What’s an ear doctor called? An ear doctor is called an otolaryngologist, also known as an ENT (ear, nose, and throat) doctor; you’ll find expert care and solutions for all your ear, nose, and throat concerns, ensuring optimal health and well-being at thebootdoctor.net with detailed information and resources, empowering you to make informed decisions about your healthcare needs. From hearing aids to sinus infections, our comprehensive guides and expert advice provide the insights you need to address common ENT issues effectively and understand the scope of otolaryngology.
1. Understanding Otolaryngology: The Specialty of Ear Doctors
Otolaryngology is a medical specialty focused on the intricate systems of the ears, nose, and throat. This field, also known as otolaryngology-head and neck surgery, requires specialists to be proficient in both medical and surgical treatments. An otolaryngologist, commonly referred to as an ear, nose, and throat (ENT) doctor, addresses a wide array of conditions affecting these interconnected areas.
1.1 Historical Roots of Otolaryngology
Dating back to the 19th century, otolaryngology emerged as doctors recognized the interconnected nature of the head and neck systems. They developed specialized techniques and tools to examine and treat related problems, eventually leading to the formal establishment of this medical specialty. According to the American Academy of Otolaryngology, it stands as the oldest medical specialty in the United States.
1.2 Comprehensive Surgical Skills
Otolaryngologists possess unique qualifications that set them apart from many other physicians. They are trained to perform various surgical procedures on the delicate and complex tissues of the head and neck, ensuring comprehensive care for their patients.
1.3 Key Areas of Expertise for ENT Doctors
What exactly do otolaryngologists treat? Let’s explore the key areas of expertise for these specialists:
- Ear: Otolaryngologists provide medical and surgical treatments for hearing loss, ear infections, balance disorders, tinnitus, nerve pain, and facial and cranial nerve disorders. They also manage congenital ear disorders.
- Nose: Managing the nasal cavity and sinuses is a primary skill. Otolaryngologists diagnose and treat allergies, sinusitis, smell disorders, polyps, and nasal obstructions such as a deviated septum. They also perform rhinoplasty.
- Throat: They manage diseases of the larynx and upper aero-digestive tract, including voice and swallowing disorders.
- Head and Neck: Otolaryngologists treat infectious diseases, benign and malignant tumors, facial trauma, and deformities. They perform cosmetic and reconstructive surgery.
2. Detailed Look at Ear Conditions Treated by Otolaryngologists
Otolaryngologists are adept at treating a myriad of ear conditions, from common infections to complex nerve disorders. Their expertise ensures that patients receive the most effective and comprehensive care available.
2.1 Hearing Loss
Hearing loss can stem from various factors, including aging, noise exposure, genetics, and certain medical conditions. Otolaryngologists are equipped to diagnose the cause and recommend suitable treatments, such as hearing aids, cochlear implants, or surgical interventions.
2.2 Ear Infections
Ear infections, particularly common in children, can cause pain, fever, and temporary hearing loss. Otolaryngologists can diagnose the type of infection and prescribe appropriate treatments, such as antibiotics or ear tubes for chronic cases.
2.3 Balance Disorders
Balance disorders can significantly impact a person’s quality of life, leading to dizziness, vertigo, and instability. Otolaryngologists evaluate the underlying causes of these disorders and offer treatments like vestibular rehabilitation therapy, medication, or surgery.
2.4 Tinnitus
Tinnitus, or ringing in the ears, affects millions of people and can be caused by noise exposure, aging, or underlying medical conditions. Otolaryngologists provide comprehensive evaluations to identify potential causes and offer management strategies such as sound therapy, counseling, and medication.
2.5 Nerve Pain and Facial Nerve Disorders
Nerve pain in the ear and facial nerve disorders can result from infections, trauma, or tumors. Otolaryngologists are skilled in diagnosing and treating these conditions, employing therapies such as medication, physical therapy, or surgical interventions to alleviate pain and restore function.
2.6 Congenital Ear Disorders
Congenital ear disorders, present at birth, can affect the outer or inner ear structure. Otolaryngologists manage these conditions through reconstructive surgery or hearing aids, helping to improve hearing and overall quality of life.
3. Nasal and Sinus Care: An Otolaryngologist’s Expertise
Care of the nasal cavity and sinuses is a fundamental aspect of otolaryngology. Otolaryngologists are well-versed in diagnosing, managing, and treating a variety of nasal and sinus conditions, ensuring optimal respiratory health for their patients.
