New Video Example of a Failed Pharyngeal Flap for VPI

A new video has been posted of an exam showing a patient with a pharyngeal flap that failed to correct his hypernasal speech. Historically, the patient had a cleft lip and palate that was repaired and because of a persistent velopharyngeal insufficiency producing hypernasal speech, a pharyngeal flap was performed. However, this flap was not successful as the hypernasal speech persisted. The reason for the persistent hypernasal speech in spite of the pharyngeal flap was made apparent on flex…

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New Webpage on Dizziness

A new webpage describing dizziness and its various causes has been created. Though our office does not consider itself "dizzy experts," and is unable to provide the comprehensive evaluation and treatment of this problem other than those disorders due to the ear or allergies, we are often able to at least point patients in the right direction even if in the end we are unable to provide relief.

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Minimally Invasive Surgery to Correct Hyper-Nasal Speech

Dr. Chang performs minimally invasive correction of nasal speech due to velopharyngeal insufficiency . This procedure entails the use of endoscopic techniques to precisely correct the defect without the use of incisions or soft palate reconstruction. Only patients with a small defect are candidates. In order to determine the size of the defect to see if a patient is a candidate, video nasal endoscopy is performed. Examples of exams are shown on this webpage as well. Please contact our off…

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Guest Editorial in ENT Journal by Dr. Chang

Dr. Chang was recently invited to write a guest editorial for the ENT Journal regarding how to get the most out of a practice website without costs. It was published in the February 2008 volume. Read the editorial here .

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Podcast Library on ENT Topics Created

Podcasts are becoming increasingly popular especially in this day of iPods and other mp3 players for people on the go. Although most podcasts are not medically related, there are a few well-produced medical podcasts... and even fewer dedicated to ENT topics. Those few medical podcasts on ENT topics are now listed on our website here . If there are others, please let us know and we will add to the list.

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LECTURE: The Ears in Sickness and In Health

Drs. Phillips and Chang along with Catie Chalmers, MS, CCC/A will be giving a talk about how ears work in health and in sickness. The lecture will be given on May 22 at 7PM at the Fauquier Hospital Chestnut Room. The lecture is free, but please call 540-316-3588 to register (or email referral@fauquierhealth.org).

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