Audiology
The BEST Care For Your Ears And Hearing. At the Columbia Surgical Specialists Audiology Center, we can provide you with comprehensive care for your ears and hearing. Audiology services are provided in Cataldo, North Nevada, Spokane Valley, South Hill, and some rural locations.
Audiology Services & Tests
Comprehensive Hearing Evaluations
Comprehensive Hearing Evaluations: Available for children of all ages and adults.
Videonystagmography (VNG)
Including ocularmotor tests, vestibular-ocular reflex testing, bi-thermal water caloric irrigations, Dix-Hallpike maneuver, and positional nystagmus testing. Parilymph fistula testing also available upon request from referring physician.
Cervical Vestibular-Evoked Myogentic Potential (cVEMP)
May be ordered by your ENT as part of a balance or dizziness assessment.
Tinnitus Management
Comprehensive approach to the evaluation & management of patients with tinnitus. While there is no single cure for tinnitus, research has shown that many patients can benefit from one or a combination of management options. Tinnitus management can provide many patients with relief and much needed control over the condition. A tinnitus management group class is offered quarterly.
Newborn Hearing Evaluations
Completed in office while the child is sleeping. Testing follows WA State EHDDI best practice testing protocol, and includes tympanometry, DP OAE, and diagnostic ABR.
Otoacoustic Emissions testing
Including DP OAE, TE OAE and spontaneous OAE
Cochlear Implants
Spokane Ear, Nose & Throat Clinic has been providing cochlear implant services since 1993. Cochlear implants are designed to provide sound to people with severe to profound sensorineural hearing loss in both ears. Typically the implant is presented as an option to patients who get either no benefit or very limited benefit from properly fitted hearing aids.
Electrocochleography (ECoG)
May be ordered as part of a balance or dizziness assessment.
Auditory Brianstem Response (ABR or BAER)
Including frequency specific testing, retrocochlear evaluation, bone conduction, and/or assessment of auditory neuropathy/dyssynchrony. Testing under sedation is also available.
Auditory Steady-State Response (ASSR)
May be used as part of the infant hearing evaluation.
Acoustic Immittance
Including tympanometry, acoustic reflex and acoustic reflex decay testing.
High frequency audiometry
May be part of a comprehensive hearing evaluation.
Ear & Hearing
We treat a variety of ear and hearing conditions for all ages
Hearing Loss
Hearing is essential for our overall health. Hearing loss has been attributed to feelings of isolation, depression, fatigue, stress, social rejection, low self-esteem, anger, tension, stress, irritability, withdrawal from social situations, reduced alertness, impaired memory and reduced quality of life.
Dizziness & Vertigo
Dizziness is one of the leading health complaints in the United States, affecting an estimated nine million people annually. For those over the age of 70, it’s the top reason for a visit to the doctor’s office – not surprising, given the prevalence of falls in the elderly population.
Hearing Aid Styles
Although there are many types of hearing aids, the four major styles are completely-in-canal (CIC), in-the-canal (ITC), in-the-ear (ITE) and behind-the-ear (BTE). You and your audiologist can discuss which style is best for you in terms of appearance and functionality.
What is Tinnitus?
Tinnitus is described as an irritating buzzing, humming or ringing in the ears. What many don’t realize is that it is usually a symptom of a greater problem rather than a disease itself. The first step in treating tinnitus is to diagnose the underlying issue.
Ear Infections & Earache
Acute otitis media, more commonly referred to as an ear infection, is a bacterial or viral infection of the middle ear. The middle ear is the hollow space behind the eardrum; it contains three small bones that are instrumental in moving sound wave vibrations from the outer to the inner ear. Bacterial and viral infections lead to inflammation and fluid buildup, which is what causes an earache.
Choosing a Hearing Aid
Once you’ve seen an audiologist and been tested for hearing loss, your doctor may decide you could benefit from hearing aids. There are a wide variety of hearing aid manufacturers and types of hearing aids available, which may make the process of choosing a hearing aid seem overwhelming. That’s why our specialists are available to help you.
