Head and Neck Surgery

Dr. Carl Coppola performs the following procedures on both children and adults:

    • Ear Surgery 
Common surgical procedures include eardrum repair (tympanoplasty), stapedectomy and ear tube placement. 
    • Nose or Nasal Surgery 
Surgical options used to treat other conditions such as chronic nasal congestion or a deviated septum.
    • Throat Surgery Common throat surgeries include removal of the tonsils (tonsillectomy) and adenoids (adenoidectomy).

Dr. Carl Coppola is trained and skilled in the latest surgical techniques, including minimally invasive procedures, to treat child c and adult otolaryngology conditions ranging from common inner ear infections to more complex cancers of the head and neck. 

If you or your family members are suffering with any ENT problems including allergy, sleep disorders or hearing problems, we encourage you to contact our office to schedule a personalized consultation with Dr Coppola and his professional staff.

Call, 502-893-3683 or email us via or Contact form with your questions and concerns.

 

Endocrine System

Thyroid And Parathyroid

The thyroid and parathyroid glands are important endocrine glands that secrete hormones. These hormones affect the body’s metabolic rate and the levels of certain minerals in the blood. The thyroid gland and the four parathyroid glands are located in the neck. 



The thyroid gland is responsible for regulating many activities in the body, including the rate you burn calories and how fast your heart beats. The parathryroid glands control the body’s calcium levels. When the parathyroid glands are functioning normally they work to keep the body’s blood calcium levels within a very tightly controlled range. Proper calcium balance is crucial to the normal functioning of the heart, nervous system, kidneys and bones.

What are some thryoid disorders?

Dr. Carl Coppola advises his patients that thyroid problems include the following conditions:

  • Hyperthyroidism is when the thyroid gland makes more thyroid hormones than your body needs
  • Hypothyroidism is when the thyroid gland does not make enough thyroid hormones
  • Goiter is the enlargement of the thyroid gland
  • Thyroiditis is when the thyroid gland swells
  • Thyroid nodules and growths – non cancerous
  • Thyroid cancer – growths and tumors which develop in the thyroid gland and spread to other nearby tissues and other parts of the body.

Diagnosis of Thyroid and Parathyroid Cancers

According to American Cancer Society the incidence of thyroid cancer have been increasing in recent years. Thyroid cancer is more common in women than men. In fact, thyroid cancer is the fifth most common cancer in women. Thyroid cancer can occur at any age, but the risk spikes earlier for women (typically diagnosed in their 40s or 50s) than for men (who are usually in their 60s or 70s).

Whereas, cancers of the parathyroid glands are very rare — there are probably fewer than100 cases each year in the United States.

Thyroid cancer can only be accurately diagnosed with a biopsy. After a thorough medical examination and history, Dr. Coppola may recommend a biopsy of the thyroid to determine with the lump or nodule is cancerous. Typically, Dr. Coppola performs the biopsy utilizing a technique called, FNA or fine needle aspiration. Other tests including blood tests, ultrasound or radioiodine scan may also be ordered.

Surgical Treatment of Thyroid Cancer

  • Surgery is the treatment of choice for most cases of thyroid cancer, except for some anaplastic thyroid cancers. Once thyroid cancer is diagnosed by a fine needle aspiration (FNA) biopsy, surgery to remove the tumor and all or part of the remaining thyroid gland is usually recommended an a lobectomy or thyroidectomy is performed.
  • Lobectomy is performed is the thyroid cancers are small and show no signs of spread beyond the thyroid gland. The lobe containing the cancer is removed.
  • Thyroidectomy is the surgery to remove the entire thyroid gland. As with lobectomy, this is typically done through an incision a few inches long across the front of the neck.

Dr. Carl Coppola is trained and skilled in the latest surgical techniques, including minimally invasive procedures to treat child and adult otolaryngology conditions ranging from common inner ear infections to more complex cancers of the head and neck. 

Call, 502-893-3683 or email us via or Contact form with your questions and concerns.

 

TONSILLECTOMY

 

Tonsillectomy is surgery to remove the tonsils and is often performed along with removal of the adenoid glands (adenoidectomy). While tonsils are helpful in protecting against infections many children born with large tonsils may have frequent sore throats and ear infections.

Tonsillitis is a fairly common problem as tonsils may swell when they become infected. Parents may notice in their child’s throat that the tonsils appear red and swollen and may have a yellow or white coating on them. Other tonsillitis symptoms include:

  • Sore throat
  • Discomfort/pain when swallowing
  • Fever
  • Swollen glands

Adults with recurrent tonsillitis may also benefit from a tonsillectomy. Dr. Coppola treats adults who have severe sore throats as their tonsils may be inflamed by bacteria living within them. Constant throat/tonsil infections can lead to repeated courses of antibiotics which may be detrimental. If you are an adult that has persistent and repeated sore throats, schedule a consult with Dr. Coppola to determine if you are a candidate for a tonsillectomy.

Why is a tonsillectomy performed?

Dr. Carl Coppola advises his patients that you should consider a tonsillectomy for your child if:

  • Has frequent infections (typically seven or more times in 1 year).
  • Has trouble breathing.
  • Has abscess or growth on their tonsils.

How is a tonsillectomy performed?

A tonsillectomy is an outpatient procedure performed under general anesthesia. You child will be asleep and feel no pain. A small device is placed in the mouth to hold it open and Dr. Coppola removes the tonsils with a scalpel, a laser or a heated instrument. If indicated, an adenoidectomy is also performed. Most children go home a few hours after surgery and their throat heals naturally.

Tonsillectomy After-Care

Yes, it is true nearly everyone experiences pain after a tonsillectomy. Pain is most often in the throat, but it may also be located in the ears, jaw or neck. Dr. Coppola advises the following steps to ease the pain and help in the healing process:

  • Pain Medications 
Precise instructions will be provided by Dr. Coppola on the type, dosage and frequency of pain medication.
  • Fluids
 It is important to get plenty of fluids after surgery. Water and ice pops are good choices.
  • Food
 Bland foods that are easy to swallow, such as applesauce or broth. If tolerated, pudding and ice cream can be added to the diet.
  • Rest. 
Bed rest is important for several days after a tonsillectomy. All strenuous activities — such as running and bike riding — should be avoided for two weeks after surgery. Typically children can return school after the termination of pain medication, resuming a normal diet and sleeping comfortably through the night.

Dr. Coppola is a skilled ENT surgeon who has performed hundreds of tonsillectomies. 

If you or your family members are suffering with any ENT problems including allergy, sleep disorders or hearing problems, we encourage you to contact our office to schedule a personalized consultation with Dr Coppola and his professional staff.