3.1 Allergies
Allergies can cause nasal congestion, sneezing, runny nose, and itchy eyes, significantly affecting daily life. Otolaryngologists provide comprehensive allergy testing and management, offering treatments such as antihistamines, nasal corticosteroids, and immunotherapy to alleviate symptoms.
3.2 Sinusitis
Sinusitis, an inflammation of the sinus lining, can result from infections, allergies, or structural issues. Otolaryngologists diagnose and treat sinusitis using antibiotics, decongestants, and nasal irrigations. They also perform sinus surgery for chronic cases to improve drainage and relieve symptoms.
3.3 Smell Disorders
Smell disorders can significantly impact a person’s ability to enjoy food and detect environmental hazards. Otolaryngologists evaluate the causes of smell disorders, such as nasal polyps, sinus infections, or neurological conditions, and offer treatments to restore olfactory function.
3.4 Nasal Polyps
Nasal polyps, benign growths in the nasal passages, can cause nasal obstruction, breathing difficulties, and loss of smell. Otolaryngologists manage nasal polyps using corticosteroids, antihistamines, or surgical removal to improve nasal airflow and alleviate symptoms.
3.5 Deviated Septum
A deviated septum, a displacement of the nasal cartilage, can cause nasal obstruction, difficulty breathing, and recurrent sinusitis. Otolaryngologists perform septoplasty, a surgical procedure to straighten the septum, improving nasal airflow and relieving associated symptoms.
3.6 Rhinoplasty
Rhinoplasty, or nose surgery, can correct structural abnormalities or improve the nose’s appearance. Otolaryngologists perform rhinoplasty to address breathing problems or enhance facial aesthetics, tailoring the procedure to meet each patient’s specific needs and goals.
4. Throat and Voice Disorders: The Role of an ENT Specialist
Otolaryngologists possess expertise in managing diseases of the larynx (voice box) and upper aero-digestive tract, including voice and swallowing disorders. Their comprehensive approach ensures that patients receive the best possible care for these critical functions.
4.1 Voice Disorders
Voice disorders can result from vocal cord nodules, polyps, paralysis, or spasmodic dysphonia, impacting voice quality and projection. Otolaryngologists evaluate voice disorders through laryngeal examinations and voice analysis, offering treatments such as voice therapy, medication, or surgical interventions to restore vocal function.
4.2 Swallowing Disorders
Swallowing disorders, or dysphagia, can stem from neurological conditions, structural abnormalities, or post-surgical complications, making it difficult to swallow food and liquids safely. Otolaryngologists assess swallowing disorders using endoscopic evaluations and swallowing studies, providing treatments such as swallowing therapy, dietary modifications, or surgical procedures to improve swallowing function and prevent aspiration.
4.3 Laryngeal Cancer
Laryngeal cancer, a malignant tumor in the voice box, can cause hoarseness, difficulty breathing, and swallowing problems. Otolaryngologists manage laryngeal cancer through a combination of surgery, radiation therapy, and chemotherapy, aiming to eradicate the tumor while preserving voice and swallowing function whenever possible.
4.4 Acid Reflux and Laryngopharyngeal Reflux (LPR)
Acid reflux and LPR can irritate the throat and larynx, causing hoarseness, chronic cough, and throat pain. Otolaryngologists diagnose and manage acid reflux and LPR using lifestyle modifications, medications such as proton pump inhibitors, and sometimes surgical interventions to reduce acid production and prevent reflux-related symptoms.
4.5 Tonsillitis and Adenoiditis
Tonsillitis and adenoiditis, infections or inflammation of the tonsils and adenoids, can cause sore throat, difficulty swallowing, and recurrent infections. Otolaryngologists manage these conditions with antibiotics, pain relievers, or surgical removal of the tonsils and adenoids (tonsillectomy and adenoidectomy) to relieve symptoms and prevent recurrent infections.
5. Head and Neck Treatments by Otolaryngologists
In the head and neck area, otolaryngologists are trained to treat infectious diseases, tumors, facial trauma, and deformities. Their skills encompass both cosmetic plastic and reconstructive surgery, ensuring comprehensive care for various conditions.
