The Department of Otolaryngology, Head & Neck Surgery & Facial Plastic Surgery at Loma Linda University Medical Center (LLUMC) offers a full range of services and procedures all under a single location including minimally invasive surgical techniques. With experience using state-of-the-art technologies, our reputable doctors remain at the forefront of their respective specialties and stay ahead of the curve with regard to the latest groundbreaking research and technologies.
Below each branch of otolaryngology, we offer the following services and procedures:
Neuro-Otology – Refers to the diagnosis and treatment of neurological disorders affecting the inner ear that result in balance or hearing problems.
- Cochlear Implants – A small electronic device that is surgically implanted in the ears of people who are deaf or suffer severe hearing loss. With cochlear implants, patients with hearing impairments are able to receive and process sounds and speech.
- Bone Anchored Hearing Aids (BAHA) – An implantable hearing device used for the treatment of hearing loss among patients with chronic ear infections, congenital hearing loss or one-sided deafness. BAHA works through bone conduction, in which the device directly stimulates the inner ear via the bone.
- Stapedectomy – A surgical procedure used for the treatment of otosclerosis – an abnormal bone growth occurring in the middle ear that causes hearing loss. The procedure improves hearing by removing the stapes bone, located in the inner ear, and replacing it with a small prosthesis.
- Mastoidectomy – A surgical procedure designed to remove infection or growths of mastoid air cells in the bone behind the ear. Its purpose is to heal the ear and prevent further damage.
- Tympanoplasty – Reconstructive surgical procedure that corrects a tear in the ear drum or middle ear bones. Undergoing this procedure will help prevent chronic middle ear infections.
- Acoustic Neuroma Surgery – Also known as vestibular schwannoma, acoustic neuroma is a noncancerous tumor of the nerve connecting the ear to the brain. Acoustic neuroma surgery is required to remove the tumor from the nerve as well as prevent paralysis of the face.
Rhinology & Allergy – Specializes in the medical and surgical treatment of diseases and ailments of the nose and sinuses – from tumors and nasal polyps to fungal infections to allergies.
- Allergy Testing & Immunotherapy – Prior to undergoing immunotherapy, allergy testing lets patients know what allergens are affecting them. Once the problem-causing allergens are identified, the patient undergoes immunotherapy, or allergy shots, to build their tolerance and dull their reaction to allergens.
- On-site CT Scans – An imaging method that uses x-rays to produce cross-sectional images of the head. CT Scans help physicians diagnose and treat nasal and sinus conditions.
- Tear Duct Surgery – When blockage occurs in the tear duct, the system that carries tears away from the surface of the eye and into the nose, patients undergo surgery to reconstruct the passageway in order to reestablish normal tear drainage.
- Functional Endoscopic Sinus Surgery – The most common type of sinus surgery, Functional Endoscopic Sinus Surgery (FESS) involves the surgeon using small cameras and instruments to carefully work in the patient’s nose. Obstructing tissues are removed to allow the sinuses to drain more naturally, resulting in the decrease of the severity, frequency and duration of infections.
- Balloon Sinuplasty – A surgical procedure to treat blocked sinuses wherein a small, flexible sinus balloon catheter is inflated to open blocked sinus passageways, enabling the sinuses to be drained normally.
- Epistaxis Surgery – Severe or persistent epistaxis, or nosebleeds, can be treated via surgical reconstruction of the dividing wall of the nose (nasal septum) and arterial ligation.
- Septoplasty – A surgical procedure intended to relieve blockages or correct structural problems in the dividing wall (nasal septum) of the nose.
- Turbinate Reduction Surgery – Enlarged turbinates – the portion located on each side of your nose that cleans and humidifies the air we breathe – are corrected via surgical procedure. The procedure corrects the problem of nasal obstruction, resulting in the improvement of nasal breathing as well as the reduction of nasal drainage and post-nasal drip.
