News Release

Ear, Nose & Throat Journal publishes research on breakthrough treatment for tonsil stones

Warrenton physician provides effective remedy for growing numbers of sufferers

Peer-Reviewed Publication

Society for Maternal-Fetal Medicine

The June edition of Ear, Nose & Throat Journal will include an article on a revolutionary new treatment that has been developed to treat tonsil stones, also known as tonsilloliths. Up until now, there has been no good treatment other than a tonsillectomy to get rid of tonsil stones for good. And, in some patients, tonsillectomy can lead to excess bleeding and complications.

Christopher Y. Chang, M.D., with Fauquier Ear Nose & Throat Consultants in Warrenton, Virginia and Richard Thrasher, M.D., with The Ear Nose & Throat Centers of Texas in McKinney, Texas, came up with a novel and effective approach to eradicate tonsil stones. Dr. Chang is associated with Fauquier Hospital in Warrenton and has become internationally known for his expertise in throat surgeries.

The technique, known as coblation tonsil cryptolysis, is unique in that it can be performed in most adult patients without sedation and using only local anesthesia, much like laser tonsil cryptolysis. As with laser cryptolysis, pain is significant for only a few days and most adults resume a normal diet and activity within one week. This is unlike tonsillectomy, which entails a recovery of several weeks. However, coblation avoids the potential risks associated with laser use, including potential airway fire, retinal damage, oral and facial burns, as well as high equipment costs.

Coblation uses a controlled, FDA-approved, non-heat driven process that relies on the use of radio frequency energy to excite the electrolytes in a conductive saltwater medium.

The numbers of adults with tonsil stones is on the rise due to large numbers of people who still have their tonsils; unfortunately, the condition is often misdiagnosed. What happens is that mucus, dead cells, and other debris collect in the deep pockets of the tonsils and gradually condense into small blobs. Bacteria then feed on the collected matter, causing an unpleasant odor. Most stones are about the size of a pencil eraser, although doctors have found some to be more than an inch wide. They lead to throat pain and the feeling that an object is stuck in the throat. They can cause a variety of side effects, including ear pain, in addition to a sore throat. The stones are also a significant source of halitosis, causing personal and social problems for patients. Some physicians believe that certain prescription medications may contribute to the problem by causing dry mouth which, in turn, causes anaerobic bacteria to go into overdrive.

Up until Drs. Chang and Thrasher's breakthrough, patients were instructed to gargle with a non-alcohol based mouthwash and use tools such as a Waterpik to dislodge the stones (which they had to do on a regular basis), or they had surgery.

"We were delighted to hear about the acceptance of our article in the Journal this month," stated Chang. "This means that so many people who suffer from tonsil stones will have a safe mechanism for relief, and primary physicians will be able to more easily identify this sometimes misdiagnosed condition and refer patients for treatment."

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To read the journal article, go to http://www.entjournal.com/magazine-issue/june-2012.

About Fauquier Health

Fauquier Health is a non-profit community health system. A Planetree-designated facility, the organization is dedicated to high-quality, patient-centered care in a unique environment that considers the multiple facets of healing and respects the individuality of each and every patient. Located at 500 Hospital Drive in Warrenton, Virginia, Fauquier Health serves the residents of Fauquier and several surrounding counties. It comprises: Fauquier Hospital, a fully accredited, 97-bed hospital; Fauquier Health Rehabilitation and Nursing Center, a 115-bed long-term care and rehabilitation facility; the Villa at Suffield Meadows, an assisted living facility; the Wound Healing Center and a medically supervised Wellness Center offering health and wellness programs. Fauquier Health also has a 50 percent ownership in two joint ventures: Fauquier Health Home Medical Store, a retail outlet offering medical, home health, and wellness supplies, and the Cancer Center at Lake Manassas, a state-of-the-art radiation treatment facility. Fauquier Health also operates nine doctors' offices: Fauquier Health Endocrinology; Fauquier Health OB/GYN; Fauquier Health Infectious Diseases; Fauquier Health ENT; Fauquier Health Hemotology and Oncology; Fauquier Health Neurology; and Fauquier Health Rheumatology in Warrenton; Fauquier Health Internal Medicine at Lake Manassas; and Fauquier Health Family Practice at Bealeton. In 2011, Fauquier Health provided more than $11.2 million in community benefit support to its community. More information on Fauquier Health is available online at www.fauquierhealth.org or by calling 540-316-3588.


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