5.1 Infectious Diseases
Infectious diseases in the head and neck, such as abscesses, cellulitis, and lymphadenitis, can cause pain, swelling, and systemic symptoms. Otolaryngologists diagnose and treat these infections using antibiotics, drainage procedures, or surgical removal of infected tissues to eradicate the infection and prevent complications.
5.2 Benign and Malignant Tumors
Benign and malignant tumors in the head and neck can affect various structures, including the skin, salivary glands, thyroid gland, and lymph nodes. Otolaryngologists manage these tumors through surgical excision, radiation therapy, chemotherapy, or a combination of these modalities, aiming to remove the tumor while preserving function and aesthetics.
5.3 Facial Trauma
Facial trauma, resulting from accidents, falls, or assaults, can cause fractures, lacerations, and soft tissue injuries. Otolaryngologists manage facial trauma by repairing fractures, suturing lacerations, and reconstructing damaged tissues to restore facial symmetry and function.
5.4 Facial Deformities
Facial deformities, either congenital or acquired, can affect a person’s appearance and self-esteem. Otolaryngologists perform cosmetic and reconstructive surgery to correct facial deformities, improving facial aesthetics and overall quality of life.
5.5 Cosmetic Plastic and Reconstructive Surgery
Otolaryngologists perform various cosmetic plastic and reconstructive surgeries, including facelifts, brow lifts, eyelid surgery, and scar revisions, to enhance facial appearance and correct deformities. These procedures are tailored to meet each patient’s specific needs and goals, improving their self-confidence and overall well-being.
6. Training and Certification of Otolaryngologists
Becoming an otolaryngologist requires extensive education and training. After completing college and medical school, aspiring otolaryngologists must undergo at least five years of specialty training. To become board-certified by the American Board of Otolaryngology, they must pass a rigorous examination. Some choose to pursue a one- or two-year fellowship for further specialization.
6.1 Educational Path to Otolaryngology
The path to becoming an otolaryngologist is rigorous, demanding up to 15 years of college and post-graduate training. This extensive education ensures that otolaryngologists are well-prepared to handle the complexities of their specialty.
6.2 Certification by the American Board of Otolaryngology
Certification from the American Board of Otolaryngology is a testament to an otolaryngologist’s expertise and competence. It requires completing college, medical school, and at least five years of specialty training, followed by passing a comprehensive examination.
6.3 Subspecialty Fellowships
Many otolaryngologists pursue additional training through one- or two-year fellowships to specialize in a specific area of otolaryngology. These subspecialties include:
- Pediatric Otolaryngology: Focuses on ear, nose, and throat conditions in children.
- Otology/Neurotology: Deals with hearing and balance disorders.
- Rhinology/Sinus Surgery: Specializes in nasal and sinus conditions.
- Head and Neck Surgery: Focuses on surgical treatment of head and neck tumors.
- Facial Plastic and Reconstructive Surgery: Concentrates on cosmetic and reconstructive procedures of the face and neck.
7. Breaking Down the Subspecialties in Otolaryngology
To offer more specialized care, otolaryngologists can focus on various subspecialties. Each area requires additional training and expertise, ensuring that patients receive the most appropriate and effective treatment.
7.1 Pediatric Otolaryngology
Pediatric otolaryngologists specialize in treating ear, nose, and throat conditions in children, from newborns to adolescents. They manage common issues such as tonsillitis, ear infections, congenital abnormalities, and airway problems.
7.2 Otology and Neurotology
Otologists and neurotologists focus on disorders of the ear, including hearing loss, balance disorders, tinnitus, and facial nerve disorders. They perform intricate surgeries such as cochlear implantation and acoustic neuroma removal.
7.3 Rhinology and Sinus Surgery
Rhinologists specialize in treating nasal and sinus disorders, including sinusitis, nasal polyps, allergies, and deviated septums. They perform advanced sinus surgeries using minimally invasive techniques to improve nasal airflow and relieve symptoms.
7.4 Head and Neck Surgery
Head and neck surgeons manage tumors, both benign and malignant, in the head and neck region, including the mouth, throat, larynx, thyroid gland, and salivary glands. They perform complex surgical procedures, often in collaboration with other specialists, to remove tumors and reconstruct affected tissues.
