tag:blogger.com,1999:blog-86213173798734997022026-03-30T17:40:54.102-04:00Fauquier ENT NewsFauquier ENT NewsFauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.comBlogger1818125 https://users.feedblitz.com/3db4daf078ec87fc8c9d460fd1c02763/blog_logo.jpg https://blog.fauquierent.net/2026/01/from-exam-room-to-ice-rink-why-ent.htmltag:blogger.com,1999:blog-8621317379873499702.post-12161229051297290092026-01-20T10:04:00.005-05:002026-01-21T10:52:41.289-05:00From the Exam Room to the Ice Rink: Why an ENT Doctor Started Making Videos on Concussion Evaluation

Yes... the doctor/coach represented in the image
does not look like Dr. Chang.

(Videos at the Bottom.)

If you had asked me a few years ago whether concussion management would become a regular topic of my professional life, I would have said no without hesitation. As an ENT physician, my day-to-day work focuses on the ears, nose, throat, balance, hearing, and the complex systems that connect them. While those systems certainly overlap with neurology, concussion was not something I routinely evaluated or treated in my practice. If concussion was a concern, I would refer to neurology as a matter of course.

That changed the moment I stepped behind the bench as a youth ice hockey coach where accurate concussion evaluation was expected,...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwz54V1vSsQwQ_-vVWnbN8N9j_lwvoSEeLGoSri4BEKZm54xkYJ2YL61LmkvNFOjrtkIyP1GU26jlEZMVK6WGeLSslK6WXcJGtVw7UX43svk8eFV6AYdeSCaYNjit8ZeP9Ubnp9TxIX5G55gssobW58drskpdAYABURweRu4ee2OYHpHgtMCH1Kfwzsv8/s72-w400-h266-c/11e850e0-2d78-45d1-ba3d-87455c950301.png https://blog.fauquierent.net/2026/01/untreated-hearing-loss-increases-risk.htmltag:blogger.com,1999:blog-8621317379873499702.post-57586338527050168242026-01-20T07:40:00.002-05:002026-01-20T07:43:33.864-05:00Untreated Hearing Loss Increases the Risk of Imbalance and Falls: What the Science Says

Falls are a major public health concern, especially for older adults. According to a large systematic review and meta-analysis of more than 5 million participants, individuals with hearing loss had a 51% greater odds of falling compared with those without hearing impairment. Over time, hearing loss was also associated with a 17% greater longitudinal risk of future falls—meaning that even after adjusting for other factors, people with hearing loss had a significantly higher chance of falling again in the future. (JAMA Network)

Other studies support these findings: older adults with uncorrected hearing impairment may have between 1.5 and 2.4 times the odds of experiencing a fall compared with peers with normal hearing. (...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1UQ_MTIeSsfEZNWZe2nQ17YcN_4gwkxJZbVFm3-LlyIsW8W80NeGXvRGYA-ySpVUU5i_rAtYuQuwqufqU2JX8hqM9NPioohQzRbFF5dFv0MUhReztM_-kTbMKBjmJnUxsxrEJho5FoBrbQ1NynUk5QDuc0e8yX9fpqgUJCHWxzF9eZ1n7neOCYa0nk-o/s72-w426-h640-c/efd34b78-0077-4cd6-8ef3-c522aacbbe5b.png https://blog.fauquierent.net/2026/01/untreated-hearing-loss-before-age-70.htmltag:blogger.com,1999:blog-8621317379873499702.post-43862419523782625602026-01-03T21:25:00.002-05:002026-01-03T21:25:52.488-05:00Untreated Hearing Loss Before Age 70 May Raise Dementia Risk by ~60%


Hearing loss is common as we age, but many people treat it as a minor inconvenience rather than a serious health issue. Emerging research shows that ignoring hearing loss — especially before age 70 — could have major implications for your brain health, including a significantly higher risk of dementia. Fortunately, addressing hearing loss early with hearing aids may help reduce this risk.

Why Hearing Loss Affects the Brain

When the ears don’t send clear sound information to the brain, the brain must work harder to interpret speech. This extra cognitive effort can divert mental resources away from memory and thinking functions. Moreover, hearing loss often leads to social withdrawal and isolation, which are independently linked to...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBD7NMDpeLk6_2OkICIMEbkLIWKTBRCcTEFuMA-uOLyKOl0iYZHM-gfPFAbLc4Nu_97UJaXZp983Q0rJSCPoVZPOsE0V6Md9Rr-xnqkS82TPupCVwm__OeV_PUxIbT-dNjut7zqOp9ZUt7ZkEpD9xE5WQPje4s71r2Ssq1wHTQ4RvWGp8A_eHxDyiewLs/s72-w640-h426-c/Screenshot%202026-01-03%20at%209.21.49%E2%80%AFPM.png https://blog.fauquierent.net/2025/12/temporary-sound-sensitivity-in-toddlers.htmltag:blogger.com,1999:blog-8621317379873499702.post-55113984820735208642025-12-18T08:30:00.005-05:002026-01-08T09:43:40.971-05:00Temporary Sound Sensitivity in Toddlers: A Normal Part of Sensory Development


If your toddler suddenly covers their ears, cries at everyday noises, or seems distressed by sounds that never bothered them before, it can be worrying. Many parents wonder if this means something is wrong with their child’s hearing or development. In most cases, the answer is reassuring: temporary sound sensitivity is a common and normal part of toddler sensory development.


