Centers of Distinction

 

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Sleep Disorders

Center of Distinction – Sleep Related Orders – Northeast ENT & Allergy

Not sleeping well? Snoring loudly and keeping everyone up at night? Feeling fatigued during the day, particularly mid-afternoon where you would like to crawl into a corner and sleep for 2-3 hours? Having frequent daytime headaches or difficulty in controlling blood pressure despite trials of different medications? Then it is entirely possible that you may have a sleep disorder, and particularly, a sleep disorder of significance called sleep apnea. Northeast ENT & Allergy deals with the entire gambit of sleep related problems in patients who have snoring and obstruction. Untreated sleep apnea may lead to serious health issues such as myocardial infarction (heart attack) or stroke

The staff at Northeast ENT & Allergy will begin with a work-up with history and full ENT examination and then most likely proceed to a sleep study at one of two local sleep facilities. Armed with this data, appropriate treatment planning can be accomplished. Most often, we would make the recommendation for weight loss, increased exercise, and placing the patient on Continuous Positive Airway Pressure (CPAP). If a patient has a significant obvious obstruction such as nasal obstruction due to anatomic issues, such as a deviated nasal septum or if they have significant redundancy of oral cavity/pharyngeal tissues such as enlarged tonsils and related swelling, then surgical treatment may be recommended prior to obtaining a sleep study. The patients placed on CPAP who do not do well with CPAP after a 90 day trial, may discuss surgical treatment with us. The staff will help our patients interact with the companies who provide CPAP machines and equipment to help the patient avoid red tape/paperwork associated with this process.

Allergy

Center of Distinction for  Allergy – Northeast ENT & Allergy

Our office treats a variety of allergic complaints including:

  • Chronic runny nose
  • Itchy, water eyes
  • Itchy throat
  • Nasal-sinus problems such as chronic runny nose or chronic sinusitis
  • Itching in the ear canals
  • Bothersome eustachian tube dysfunction and ear popping
  • Chronic middle ear fluids/infection

Treatment can involve medication, both over the counter and/or prescription medications, including antibiotics, anti-inflammatory medications and a variety of different types of nasal sprays that are safe to use.

If appropriate the patient can be tested with invitro (via blood draws) allergy testing, or skin testing and might undergo avoidance therapy, particularly on the home front, or the patient may be considered a candidate for allergy shot therapy (desensitization). For both these forms of testing and treatment we work in close contact with Allergy Associates of New Hampshire in the local area.

Voice & Swallowing

Center of Distinction for Disturbances, Swallowing/Voice Aberrations

Northeast ENT and Allergy treats a variety of vocal and swallowing problems. With the help of videostroboscopy (using a video strobe and camera to slow vocal motion down to make appropriate diagnoses regarding laryngeal pathology), we can diagnose a variety of vocal pathologic conditions and can recommend treatment, either medical of surgical, for betterment of the voice. A cine-barium swallow can help us with diagnosing esophageal disorders. One of the more common diagnoses seen often today in our office is laryngopharyngeal reflux (LPR) caused by gastric acid reflux. This condition causes burning of the posterior laryngeal tissues, and furthermore, causes difficulty in swallowing often times referred to as a “lump in the throat.” These patients often times present with frequent throat clearing and coughing. Medical management is usually most effective in treating this condition. Finally, when appropriate, surgical treatment may be rendered to the patient for significant vocal-esophageal pathology.

Head & Neck

Center of Distinction for Head and Neck Abnormalities at Northeast ENT & Allergy

Northeast ENT and Allergy handles numerous abnormalities associated with the Head and Neck. They include, among others, abnormal lumps or masses in the oral cavity, throat, or hypopharynx (internal areas around the voice box). We treat vocal pathology with either recommendation for voice treatment or via surgical means. For the external neck we concern ourselves with the neck masses of all kinds – abnormal lymph nodes, salivary gland inflammation or tumors, congenital neck masses, etc. We are considered thyroid and parathyroid specialists and diagnose and treat these diseases with medication. We also involve ourselves with biopsy of the thyroid gland when appropriate and possible surgical treatment of the thyroid if so necessary.

We treat cancer of the Head and Neck (both internal and external) and whenever necessary involve the care of our local talented radiotherapists and chemotherapists at our local hospitals who also have a direct line of communication and expertise with Dartmouth Hitchcock Medical Center in Hanover, New Hampshire and Dana Farber Institute in Boston, Massachusetts.

Nose & Sinus

Center of Distinction for Nasal-Sinus Disorders at Northeast ENT & Allergy

Northeast ENT & Allergy is well known in Seacoast New Hampshire for treating a variety of nasal and nasal-sinus disorders. These disorders can include, among others, disorders of smell/taste, chronic inflammation of nasal tissues (rhinitis) due to allergic and non-allergic causes, chronic sinusitis (usually preceded by multiple episodes of acute sinusitis), and structural abnormalities including deviated nasal septum. We also treat structural abnormalities of the external nasal skeleton, whether associated with congenital developmental issues, or with trauma.