7.5 Facial Plastic and Reconstructive Surgery
Facial plastic and reconstructive surgeons focus on cosmetic and reconstructive procedures of the face, nose, ears, and neck. They perform facelifts, rhinoplasty, otoplasty, and reconstructive surgery after trauma or cancer removal to improve facial aesthetics and function.
8. The Importance of Seeing a Board-Certified Otolaryngologist
When seeking treatment for ear, nose, and throat conditions, it’s crucial to choose a board-certified otolaryngologist. Board certification ensures that the doctor has met rigorous standards of training and expertise, providing patients with the highest quality of care.
8.1 Ensuring Quality of Care
Board certification by the American Board of Otolaryngology signifies that an otolaryngologist has completed extensive training, passed comprehensive examinations, and demonstrated competence in the specialty. This ensures that patients receive care from a qualified and knowledgeable physician.
8.2 Access to Advanced Treatments
Board-certified otolaryngologists stay up-to-date with the latest advances in the field, offering patients access to cutting-edge treatments and technologies. They are skilled in performing complex surgical procedures and managing challenging conditions with precision and expertise.
8.3 Comprehensive and Accurate Diagnoses
Board-certified otolaryngologists have the experience and training to provide comprehensive and accurate diagnoses of ear, nose, and throat conditions. They utilize advanced diagnostic tools and techniques to identify the underlying causes of symptoms and develop effective treatment plans.
8.4 Personalized Treatment Plans
Board-certified otolaryngologists develop personalized treatment plans tailored to each patient’s unique needs and goals. They take into account the patient’s medical history, lifestyle, and preferences to create a treatment approach that is both effective and patient-centered.
9. How Otolaryngologists Diagnose Ear, Nose, and Throat Conditions
Otolaryngologists employ a variety of diagnostic techniques to accurately identify ear, nose, and throat conditions. These methods range from physical examinations to advanced imaging and laboratory tests.
9.1 Physical Examinations
A thorough physical examination is often the first step in diagnosing ENT conditions. Otolaryngologists use specialized instruments such as otoscopes, endoscopes, and laryngoscopes to visualize the ears, nose, and throat and identify any abnormalities.
9.2 Hearing Tests (Audiometry)
Hearing tests, or audiometry, are used to assess hearing function and identify the type and degree of hearing loss. These tests can help determine whether hearing loss is due to problems in the outer, middle, or inner ear.
9.3 Balance Tests (Vestibular Testing)
Balance tests, or vestibular testing, evaluate the function of the inner ear’s balance system. These tests can help identify the cause of dizziness, vertigo, and balance problems.
9.4 Allergy Testing
Allergy testing helps identify allergens that may be causing nasal congestion, sneezing, and other allergy symptoms. Otolaryngologists use skin prick tests or blood tests to determine which allergens are triggering a patient’s symptoms.
9.5 Imaging Studies
Imaging studies, such as X-rays, CT scans, and MRI scans, can provide detailed images of the ears, nose, throat, and surrounding structures. These images can help identify infections, tumors, fractures, and other abnormalities.
9.6 Endoscopy
Endoscopy involves inserting a thin, flexible tube with a camera into the nose, throat, or ears to visualize the tissues and structures. This procedure can help diagnose sinusitis, nasal polyps, vocal cord lesions, and other conditions.
10. Treatment Options Offered by Otolaryngologists
Otolaryngologists offer a wide range of treatment options, tailored to each patient’s specific condition and needs. These treatments include medical management, surgical interventions, and rehabilitative therapies.
10.1 Medical Management
Medical management involves using medications such as antibiotics, antihistamines, decongestants, and corticosteroids to treat ENT conditions. This approach is often used for infections, allergies, and inflammatory conditions.
10.2 Surgical Interventions
Surgical interventions are used to correct structural abnormalities, remove tumors, and improve function in the ears, nose, and throat. Common surgical procedures include tonsillectomy, adenoidectomy, sinus surgery, septoplasty, and rhinoplasty.
10.3 Hearing Aids and Cochlear Implants
Hearing aids and cochlear implants are used to improve hearing in patients with hearing loss. Hearing aids amplify sound, while cochlear implants bypass damaged portions of the inner ear to directly stimulate the auditory nerve.
10.4 Voice Therapy
Voice therapy is used to improve voice quality and function in patients with voice disorders. This therapy involves exercises and techniques to strengthen vocal cords, improve breath control, and reduce vocal strain.