- Radiofrequency Ablation – Also referred to as somnoplasty, it is a minimally invasive surgical procedure used to treat habitual snoring. The procedure uses low levels of radiofrequency heat energy to reduce tissue volume in a precise and targeted manner. For chronic nasal obstruction, the turbinates are targeted, whereas obstructive sleep apnea involves targeting the base of the tongue.
- Uvulapalatopharyngoplasty – A procedure that involves the removal of the excess tissue in the throat to open up the airway, enabling patients to breathe more easily while reducing snoring.
Head & Neck Surgery – The combination of expertise, care and state-of-the-art surgical procedures offer unsurpassed outcomes for patients suffering from head and neck tumors. Head and neck surgery encompasses the removal of diseased tissue to prevent the further spread of cancer as well as the microsurgical plastic reconstruction of major head and neck defects.
- Parotidectomy – A procedure involving the removal of a parotid gland, the largest salivary gland located near the ear, due to the presence of an infection or tumor.
- Minimally Invasive Thyroidectomy – A minimally invasive thyroidectomy is procedure that removes part or the entire thyroid while preserving the surrounding laryngeal (voicebox) nerves and parathyroids with incisions as small as 1.5 cm.
- Parathyroidectomy – Consisting of four small glands located beside the thyroid, the parathyroid glands secrete a hormone that regulates the calcium within the body. Parathyroidectomy is a minimally invasive surgical option used to treat hyperparathyroidism, in which one or more overactive parathyroid glands are removed. Overactive parathyroid glands can result in osteoporosis, fractures, high blood pressure, depression, fatigue, renal stones, pancreatitis and stomach ulcers.
- Thyroidectomy – The thyroid is a butterfly-shaped gland overlying the voice box and windpipe. A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. This procedure is performed to remove tumors, reduce the mass of an enlarged gland or to treat hyperthyroidism.
- Sentinel Node Biopsy – A procedure in which the sentinel lymph node – the first node to drain the area of cancer – is removed and examined to determine if cancer has spread beyond the primary tumor and into the lymphatic system.
- Neck Dissection – The procedure which involves the removal of lymph nodes and surrounding neck tissue to prevent cancer from spreading.
- Salivary Gland Surgery – Surgical procedure to remove the salivary gland tumors growing in the ducts that drain the salivary glands.
- Mandibulectomy – A surgical option in which a portion of the lower jaw is removed.
- Transoral Laser Microsurgery – A minimally invasive procedure to treat patients with cancers of the larynx, oral cavity and pharynx. In the procedure, the surgeon uses a microscope and a laser to view and divide the tumor so it can be removed through an endoscope.
- Ultrasound Guided Biopsy – Minimally-invasive method of obtaining a tissue sample via high-frequency sound waves which create images of the body’s organs and systems.
- Microvascular Head & Neck Reconstruction – The form and function of patients undergoing surgeries for head and neck conditions is restored through microvascular head and neck reconstruction. In this procedure, tissue from other parts of the body is borrowed to reconstruct areas of the head and neck.
Skull Base Surgery – A multidisciplinary approach along with state-of-the-art minimally invasive treatments of skull base tumors result in excellent outcomes, ensuring the optimal quality of life for all patients.
- Subcranial Surgery – A highly sophisticated surgical procedure targeting tumor growths for areas below the cranium.
- Lateral Skull Base Surgery – A surgical option targeting tumor growths for the lateral areas of the skull.
- Endoscopic Pituitary Surgery – A minimally invasive surgical procedure using an endoscope and other small, non-invasive instruments to remove a pituitary tumor.
- Infratemporal Fossa Surgery – Surgical procedure that targets tumor growths on the Infratemporal Fossa, an irregularly shaped cavity located on the side of the skull.
Voice & Swallowing – Comprehensive care is provided to patients suffering from voice and swallowing ailments. Conditions ranging from vocal cord dysfunction and paralysis to swallowing disorders are corrected via surgical and therapeutic options.
