in the neck that are part of the endocrine system. They produce parathyroid hormone (PTH), which maintains calcium and phosphorus levels in the blood. The primary disease associated with the parathyroid glands is an overproduction of PTH, known as Hyperparathyroidism. This is usually caused by benign enlargement (adenoma) of one or more of the parathyroid glands. Hyperparathyroidism causes bone calcium loss and higher than normal calcium in the blood and urine. Many people have no symptoms and the condition is discovered with a routine blood test. Others have symptoms such as bone pain, osteoporosis, decreased memory, depression, fatigue, abdominal pain or kidney stones. In general, the symptoms resolve with time after surgery. This condition can run in some families, though more commonly it occurs without any family history. For most patients, the treatment involves surgical removal of the overactive parathyroid gland or glands (if there is more than one overactive gland).
- EndoscopyIf OSA is suspected, a thorough examination of the airway is indicated. This involves an in-office examination of the nasal, pharyngeal, hypo-pharyngeal and laryngeal airway. If indicated, an overnight sleep study is performed. In most cases this can be performed in the comfort of the patient’s own home. For special cases, the study is done in a sleep laboratory. The sleep study determines the presence or absence of obstructive sleep apnea and, if present, determines the severity. If necessary, a drug-induced sleep endoscopy can also be performed. The study involved observing the airway while sleeping is induced. This allows precise identification of the site of airway obstruction and the anatomic structures contributing to the obstruction.
- Depression
- Anxiety
- EndocrinologyBegin by contacting Puget Sound ENT and scheduling your first appointment. Our in-house ENT specialists evaluate each patient and perform in-depth testing including in-office ultrasound and fine needle aspiration and biopsy of suspicious thyroid lesions for rapid diagnosis. Once a diagnosis is determined treatment options are discussed and coordinated with our multi-disciplinary team including endocrinology and oncology.
- HypothyroidismThe thyroid is a butterfly-shaped gland in the middle of the neck, located below the larynx (voice box). It produces hormones, T3 and T4, which regulate multiple functions of the body including hair, nails, weight, energy, temperature and cognition. There are a number of conditions that can affect the thyroid gland. Overproduction of thyroid hormone results in a condition called Hyperthyroidism. Conversely, low thyroid hormone production leads to Hypothyroidism. Dysregulation of thyroid hormone production is managed by an endocrinologist.
- Thyroid
- Thyroid CancerIn the early stages, most thyroid cancers have little or no associated symptoms. Many are found incidentally during imaging for other conditions. Further growth may produce a lump or nodule in the lower neck associated with the thyroid gland. Patients can sometimes experience rapid growth, pain, and swelling, difficulties with swallowing or hoarseness of voice. Thyroid cancer sometimes presents as enlarged lymph nodes in the neck.
- UltrasoundOur surgeons provide comprehensive evaluation and treatment of patients suffering from thyroid and parathyroid disease. We use the latest imaging technologies including CT parathyroid scans and ultrasound for quick assessment of thyroid and parathyroid conditions to determine the need for surgical intervention. We work closely with a multidisciplinary team consisting of oncologists, endocrinologist, and radiologists to ensure the best possible treatments and outcome. If surgery is recommended, we utilize state of the art techniques for the removal of the thyroid or parathyroid glands. In most cases, these are done in the outpatient setting, without the need for hospitalization.
- MRIMagnetic resonance imaging (MRI) can be an important diagnostic tool. You can rest assured that you can get an MRI with the Baha Connect System. Approved for a high level of MRI compatibility—up to 3.0 Tesla, all you need to do is remove the Baha 5 Sound Processor prior to the procedure. The abutment and implant can remain in place.
- RadiologyCancer of the head and neck is managed with a multidisciplinary team involving specialists in oncology, radiation oncology, radiology, nutritionists and speech pathology. Our goal is to return patients to their normal daily lives as soon as possible.