10.5 Swallowing Therapy
Swallowing therapy is used to improve swallowing function in patients with swallowing disorders. This therapy involves exercises and techniques to strengthen swallowing muscles, improve coordination, and prevent aspiration.
10.6 Allergy Immunotherapy
Allergy immunotherapy, or allergy shots, involves gradually exposing patients to increasing doses of allergens to reduce their sensitivity. This treatment can provide long-term relief from allergy symptoms.
11. Innovations in Otolaryngology: What’s New?
Otolaryngology is a constantly evolving field, with new technologies and techniques emerging to improve patient care. These innovations include minimally invasive surgery, advanced imaging, and personalized medicine.
11.1 Minimally Invasive Surgery
Minimally invasive surgical techniques allow otolaryngologists to perform procedures through small incisions, resulting in less pain, faster recovery, and reduced scarring. These techniques include endoscopic sinus surgery, laryngeal microsurgery, and robotic surgery.
11.2 Advanced Imaging
Advanced imaging technologies, such as cone-beam CT scanning and narrow-band imaging, provide detailed images of the ears, nose, and throat with improved resolution and reduced radiation exposure. These technologies enhance diagnostic accuracy and surgical planning.
11.3 Personalized Medicine
Personalized medicine involves tailoring treatment plans to each patient’s unique genetic and molecular profile. This approach can improve treatment outcomes and reduce side effects by targeting specific disease mechanisms.
11.4 Regenerative Medicine
Regenerative medicine techniques, such as stem cell therapy and tissue engineering, hold promise for restoring damaged tissues and functions in the ears, nose, and throat. These approaches are being investigated for hearing loss, vocal cord paralysis, and facial nerve disorders.
11.5 Telemedicine
Telemedicine allows otolaryngologists to provide remote consultations and follow-up care to patients using video conferencing and other technologies. This approach improves access to care, particularly for patients in rural areas or with mobility limitations.
Here’s a summary of recent advancements in otolaryngology:
Advancement | Description | Benefits |
---|---|---|
Minimally Invasive Surgery | Procedures through small incisions | Less pain, faster recovery, reduced scarring |
Advanced Imaging | Cone-beam CT and narrow-band imaging | Improved resolution, reduced radiation, enhanced diagnostic accuracy |
Personalized Medicine | Tailoring treatments to individual genetic profiles | Improved outcomes, reduced side effects |
Regenerative Medicine | Stem cell therapy and tissue engineering | Potential for restoring damaged tissues and functions |
Telemedicine | Remote consultations and follow-up care | Improved access to care, particularly for rural patients |
12. Finding a Qualified Otolaryngologist in Your Area
Finding the right otolaryngologist is essential for receiving the best possible care. Here are some tips for finding a qualified ENT doctor in your area:
12.1 Ask for Referrals
Ask your primary care physician, friends, or family members for referrals to otolaryngologists they trust. Referrals can help you find experienced and reputable doctors.
12.2 Check Board Certification
Ensure that the otolaryngologist is board-certified by the American Board of Otolaryngology. Board certification indicates that the doctor has met rigorous standards of training and expertise.
12.3 Read Online Reviews
Read online reviews and testimonials from other patients to get an idea of the otolaryngologist’s reputation and patient satisfaction. Look for reviews on websites such as Healthgrades, Vitals, and Zocdoc.
12.4 Consider Location and Convenience
Choose an otolaryngologist whose office is conveniently located and accessible. Consider factors such as parking, public transportation, and office hours when making your decision.
12.5 Schedule a Consultation
Schedule a consultation with the otolaryngologist to discuss your condition and treatment options. Use this opportunity to ask questions, express concerns, and assess the doctor’s communication style and bedside manner.
13. What to Expect During Your First Visit to an Otolaryngologist
Knowing what to expect during your first visit to an otolaryngologist can help ease any anxiety and ensure that you get the most out of your appointment.
13.1 Medical History Review
The otolaryngologist will review your medical history, including any previous illnesses, surgeries, medications, and allergies. Be prepared to provide detailed information about your symptoms and concerns.
13.2 Physical Examination
The otolaryngologist will perform a physical examination of your ears, nose, and throat using specialized instruments. This examination may involve using an otoscope to look into your ears, an endoscope to visualize your nasal passages, or a laryngoscope to examine your throat.
