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Call Us Today!
(530) 242-5600
Call Us Today!
(530) 242-5600

Services


Our office provides medical and/or surgical care of problems and diseases specific to the ear, nose and throat.
Our services include:
BALLOON SINUPLASTY
Balloon sinuplasty is an FDA-approved catheter-type procedure for patients who suffer from sinusitis. The technology uses small balloon catheters to open up blocked or narrow sinus passages, restoring normal sinus drainage and function. When the sinus balloon is inflated, it gently restructures and widens the passageway without removal of tissue. This is a minimally invasive procedure.
CONGESTION AND SINUS PROBLEMS
Your sinuses are empty air-filled chambers within the bones of the face. When they work well, the sinuses constantly circulate air and produce and drain mucus. This mucus lubricates your nose and keeps it free of dust and bacteria. This drainage system can shut down when an underlying problem, such as colds, allergies, or an obstruction causes blockages. The hallmark of sinusitis is facial pain, purulent nasal drainage, and/or nasal congestion. Additional symptoms may include headaches, bad breath, chronic fatigue and post nasal drainage.
Sinus Check
If symptoms are not cleared by medical therapy or become chronic in nature, a thorough evaluation by an otolaryngologist may be necessary to uncover the cause and extent of your sinus disease. This entails a comprehensive history of your sinus problems as well as a physical examination. A computed tomographic (CT) scan of your sinuses may also help aid in the evaluation of your disease. Depending on the results of your evaluation, you may be a candidate for endoscopic sinus surgery.
Dr. Domb is very interested in the cause of this bothersome disease. He feels the best way to resolve sinusitis is to find the underlying cause. New research has revealed a link between immune dysfunction and sinusitis.
IMMUNODEFICENCY
Dr. Domb is very interested in the underlying cause of chronic sinusitis. Mayo Clinic research has shown fungus to be an important factor in chronic sinusitis. The immune system response in the environment may also lead to the development of polyps and sinusitis.
Effective medical therapies are now available to help in the management of this bothersome disease.
VOICE AND SWALLOWING DISORDERS
  • HOARSENESS
  • REFLUX
  • VIDEOSTROBOSCOPY
The diagnosis of the condition which may result in hoarseness is generally accomplished by painless office techniques which allow for visualization of the vocal cords. Specialized analysis, such as laryngeal videostroboscopy, may also be necessary in some patients and is available to you in our office setting. What treatment is necessary depends upon the diagnosis and in most cases requires rest, modification of vocal usage or speech therapy. In some cases, specific medical or even surgical treatment is necessary.
HEARING LOSS
Our audiologist, Maureen Whiteaker, is a professionally trained audiologist who comes to us with 22 years experience. For your convenience, we are able to schedule your audiology appointment in our office, most often coordinating this appointment with your doctor’s appointment.
PEDIATRIC CARE
Children are especially prone to ear, nose and throat problems due to an immature immune system. Early detection and treatment of hearing loss and other problems related to the ear, nose and throat can often prevent chronic diseases, complications, and even surgery. Dr. Domb understands that children especially require gentle care, patience, and reassurance.
Dr. Domb is a highly experienced surgeon and is trained in the treatment of pediatric ear, nose and throat disorders including the surgeries such as tonsillectomy, adenoidectomy, and the placement of ear tubes.
HEAD AND NECK ABNORMALITIES
THYROID ABNORMALITIES
FINE NEEDLE BIOPSY
OTHER HEAD AND NECK ABNORMALITIES - can be evaluated and treated here at Shasta ENT Specialists. Treatments include abnormalities of the neck, skin and soft tissues of the face and upper airway. In addition, Dr. Domb has extensive training in the treatment of complex reconstruction surgery.
NON-SURGICAL SOLUTIONS
Even though we at Shasta ENT Specialists have a highly qualified, experienced, specialized team, we strive to control ear, nose and throat problems most conservatively, when indicated. Advances in antibiotic therapy and immunotherapy have significantly reduced the need for surgery as a primary treatment in many diseases of the ear, nose and throat. Occasionally, medical treatment is unsuccessful or inappropriate, and in those situations, surgery may be the reasonable choice. Certain conditions require both medical and surgical treatment for optimal response.
NOSEBLEEDS
Most nosebleeds (epistaxis) are merely a nuisance. Some, however, may become very frightening and a few are even life threatening. If nosebleeds become persistent, you should see the physician. Using an endoscope (a tube of light that lights and magnifies), the physician may find a problem within the nose that can be resolved either through medical treatment or cauterization (sealing) of the blood vessel that is causing the trouble.

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