Hearing Aid Manufacturers
We work with the following manufacturers to provide you with a custom, first-rate solution for your hearing loss: Oticon, Phonak, ReSound, Widex, Cochlear, Earlens, Lyric, and Westone.
Head and Neck Surgery
Head and Neck Cancer
We offer a comprehensive individualized treatment plan for patients diagnosed with head and neck cancer. These cancers can found along the jaw, tongue, palate, tonsils, back of the tongue as well as within the throat and voicebox. Squamous cell carcinoma (SCC) is the most common type of head and neck cancer and is typically treated with a combination of surgery as well as adjuvant radiation or chemotherapy. In addition, our team of microvascular surgeons is skilled to reconstruct any defect from cancer surgery to restore vital functions such as speech and swallowing.
Trans-Oral Robotic Surgery (TORS)
Given the rising incidence of HPV-mediated tonsil and base of tongue cancer, we offer TORS surgery for the treatment of early stage oropharyngeal cancer as well as the treatment of benign throat tumors.
Skin Cancer
We treat a variety of skin cancers affecting the face and neck and offer reconstructive surgery when needed including delicate areas such as the nose or ear.
Thyroid and Parathyroid Disease
Our thyroid/parathyroid center is designed to offer multi-disciplinary care teaming up with local endocrinologists and provide a seamless experience. We treat patients with a variety of thyroid and parathyroid disease including thyroid cancer, thyroid nodules, goiter, Graves’ disease, hyperparathyroidism, parathyroid tumors and offer Genomic testing using molecular markers for personalized medicine.
Sialoendoscopy
A minimally invasive approach to the treatment of sialadenitis, or inflammation of the salivary glands most often due to a blockage such as a stone or area of narrowing (stenosis). This outpatient procedures is done through the natural opening of the salivary duct to allow relief of the obstruction while preserving the salivary gland with minimal recovery time.
Nose & Allergy
We treat a variety of nose and allergy conditions for all ages
Allergy Shot Schedule:
Monday | 8:30 – 4:00 |
Tuesday | 8:00 – 4:00 |
Wednesday | 8:30 – 4:00 |
Thursday | 8:00 – 3:45 |
Friday | 8:30 – 11:00 |
Nasal Polyps
Nasal polyps are small, noncancerous growths that form on the lining of the nasal passages or sinuses. Small polyps may go unnoticed and require no treatment, but larger ones can obstruct the sinuses and lead to infections and breathing problems.
Allergy Treatment
Allergies are an exaggerated immune system response to a substance that is otherwise harmless. Identifying the trigger is necessary in order to formulate a treatment plan. This requires allergy testing. Your doctor will review your medical history, ask questions about your symptoms and administer either a skin or blood test. Once the allergen trigger is found, treatment can begin.
Balloon Sinuplasty
Chronic sinusitis is a widespread condition affecting 37 million Americans. This inflammation of the sinuses occurs when the sinus opening becomes blocked, preventing mucus from draining properly.
Sinusitis
A sinus infection, also called sinusitis, is inflammation and swelling of the tissues that line the sinuses. This interferes with normal mucus drainage, leading to breathing difficulties, pain and pressure. When the condition persists for 12 weeks or longer, it is considered chronic.
Allergies
Allergies, or allergic diseases, refer to the immune system’s hypersensitivity to something in one’s environment. Some allergies include hay fever, food allergies, dermatitis, allergic asthma and anaphylaxis. Allergy symptoms include red itchy eyes, swelling, rash, runny or stuffy nose, shortness of breath and itchy or plugged ears. Common allergens are pollens, grasses, foods, metals, insect bites or stings, medications and more.
