Advanced Treatments

Many surgical advances are being made and procedures are becoming less invasive. The ENT specialists at Ear, Nose, Throat & Plastic Surgery Associates, P.C. are at the forefront in providing this type of innovative care.


Baha Ear Implants

Baha Ear Implants are designed to treat conductive and mixed hearing loss, as well as single sided deafness.

Baha is a type of implantable hearing device. There are two essential components. One is a titanium post that is implanted into the skull bone behind the ear. The other component is a sound processor that attaches to the titanium post. The BAHA system is unique because it transmits sound waves through the skull bones directly to the hearing organ (cochlea). This is useful in cases of congenital anomalies where the outer ear or middle ear do not develop properly to conduct sounds to the cochlea. Other reasons to use this device would be for chronic infections that might damage a traditional hearing aid or in cases where one ear is deaf and the other is normal. In these cases of “single sided deafness,” sound from the deaf, implanted ear is conducted through the skull to the good ear. This can help with localizing sounds or in conversations where people are speaking from the deaf side such as in a car.

The surgery to implant a BAHA system is simple and does not require any surgery on the ear itself. The surgery is performed as an outpatient procedure and will take about one hour. Patients may go home from the hospital that same day. Most patients can return to work in a day or two. Healing takes several weeks and the processor is not activated for 4 to 6 weeks after the surgery. There is a small amount of routine care for the implanted abutment that each patient must perform and this varies some for each patient.



Cholesteatoma is a cyst of epithelium (skin cells) that becomes trapped in the middle ear. The continuous growth of this skin cyst gradually causes the destruction of the normal middle ear structures which leads to one of the main symptoms – hearing loss. Cholesteatoma arises from chronic ear infections usually caused by poor function of the eustachian tube. Without proper ventilation of the middle ear through the eustachian tube, negative pressure develops and the tympanic membrane retracts into the middle ear space. This pocket of retracted ear drum fills with skin cells and debris which supports infection. This results in drainage from the ear, the second main symptom of cholesteatoma.

While medicines can be used to control the infections, ultimately surgery is needed to remove the cyst. If necessary, some of the damaged bones can be replaced by prosthetics at the time of surgery. Sometimes a second surgery is needed for this. This cyst can recur even after successful surgery.


Botox Injections & Facial Fillers

What’s the difference?!

Botox is used to treat “active” facial lines, meaning ones that have recently formed. By injecting Botox under the skin, it causes the facial muscles to temporarily relax. Botox works best when used to treat frown lines, forehead lines, lip lines and crow’s feet. It helps soften existing lines while helping to prevent future lines from forming.

Fillers, such as Juvederm or Restylane, work slightly differently by filling creases and plumping the skin by replacing lost tissue volume that comes with age.

Both options help smooth and soften the appearance of the skin, creating a more youthful look. To learn more, click here.



Pediatric ABR

Pediatric auditory brain stem response (ABR), is a computerized test of the hearing nerves and brain pathways used to diagnose hearing loss in infants.

The doctors at Ear, Nose, Throat & Plastic Surgery Associates, P.C. are experienced in the latest technology to diagnose and treat infants and small children for hearing loss.