13.3 Diagnostic Tests
Depending on your symptoms, the otolaryngologist may order diagnostic tests such as hearing tests, balance tests, allergy tests, or imaging studies. These tests will help identify the underlying cause of your condition.
13.4 Discussion of Treatment Options
After the examination and diagnostic tests, the otolaryngologist will discuss your treatment options with you. Be prepared to ask questions and express your preferences to help develop a personalized treatment plan.
13.5 Follow-Up Appointments
The otolaryngologist may schedule follow-up appointments to monitor your progress and adjust your treatment plan as needed. Be sure to attend all scheduled appointments and follow the doctor’s instructions carefully.
14. Common Questions to Ask Your Otolaryngologist
Asking the right questions during your visit to an otolaryngologist can help you better understand your condition and treatment options. Here are some common questions to ask:
14.1 What is causing my symptoms?
Understanding the underlying cause of your symptoms is essential for developing an effective treatment plan.
14.2 What are my treatment options?
Discuss all available treatment options, including medical management, surgical interventions, and rehabilitative therapies.
14.3 What are the risks and benefits of each treatment option?
Weigh the risks and benefits of each treatment option to make an informed decision about your care.
14.4 How long will it take to recover?
Understand the expected recovery time and any potential limitations or restrictions.
14.5 What can I do to manage my symptoms at home?
Learn about self-care strategies and lifestyle modifications to help manage your symptoms and improve your quality of life.
14.6 When should I follow up with you?
Schedule follow-up appointments to monitor your progress and address any concerns.
15. Thebootdoctor.net: Your Resource for Foot and Ankle Health
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FAQ: Common Questions About Ear Doctors (Otolaryngologists)
Here are some frequently asked questions about ear doctors (otolaryngologists) to help you better understand their role and expertise:
1. What does an ear doctor (otolaryngologist) do?
An otolaryngologist specializes in diagnosing and treating disorders of the ears, nose, throat, head, and neck.
2. When should I see an otolaryngologist?
You should see an otolaryngologist if you experience persistent ear infections, hearing loss, balance problems, sinus infections, voice changes, or difficulty swallowing.
3. What conditions do otolaryngologists treat?
Otolaryngologists treat a wide range of conditions, including hearing loss, ear infections, sinusitis, allergies, voice disorders, swallowing disorders, and head and neck tumors.
4. How do otolaryngologists diagnose ear, nose, and throat conditions?
Otolaryngologists use physical examinations, hearing tests, balance tests, allergy tests, imaging studies, and endoscopy to diagnose ENT conditions.
5. What treatments do otolaryngologists offer?
Otolaryngologists offer medical management, surgical interventions, hearing aids, voice therapy, swallowing therapy, and allergy immunotherapy.
6. How can I find a qualified otolaryngologist in my area?
Ask for referrals, check board certification, read online reviews, consider location and convenience, and schedule a consultation to find a qualified otolaryngologist.
7. What should I expect during my first visit to an otolaryngologist?
During your first visit, expect a medical history review, physical examination, diagnostic tests, discussion of treatment options, and scheduling of follow-up appointments.
8. What questions should I ask my otolaryngologist?
Ask about the cause of your symptoms, treatment options, risks and benefits of each treatment, recovery time, home management strategies, and follow-up appointments.
9. What is the difference between an audiologist and an otolaryngologist?
An audiologist specializes in diagnosing and managing hearing and balance disorders, while an otolaryngologist is a medical doctor who can provide medical and surgical treatment for ENT conditions.
10. Are otolaryngologists surgeons?
Yes, otolaryngologists are trained in both medicine and surgery and can perform a wide range of surgical procedures on the ears, nose, throat, head, and neck.
Seeking help from an otolaryngologist can significantly improve your quality of life if you’re dealing with ear, nose, or throat problems. With their specialized training and expertise, they can offer effective solutions and treatments. For more information on how to care for your overall health, including your feet, visit thebootdoctor.net. At thebootdoctor.net, we understand the importance of foot health and its connection to overall well-being. Explore our resources for expert advice, product reviews, and the latest information on foot care. Take the first step towards a healthier you today! Don’t wait—contact us at Address: 6565 Fannin St, Houston, TX 77030, United States Phone: +1 (713) 791-1414 or visit our website thebootdoctor.net for more information and to schedule a consultation with an ear, nose, and throat specialist.