- Laryngeal Framework Surgery – Surgical procedure designed to improve the voice by altering the cartilages of the voice box (larynx). Through this procedure, the position of the vocal folds is improved so they vibrate better during speaking or singing.
- Stroboscopy – An examination designed to examine vocal fold vibration and vocal fold closure, using a strobe light that is linked to the frequency of the patient’s voice.
- Microflap Excision of Vocal Cord Tumors – A precise procedure using specially designed, tiny instruments to create small incisions and remove tumors from the vocal cords.
- pH Probe – A test in which a catheter is used to evaluate patients with laryngopharyngeal reflux disease, a condition that develops when the voice box and esophagus is exposed to stomach acid.
- Transnasal Esophagoscopy – A test that examines your esophagus using ultra thin endoscopes to diagnose esophageal-related diseases.
- Vocal Cord Injections – A procedure wherein medicine is injected into your vocal cords to repair vocal cord paralysis or atrophy.
- Professional Voice Therapy – Individualized evaluation and training to improve, modify or maintain vocal function for professionals including performing artists, public speakers, teachers and salespeople.
Facial Plastic Surgery – Focused on our patients’ physical, mental and spiritual health, LLUMC offers reconstructive procedures to refine and reshape facial features among those seeking to improve their outward appearance and regain their self confidence.
- Brow Lift – Also referred to as a forehead lift, this surgical procedure minimizes the creases that develop across the forehead as well as those occurring on the bridge of the nose.
- Rhytidectomy – More commonly known as a facelift, a rhytidectomy is a surgical procedure to repair sagging, drooping and wrinkled skin of the face and neck.
- Blepharoplasty – Also known as eyelid lift surgery, this procedure is performed to repair sagging or drooping upper eyelids.
- Nasal Reconstruction – Surgical procedure to rebuild the nose for functional and aesthetic reasons.
- Mohs Defect Repair – A specialized, highly effective surgical technique used to remove skin cancers in the face, preserving the overall aesthetic quality of the skin.
- Facial Fracture Repair – A surgical procedure to repair injury and fractures of the face and facial bones. The procedure is intended to minimize deformities due to abnormal healing of displaced bone structures.
Pediatric Otolaryngology – Dedicated to the care of congenital or acquired ear, nose, throat, face and neck disorders in children and adolescents, our physicians have the expertise to handle every young patient with quality care and compassion.
- Airway Reconstruction – Surgical procedure involving the airway, the area from the top of the voice box to the trachea, is repaired in order to restore natural breathing. Airway reconstruction procedures fall under two main categories: open airway and endoscopic procedures. Whereas open airway procedures are made with a neck incision into the airway, endoscopic procedures are performed through the mouth sans neck incision.
- Tonsillectomy – Surgery to remove the tonsils due to recurring infection, enlargement or unresponsive medical treatment.
- Adenoidectomy – A surgical procedure performed to remove the enlarged or chronically infected adenoids – the lump of tissue that sits high on each side of the throat behind the nose and the roof of the mouth.
- Pressure Equalization Tube Placement – A procedure that involves the creation of a small hole in the eardrum called a myringotomy. A small tube called the tympanostomy tube is gently placed through the myringotomy, preventing the formation of mucus in the ear.
- Laryngoscopy – An examination procedure that uses a special telescope called the laryngoscope to examine the larynx (voice box).
- Bronchoscopy – A test for diagnosing lung problems by directly viewing the airway via bronchoscope, a hollow metal tube containing a telescope that visualizes all parts under magnification.
- Branchial Cleft Cyst Surgery – Surgical option to remove a branchial cleft cyst, a lump that develops in the neck or below the collarbone among babies.
- Thyroglossal Duct Surgery – A surgical procedure required to remove thyroglossal duct cysts which are cysts that are left over when the thyroid migrates from the base of the tongue and into the neck before birth. Removal is necessary to avoid infection or rapid enlargement of cysts.