Comprehensive Otolaryngology (Ear, Nose and Throat)

Mass Eye and Ear, Harwich specialists diagnose and treat pediatric and adult conditions of the ears, nose and throat. The Harwich office offers a wide range of services to adults and children including diagnosis and treatment of common problems such as chronic sinusitis, sleep apnea (snoring), tonsil and adenoid disorders, chronic ear infections, as well as thyroid and parathyroid disorders and head and neck masses. Common ENT services for children and adults include hearing loss, medical treatment of nose and sinus disease, voice disorders, speech and swallowing problems, as well as all common otologic (ear) problems including balance disorders.

Sinus Conditions

The ear, nose and throat clinicians at Mass Eye and Ear, Harwich provide care for the full range of nose and sinus conditions for adults and children. Our services include care for nasal obstruction, acute and chronic sinusitis, smell and taste loss, nosebleeds, septal perforation and pain and headaches related to the sinuses.

Sleep Apnea and Snoring

The sleep specialists at Mass Eye and Ear, Harwich treat patients for a range of sleep disorders including obstructive sleep apnea and snoring. Obstructive sleep apnea is a common condition that causes brief interruptions of breathing during sleep; it is often characterized by loud snoring. Treatment options include surgical procedures, CPAP (continuous positive airway pressure machines) and oral appliance therapy.

Tonsil and Adenoid Disorders

Our Harwich specialists treat patients for a wide range of tonsil-related issues, including infections and lesions of the tonsils and adenoids. We provide surgical and non-surgical treatment for children and adults.

Ear Infections

At Mass Eye and Ear, Harwich, we treat adults and children suffering from chronic ear infections, including infections in the external ear canal (commonly known as swimmer’s ear) and the middle ear, using a variety of surgical and non-surgical treatment methods.

Audiology (Hearing Care)

Our Harwich center conducts a range of diagnostic hearing test procedures, provides a complete evaluation and helps manage your hearing health needs.

Thyroid and Parathyroid Disorders

The ENT clinicians at Mass Eye and Ear, Harwich offer diagnosis and treatment plans for patients suffering from thyroid and parathyroid conditions. Problems of the thyroid and parathyroid glands are common and can dramatically affect quality of life. Our physicians have extensive experience with a variety of these conditions, including thyroid nodules, goiter, thyroid cancer and hyperparathyroidism. We offer compassionate, expert surgical care when surgery is necessary.

Head and Neck

The specialists at Mass Eye and Ear, Harwich provide care for patients suffering from head and neck masses. Often these are problems that can be treated quite simply, for example, if the patient is suffering from cysts or infections. However, sometimes even a painless lump can be serious. Our physicians thoroughly evaluate each patient to give an accurate diagnosis; if the problem is more serious, we provide expert surgical care when necessary and a multidisciplinary approach in partnership with neighboring hospitals.

Allergies

At Mass Eye and Ear, Harwich, our specialists provide care for patients suffering from environmental allergies. Patients reap the benefits from our understanding of the relationship between allergies and sinonasal function. We offer comprehensive evaluation for allergic disease, including skin testing for environmental allergies. Patients who do not respond to first-line treatment methods may explore our immunotherapy program, which offers both conventional allergy shots and sublingual drops to serve the unique needs of each patient.

Cosmetic and Reconstructive Facial Plastics

The cosmetic procedures performed at Mass Eye and Ear, Harwich are designed with the individual in mind. As an expert in facial plastics, Amanda Dilger, MD is committed to creating a natural and individual result for each patient. The goal of cosmetic facial plastic surgery is to enhance and rejuvenate the natural beauty of each patient.

For reconstructive procedures, Dr. Dilger has the experience and expertise to help after trauma, surgery or illness. Dr. Dilger is a board-certified surgeon with specialized fellowship training in facial plastic surgery. This training makes her expertise absolutely critical for rebuilding major structures in the face and reshaping them for a return to one’s original appearance.

Procedures:

At Mass Eye and Ear, Harwich, the following cosmetic and reconstructive facial plastic procedures are offered to patients. Some can be performed in the office-setting.

Rhinoplasty (Nose Reshaping)

There are two basic types of rhinoplasty, open and closed. In an open rhinoplasty, an inconspicuous incision is made in the skin below the tip of the nose that separates the nostrils (columella). A closed rhinoplasty uses an intranasal approach with incision inside the nostrils. If the nasal structure is weak, a small piece of cartilage or bone may be used to build up the structure.

Full Facelift

The full facelift can help to redefine the jawline, correcting jowling and neck laxity. This procedure is performed under general anesthesia in the operating room. Facial rejuvenation is achieved by repositioning the skin on the lower face to eliminate sagging and droopiness. 

Neck Lift

Neck lifts are often done in conjunction with lower face rejuvenation surgery and can help to further define the upper neck and jawline.

Brow (Forehead) Lift

The brow and forehead are often the first facial areas to show signs of aging, showing frown lines, wrinkles across the forehead, deep furrows between the eyes, and a droopiness of the brows and upper lids. Brow lifts, also known as forehead lifts – often combined with upper eyelid surgery (blepharoplasty) and/or a mini facelift – can rejuvenate your look.

Chin Implant

Chin surgery can significantly alter a patient’s profile which, in turn, can greatly improve facial symmetry and contour. Most chin surgeries can be performed under local anesthesia; more complicated cases may be performed under general anesthesia in the operating room.

Blepharoplasty (Eyelid Lift)

Eyelid surgery can correct excess skin or fat in the upper and/or lower eyelids and can help restore a healthy and youthful appearance, with a firmer and more attractive eye area.

MOHS/Skin Care Reconstruction

This surgery is designed to fill and camouflage a facial defect after skin cancer removal.

Botox®

Botox® can improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) and “crow’s feet” at the outside corners of the eyes. It can also create a smoother appearance to the skin surface by preventing muscle contraction.

Filler Injections

Fillers can help to correct deep lines in the face and also to help plump or enhance the lips or areas of volume loss in the face.

Facial Scar Revision

When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur whenever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible, relocated surgically, or minimized in its prominence.

Facial Fractures/Trauma

There are many causes of facial fractures, which can include motor vehicle accidents, interpersonal trauma, accidents, or work-related or sports-related activities. Patients are often seen in the emergency department for initial evaluation. In the early management period, life-threatening issues are addressed first, and facial fracture repairs are only attempted after a patient is stabilized.

Mole Removal

During the procedure, the area around the mole or skin tag is numbed and depending on the type of mole and its size, the mole is either cut away and the area is stitched together or left open to heal on its own. A raised mole may even be “scraped away” to reduce its appearance.

Earlobe Repair

Your ears are one of the most visible parts of your body and can often require cosmetic repair. Some people simply wish to have old holes closed, which may have been torn or misplaced when piercing while others may want to change the shape of their earlobes.

Otoplasty (Ear Reshaping)

Otoplasty is ear surgery designed to pin back protruding ears, or to reduce the size of large ears so that they are in better proportion to the rest of the face. Otoplasty can also correct ear deformities from misshapen, damaged or missing ear elements.

Mass Eye and Ear, Harwich is affiliated with the following surrounding hospitals:

• Massachusetts Eye and Ear
• Cape Cod Hospital