TEXAN ENT - December 2021

TexanENT.com

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HELLO, HELLO ...

AN ENT CAN TREAT VERTIGO?

Vertigo isn’t just a U2 song or a movie by Alfred Hitchcock; it’s also an experience that approximately 70% of people will have at some point. People with vertigo frequently experience dizziness or a sensation that objects around them are moving or spinning. Ongoing symptoms can have a significant impact on a person’s quality of life, and vertigo greatly increases the chance of falls in seniors, which can result in hospitalization or even death. The first thing to know about vertigo is that it’s a symptom, not a disease. There’s no one-size-fits- all treatment for vertigo because there’s not just one cause. Treatment of any patient’s vertigo will depend on the underlying condition.

can be caused by a variety of conditions. Benign paroxysmal positional vertigo (BPPV) occurs when calcium crystals in the ears break off and end up in the ear canal. The crystals then interfere with the normal movement of fluid in the ear. Meniere’s disease causes fluid buildup in the part of the ear that’s responsible for balance. And many cases of vertigo are caused by vestibular neuritis, where a nerve in the ear becomes inflamed, possibly due to viral infection. Vertigo resulting from ear crystals can often be treated with the Epley maneuver, which adjusts the calcium crystals in the ear canal. Meanwhile, fluid buildup can sometimes be resolved with antihistamines, antibiotics, or a reduced salt intake, depending on the cause. Some patients will require motion sickness medication to reduce

nausea. Symptoms can also often be reduced with physical therapy, which can help a person regain balance and avoid falling. If other treatments don’t work, and the symptoms are debilitating, severe cases of vertigo might require surgery. This is generally considered a last resort and is something Dr. Evans would not consider until all other treatment options are exhausted. If you’re struggling with vertigo, we can help you reduce or even eliminate your symptoms. Don’t go through life feeling off balance — schedule a consultation with Dr. Evans today to get back on an even keel. HAVE A LAUGH

Most vertigo is caused by incorrect signals being sent from the inner ear to the brain. These signals

CRISPY FISH WITH BROWN BUTTER SAUCE

Inspired by BonAppetit.com

Want to enjoy the decadence of the holiday season without adding too much to your waistline? Swap red meat for fish and serve this delicious, easy dish.

Ingredients

• •

1 tbsp olive oil

• • • •

6 tbsp unsalted butter, cut into pieces 1/2 cup blanched hazelnuts, chopped

4 5-oz Chilean sea bass or salmon filets, skin-on

2 tsp lemon juice

Salt and pepper, to taste

Lemon wedges, for garnish

Directions

1. In an unheated skillet, add oil. Season fish with salt and pepper, then add to skillet (skin-down). 2. Heat the skillet to medium and cook for 4 minutes. With a spatula, press each filet down, rotating between filets every few seconds. When the skin begins to crisp, stop pressing and cook 8–10 minutes, then flip and cook for another minute. Remove the fish. 3. Wipe the skillet clean and return to medium heat. Add the butter and hazelnuts. Heat, swirling continuously, until butter foams and browns. Remove from heat. 4. Stir in lemon juice and season to taste. Pour over fish, garnish, and serve with salad.

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