Diplomate American Board of Otolaryngology


  Contact : 908.859.6500

Head and Neck Surgery

Because of the abundance of nerves, muscles and blood vessels found there, the physician who performs head and neck surgery must be exquisitely skilled and knowledgeable. Dr. Joshua D. Pollack, an otolaryngologist who specializes in disorders of the ear, nose, and throat, blends his skill and knowledge with sensitivity and compassion. He is pleased to be of service to the residents of Hackettstown NJ and New Jersey metropolitan area.

Conditions

Among the conditions that Dr. Pollack treats are conditions of the larynx and sinuses; headaches, including a migraine; cancers that involve the head and neck; persistent nosebleeds; hoarseness; throat pain; vertigo and tinnitus. He also treats sleep apnea, deafness, and even the common cold.

Surgeries

Though some of these conditions don’t require head and neck surgery, many are resolved through surgical intervention. Chronic sinusitis can be relieved through endoscopic sinus surgery. This operation is performed on people who have sinus headaches, stuffy nose, pressure and pain in the face and swelling around their eyes that do not respond to other treatments.

During endoscopic sinus surgery, Dr. Pollack uses a flexible fiber optic tube called an endoscope. This tube has a light at the end and sends images to a monitor. The doctor inserts it into the sinuses in the patient’s nose. Guided by the pictures on the screen, he finds the source of the patient’s problem. Then, he can use miniaturized surgical tools to remove polyps and other growths in the sinus or lasers to ablate unwanted tissue that blocks the sinus and keeps it from functioning properly.

This surgery is an outpatient procedure that can be performed in the doctor’s office. It takes about a half an hour to an hour and a half, and the patient is given anesthesia to keep them comfortable. There will be some discomfort for a couple of weeks after the surgery, but this will fade. In the meantime, it’s important that the patient keep their post-surgery appointments so that Dr. Pollack can make sure that all is going as planned.

Balloon Sinuplasty

Balloon sinuplasty is a state-of-the-art procedure for the relief of chronic sinusitis. Cleared for use by the FDA in 2005, it is less invasive than endoscopic sinus surgery because neither tissue or bone needs to be cut. The doctor inserts a balloon catheter into the sinus to open it up, much like what happens in a balloon angioplasty. After the catheter is inserted, the balloon is inflated and opens up the sinus. The balloon is made of a latex-free plastic, so it’s safe for patients with latex allergies. The doctor flushes out mucus and infected material with salt water, then removes the catheter and the balloon.

Ear Surgeries

Dr. Pollack performs many surgeries of the ear, including cochlear implants. This medicine treats deafness. During this surgery, the doctor makes an incision right behind and right above the patient’s ear, then uses an instrument to drill a hole in the bone there. He’ll open the mastoid bone in the ear and position the components of the implant inside the ear, including tiny electrodes and an internal coil. When the surgical wound heals over, he’ll provide the patient with an external stimulator that contains a microphone. This unit can be attached to the patient’s eyeglasses or can be held in place by magnets. A wire connects a microcomputer to the microphone. The microcomputer converts sound into electrical pulses that are sent to the electrodes inside the ear. The microcomputer is worn in a pouch the patient carries with them.

Other surgeries of the ear include the installation of tubes to help infected ears drain; tympanoplasty, which repairs ruptured eardrums and stapedectomy, which removes calcium from the tiny stirrup bone in the ear. The presence of calcium causes hearing loss. Ossiculoplasty treats damaged bones in the patient’s middle ear and may restore their hearing, while acoustic neuroma removal takes a tumor out of the patient’s ear.

Any resident in the greater New Jersey metropolitan area who has a disease or condition of the ear, nose or throat should set up a consultation with Dr. Joshua D. Pollack in his Hackettstown NJ offices. He is pleased to treat both adults and children. His number is 908.859.6500.