Pediatric ENT

Center of Distinction for Pediatrics at Northeast ENT & Allergy

Our staff cares for children of all ages and we cover a myriad of ENT problems including eustachian tube dysfunction, chronic ear infections, hearing loss (either congenital or acquired), tonsils/adenoidal enlargement or chronic infection of these structures, chronic nasal-sinus problems, vocal nodules, and neck aberrations such as neck masses.

Ears & Hearing

Center of Distinction for Ears and Hearing Abnormalities at Northeast ENT & Allergy

Northeast ENT & Allergy prides itself on its audiologic and otologic expertise. From early childhood we deal with children’s eustachian tube dysfunction which often times leads to chronic middle ear fluid and/or recurrent sinus infections requiring antibiotics. In select cases, patients are recommended for myringotomy and ventilation tube insertion for their ears to significantly improve the health and hearing of our pediatric population. Diseases of the ears in older individuals may involve the middle ear (area behind the eardrums) or the mastoid bone which surrounds the middle ear. Surgery to correct abnormalities here include tympanoplasty (eardrum surgery), mastoidectomy (removing disease from the mastoid), or combination therapy. We treat an inherited disorder associated with hearing loss called “otosclerosis”, either with hearing aid fitting or surgical treatment.

Our audiologic section is outstanding with three Doctoral trained audiologists. Dr. Libby Persons does most of our diagnostic audiology testing. Dr. Mary Hunting does electrophysiologic testing (for hearing and balance) as well as diagnostic testing. Finally, Dr. Beth Cavalieri is our Hearing Aid Specialist/Dispenser.

Joseph D. White, DMD, MD, FACS

Joseph D. White, DMD, MD, FACS

  • D.M.D. Boston University Goldman School of Graduate Dentistry, 1977.
  • M.D. Boston University School of Medicine, Boston Massachusetts, 1979.
  • Internship, Surgical Bay State Medical Center, Springfield Massachusetts 1979-1980.
  • Residency, Otolaryngology/Head & Neck Surgery, University of Colorado Affiliated Hospitals, Denver Colorado 1980-1983.
  • Staff Otolaryngologist, Walter Reed Army Medical Center, Washington, D.C. 1983-1986.
  • Board Certification: American Board of Otolaryngology, 1984.
  • Assistant Professor of Surgery, Uniformed Services University of the Health Sciences, Bethesda MD 1984-1986.
  • Fellow American College of Surgeons.
  • Fellow American Academy of Otolaryngology Head & Neck Surgery, 1984-present
  • Chairman, Department of Surgery, Frisbie Memorial Hospital 1996-1998
  • Chairman, Credentials Committee, Frisbie Memorial Hospital 1997-2011
  • Vice President Medical Staff, Wentworth Douglass Hospital 2007-2011
  • President Medical Staff, Wentworth Douglass Hospital 2011-2015
  • Member Board of Trustees, Wentworth Douglass Hospital 2007-20015
  • Credentials Committee Member, Wentworth Douglass Hospital 2016-Present

Dr. White grew up in Boston Massachusetts and attended Boston Latin School prior to beginning his studies at the University of Massachusetts. He moved to New Hampshire in 1986 after completing six years of service in the United States Army and began his practice of Otolaryngology. He has provided ENT services to the Seacoast New Hampshire community ever since. Dr. White is happily married and has two wonderful grown children. He enjoys traveling, music, and most especially enjoys the piano.

Christopher J. Knox, DO

Christopher J. Knox, DO

  • B.S. Zoology, University of New Hampshire, Durham, NH 1990.
  • M.S., Zoology, University of New Hampshire, Durham, NH 1993.
  • D.O., University of New England College of Osteopathic Medicine, 1997.
  • Surgical internship, Berkshire Medical Center, Pittsfield Massachusetts, 1997-1998.
  • Residency: Otolaryngology/Head & Neck Surgery, Facial Plastic Surgery, Lake Erie College of Osteopathic Medicine, 1999 – 2003.
  • Board Certification Otolaryngology, Head & Neck Surgery and Facial Plastic Surgery, American Board of Osteopathic Medicine, 2005.
  • Fellow American Academy of Otolaryngology Head & Neck Surgery.
  • Chairman, Department of Surgery, Frisbie Memorial Hospital 2007-2009
  • President of NH Otolaryngology Society 2009-present

Dr. Knox grew up in the Seacoast New Hampshire area and attended Coe-Brown Northwood Academy prior to beginning his studies at the University of New Hampshire. Dr. Knox returned to this area to join Dr. White in practice in 2003. He became a partner of Northeast ENT & Allergy in January of 2009.

Dr. Knox has a wonderful wife and 2 fantastic children and enjoys snow skiing, water skiing and competing in triathlons.