- Computed TomographySince most patients with thyroid nodules do not have symptoms, most nodules are discovered during a routine physical exam or incidentally with imaging (CT scan, Ultrasound) for other concerns. Once the nodule has been discovered, you doctor will try to determine whether the lump is benign (non-cancerous) or represents a low grade thyroid malignancy. Specialized tests such as thyroid ultrasound and/or thyroid scan can help determine if a biopsy is needed. Most thyroid nodules do not require treatment and can safely be monitored by your doctor. If the enlarged thyroid gland is causing symptoms or thyroid cancer is detected, then surgical removal of part, or all, of the thyroid is usually recommended.
- ChemotherapyTreatment of Head and Neck Cancer requires the involvement of a multidisciplinary team of specialists including Otolaryngology-Head and Neck Surgeons, Oncology, and Radiation Oncologists. Treatment is tailored to the specifics of a patient tumor location, tumor stage and the patients overall health status at the time of initial presentation. Treatment may consist of surgery or radiation therapy alone, a combination of surgery followed by radiation therapy or chemotherapy combined with radiation therapy without surgery.
- Radiation TherapyTreatment of head and neck cancer requires the involvement of a multidisciplinary team of specialists to coordinate diagnosis and treatment recommendations. Your ENT surgeon is an integral member of this team. Diagnosis usually involves a biopsy, either in the office or with a diagnostic surgical procedure. Once cancer has been confirmed additional workup usually involves further imaging; (CT scan, PET scan, MRI) and consultation with other members of the multidisciplinary team (radiology, oncology, radiation oncology, speech and swallowing therapists) Treatment recommendations (surgery or radiation therapy alone, surgery followed by radiation therapy, or combined chemotherapy with radiation therapy without surgery) will depend on the type of tumor you have, the stage of presentation and will take into consideration your overall health status. Our goal is to maximize your potential for a cure while minimizing your treatment side effects.
- Radiation Oncology
- General SurgeryPatients who receive surgical services through our surgical center may be required to prepay part of the insurance plan deductible or co-insurance and set up a payment plan for the balance due after insurance payment received. All other balances are due upon receipt of billing following insurance payment.
- Wound Care
- Minimally Invasive SurgeryA breakthrough sinus procedure, the physicians at Puget Sound ENT perform a Balloon Sinuplasty with local anesthesia. The minimally invasive surgery opens sinus passages to relieve sinus pain and pressure safely and effectively.
- Ear Surgery
- OtolaryngologyOur physicians at Puget Sound Ear, Nose and Throat are all board-certified with the American Board of Otolaryngology – Head and Neck Surgery. Each physician brings more than a decade of experience in the medical and surgical treatment of the ear, nose and throat, and have completed a minimum of five years of surgical residency training along with passing rigorous written and oral examinations. Expertise in this diverse field encompasses multiple organ systems and treats diseases both medically and surgically, requiring a high level of competency, knowledge and skill, which we strive to bring to our patient-centered care every day.
- Skin CancerThere are many known risk factors for the development of head and neck cancer including the use of tobacco (cigarettes, cigars, chewing tobacco, or snuff) and alcohol consumption. Cancer arising from the mouth has been associated with chronic dental disease, infections and inflammation. HPV virus has recently become the leading cause of tonsil and tongue base cancer. Skin cancer of the lips, face and ears is caused by sun exposure. An important cause of nasopharyngeal cancer (behind the nose) is the Epstein Bar Virus (EBV) most often associated with people of South East Asian ancestry.
- Cyst
- LesionsPuget Sound ENT offers patients expert examination and management of voice and swallowing disorders. Our highly skilled physicians take great care in providing the best treatment for patients with voice disorders such as laryngitis, chronic cough, benign vocal fold lesions, laryngeal tumors and dysplasia, laryngopharyngeal reflux, vocal fold atrophy and more.
- Physical Therapy
- AllergiesAccurately testing for allergies is the first step in identifying and ultimately eliminating allergies and their unwanted symptoms. At Puget Sound ENT, we pride ourselves on conducting precise allergy measurements that pinpoint the irritant(s) and help you plot out a treatment plan that fits your schedule and lifestyle. All allergy testing is performed in our office using skin testing; this type of allergy testing is considered the most reliable technique.