What Is Sound Sensitivity?

Sound sensitivity—sometimes called auditory sensitivity or sound intolerance—refers to a child reacting strongly to noises that others find normal or tolerable. This might include:

  • Vacuum cleaners or blenders

  • Toilets flushing or hand dryers

  • Loud voices or sudden laughter

  • Music, sirens, or barking dogs

For toddlers, these reactions often...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrWUYQd-8HfdzOXvKVjEOVNm_TiiIC4aTFvDP23_WqcLqwhzO5IguaNCTmC08LLNMdnRXqGYb0kFHE6N0i8DVW0QRUq7reOsTCZd17CMNRTXq7BTbN4h-HJOT6s986RYmlYG9JgeJnbdni1a_wcAbhRblJxUtRedWIUtXCPt5uL0jcM6FWZ5kbylRYFsM/s72-w264-h400-c/pic1.jpg https://blog.fauquierent.net/2025/11/when-to-evaluate-cervical-lymph-node-in.htmltag:blogger.com,1999:blog-8621317379873499702.post-5684630962941138862025-11-09T07:06:00.001-05:002025-11-14T06:41:14.679-05:00When to Evaluate a Cervical Lymph Node in Children: Understanding Size CriteriaPalpable neck lymph nodes are extremely common in children—most are benign and reactive from frequent viral or bacterial infections. However, certain features, including size, location, and persistence, can signal the need for further evaluation to rule out more serious conditions like lymphoma or metastatic disease.



1. Normal Lymph Node Size in Children

Children’s lymphatic systems are more active than adults’, so small, palpable nodes are normal, especially in the cervical region. Abnormal enlargement is also fine if transient and not cause for alarm if it reduces in size within 6 weeks. That said, typical upper limits of normal (short-axis diameter):


Submandibular / Jugulodigastric≤ 2.0 cmCommonly enlarged after throat or ear...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPbPL0N_pS8jzSSrBj9ADRTZt6B97W5rhQydS_p1ZIhfKwj36LUnL9x-KBHgEc2XaDvesIrRy1Sefk7IGbxleg-bGOGhBxdnc-GempC2RUmUr-9VFTfOqLcb0q_vUSth-KRi6_m6CrhxjvzOBh3yu7SETVNij2mlyARiEFH7MAMqscltmJ6V7fK6mnRog/s72-c/Screenshot%202025-11-09%20at%206.42.21%E2%80%AFAM.png https://blog.fauquierent.net/2025/11/the-new-hidden-salivary-glands-in-your.htmltag:blogger.com,1999:blog-8621317379873499702.post-52467438925793201042025-11-02T18:39:00.000-05:002025-11-02T18:39:10.853-05:00The New Hidden Salivary Glands in Your Upper Throat: What Are the Tubarial Glands?


Just when we thought we knew every nook and cranny of the human body, scientists may have found something new hiding in plain sight—right inside our heads. These mysterious structures are called the tubarial glands, and if confirmed, they could represent a previously unrecognized set of major salivary glands.


The Discovery Nobody Saw Coming

In 2020, researchers in the Netherlands made a surprising observation while scanning cancer patients using a special type of imaging called a PSMA PET/CT scan. This scan highlights salivary tissue, and unexpectedly, it revealed two bright, symmetrical spots in an area that had never been labeled as a salivary gland before.

These spots were located in the nasopharynx—the upper part of the throat that...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9ixm-2hGmxUf0C4nZ_s_uTSazPKCbiTYVcSJQQpIS1pAGNPtK3-J-2JfvNyoqmHuHLwCE1Wx48oelkAgAP5D0j4yTr55cd4p6lJF-U9cSfPAGw_iYw69MJ4LVZbiZWGgaeEtN2lmmoyZA5r6ivxf3Q0PdWnwtYcdb9n8MfRMjv0Oj6sizePofJL_Aebo/s72-w400-h353-c/Screenshot%202025-11-02%20at%206.36.55%E2%80%AFPM.png https://blog.fauquierent.net/2025/09/a-brief-history-of-nose-jobs-from.htmltag:blogger.com,1999:blog-8621317379873499702.post-27676486843666761392025-09-19T09:08:00.001-04:002025-09-19T09:08:06.449-04:00A Brief History of Nose Jobs: From Ancient Surgery to Modern Rhinoplasty


Rhinoplasty, commonly referred to as a “nose job,” is among the oldest documented surgical procedures in human history. While in modern times it is frequently performed for aesthetic enhancement, its origins lie in reconstructive medicine, restoring dignity and function to those who had lost their noses due to punishment, disease, or trauma.