Nasal & Sinus Surgery
We treat many nasal and sinus conditions. Most of these can be managed or cured using nonsurgical treatments. In some cases, though, our physicians may recommend surgical solutions. Whether or not you’ll require surgery depends entirely on your individual health and personal needs.
Voice and Sleep Disorders
We treat a variety of throat conditions for all ages
Tonsillitis
Tonsillitis is an inflammation of the tonsils that leads to swelling, sore throat and difficulty swallowing. It is usually the result of a viral or bacterial infection and tends to affect children more frequently than any other age group.
Laryngitis
Laryngitis is swelling and irritation of the larynx (voice box). It causes hoarseness and, in some cases, voice loss. It can be acute (short-lived) or chronic (long-lasting), but it is usually the result of a temporary viral infection or vocal strain, which clears up quickly. Persistent laryngitis that lasts longer than two weeks could be the sign of a serious condition and should be evaluated by a doctor.
Sleep Apnea
Sleep apnea is a chronic condition characterized by pauses in breathing that occur repeatedly throughout the night. They may last anywhere from a few seconds to a couple of minutes and occur in conjunction with loud snoring. People with sleep apnea often feel tired during the day since their quality of sleep is poor.
Hoarseness
Hoarseness is an abnormally deep or harsh voice that may sound raspy, scratchy, breathy or strained. There may be changes in volume or pitch. It’s usually the result of irritation or injury to the vocal cords and can be caused by a number of different conditions
Voice Disorders
You may have a voice disorder if you have trouble controlling pitch, volume, tone or other voice qualities. Symptoms of voice disorders include quivering sound, hoarseness, choppiness, breathiness or unusual pitch. Other symptoms are physical, like feeling a lump in your throat when speaking, feeling tired in your throat or voice box and tenderness on the outside of your throat.
Snoring
As many as forty-five percent of adults report occasional snoring, but over twenty-five percent snore every night. Snoring occurs when there is an obstruction in air flow in the back of the mouth and nose. The sound we hear is the result of the tongue and upper throat vibrating against the soft palate and uvula during breathing.
Spokane ENT offers Inspire Hypoglossal Nerve Stimulator Placement.
Pediatric ENT
Pediatric Hearing Test
Hearing tests used on children vary slightly from those used on adults. Depending on the age of the child, objective tests must be used since young children cannot vocalize what they can and cannot hear. Pure-tone testing, auditory brainstem response evaluations and otoacoustic emissions are the most common testing methods for children.
Pediatric Ear & Hearing
Pediatric audiology is the study and treatment of hearing loss in infants, toddlers and children. Our experts evaluate and treat children of all developmental stages. Our goal is to detect and treat hearing loss and other ear-related disorders in children as early as possible. Since our team consists of both audiologists and ENTs, we can care for your child’s whole hearing health.
Pediatric Tonsils & Adenoids
The tonsils and adenoids are part of the lymphatic system and serve as defenders of the immune system, protecting your body by preventing germs and bacteria from entering through your mouth and nose. Occasionally, they will develop problems themselves, requiring the attention of an ENT specialist. Infection of the tonsils and adenoids are common childhood illness, striking those between the ages of 5 and 15 most often.
Pediatric Allergy
Allergy and sinus conditions are common in children, whose sinuses continue to develop well into the teen years. Allergy and sinus symptoms are similar, making a proper diagnosis a bit challenging. Symptoms of allergy and sinus conditions include runny nose, sneezing, stuffiness, coughing, sore throat, wheezing, headaches, snoring and itchy eyes and nose. When your child is diagnosed with allergies and avoiding the allergen trigger isn’t possible, treatment consists of a variety of medications or immunotherapy
PROVIDERS
Virginie Achim, MD
Jeffery Bunn, MD
Michael Cruz, MD
Robert Deiter, PA
Karee Ledeboer, ARNP
David Malone, MD
Michael Olds, MD
William Schmitt, MD
David Stoddard, MD
Hannah Qualls, MD
Megan Bisbee, ARNP