The First Documented Rhinoplasty: Sushruta in Ancient India (ca. 600 BCE)

The earliest known description of nasal reconstruction is found in the Sushruta Saṃhitā, an ancient Sanskrit medical compendium attributed to the Indian physician Sushruta, often called the “father of surgery” (Kakar, 2017). Written around the 6th century BCE, this text outlines a method of reconstructing the nose...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhca5J-m-V_qIrKvGK-fnVHtXXZ9EPfo-QLziCd9eBWm696TwTWMEeibR7k9VIWsAeSn9jeflvSOXZD0HhEppq_bLSkpjFLknHBB01VOguvVwzLOIx9LvZY50pUI_DH0rF0rnani9rX906bqyUID31tnNphgYhhrX6SZ97uGxJJtczD1zKlUWYhi3Uzzjw/s72-w246-h400-c/images.jpeg https://blog.fauquierent.net/2025/09/bilateral-bppv-when-vertigo-strikes.htmltag:blogger.com,1999:blog-8621317379873499702.post-29127129269490651582025-09-09T06:28:00.002-04:002025-09-09T06:28:16.999-04:00Bilateral BPPV: When Vertigo Strikes from BOTH the Left and Right Inner Ears!


Benign paroxysmal positional vertigo, or BPPV, is one of the most common causes of dizziness. It happens when tiny calcium crystals in the inner ear, called otoconia, become dislodged and move into one of the semicircular canals, typically the posterior semicircular canal. Usually, this occurs only on one side. However, rarely both posterior canals on each side can become affected resulting in bilateral posterior canal BPPV. Treatment requires the displaced crystals from each side to be repositioned in order to fully resolve the vertigo.

In order to diagnose bilateral BPPV, the Dix-Hallpike maneuver is first performed as shown.

If nystagmus, the rhythmic twitching of the eyes, appears when the head is lowered to one side...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blog.fauquierent.net/2025/08/preventable-risk-factors-associated.htmltag:blogger.com,1999:blog-8621317379873499702.post-8931719448071227702025-08-29T07:45:00.002-04:002025-08-30T07:43:13.294-04:00Preventable Risk Factors Associated with BPPV Dizziness Occurrence and Recurrence


Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of vertigo, and while repositioning maneuvers like the Epley are highly effective for treatment, new research is shedding light on ways to prevent BPPV from recurring. Metabolic health, hormones, and bone strength all play important roles.


Vitamin D and Calcium Metabolism

Vitamin D deficiency is strongly linked to recurrent BPPV. Since vitamin D regulates calcium metabolism and bone health, low levels may weaken the inner ear’s calcium carbonate crystals (otoconia), making them more likely to dislodge.

👉 Evidence shows that supplementing vitamin D in deficient patients reduces recurrence rates and even improves balance and muscle strength in older adults.


...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEid1J0a1LVKLDXCU_tjd45Yv6aGi2AZBcBw8zwnriTbwefnOwCxznb68MoaOvz7kUjYKO8iJP-2HppDrdFY4LjiQEhPUUZwzVZxMYCS7_wS_kO4he8RP8J8s2MClk_llqWm46uDGV71vAITuZJ8ZRhm74bLL6qivWJMA6CahhNq1ZCXM63uKT2SgwxviVE/s72-w400-h400-c/Screenshot%202025-08-29%20at%206.58.07%E2%80%AFAM.png https://blog.fauquierent.net/2025/08/the-lumipulse-blood-test-for-alzheimers.htmltag:blogger.com,1999:blog-8621317379873499702.post-7706018281434955012025-08-21T06:34:00.006-04:002025-08-22T07:14:52.814-04:00The Lumipulse Blood Test for Alzheimer’s: What to Know


The Lumipulse blood test developed by Fujirebio is a new FDA-approved option that can help doctors check for signs of Alzheimer’s disease in people with memory problems. It’s not a screening test for healthy people, but it’s meant for adults 55 and older who already have symptoms of cognitive decline.

How it works

Alzheimer’s causes certain proteins in the brain to change. In blood, p-tau217 tends to go up and Aβ42 tends to go down. The Lumipulse test measures these proteins and reports a ratio that strongly matches what a brain scan (PET) or spinal fluid test would show.

Accuracy

Studies show the Lumipulse blood test agrees with PET or spinal fluid testing about 92–97% of the time. This makes it a reliable, less invasive...

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]]> Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com0 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkf2Vqmv9qENTuyeS-JaCbg19SGUc2ByYdmMvRQrHDxlpiVU5DtVolAVG1pTVbE0PpQox0YqbTLcgHtYYUKiDJCErhbIGtZ054FgGWh6fcvZu8Rd368DuvWL5_mDgxcOZKmqDD_i647Rk1GmpGn2xxWo0niv7aRBykjenXE3xz8Qwt_GjPvIZleq_9qfE/s72-w400-h266-c/81215_0.jpg