Dr. A. James Paine, Jr.

Trusted Physician, Comfortable Environment & Beautiful Results.

Hearing Aid Fitting and Sales

Contact our office to speak with Lori Ziolkowski (extension 112) about your hearing aid options. We will provide you with a list of hearing aids you can purchase to help improve your hearing. Mountain ENT & Aesthetics offers all of the latest hearing aid devices and ear surgeries to help you hear clearer, more vibrant sound.

Tympanoplasty

Tympanic Membrane Reconstruction

A tympanoplasty is an ear surgery performed by Dr. Paine to repair a hole in the tympanic membrane—better known as the eardrum. A hole can develop in the eardrum as a result of a previous surgery, infection, or injury to the inside of the ear. When this happens, the patient may experience some extent of hearing loss and there may be a risk of an infection spreading. Dr. Paine can perform a tympanoplasty to help patients restore proper functioning of the eardrum.

Should You Consider a Tympanoplasty?

Holes or perforations of the eardrum can cause serious problems such as hearing loss and chronic otorrhea (infection of the middle ear). A tympanoplasty is necessary when holes in the tympanic membrane do not heal on their own or with other medical treatments.

When left untreated, patients may be at risk of chronic infections such as cholesteatoma as well as low or high frequency hearing loss. It is important to treat these perforations quickly to prevent serious problems from occurring. Dr. Paine will carefully analyze your situation to determine if tympanoplasty is the right procedure for you.

The Tympanoplasty Procedure

Your tympanoplasty will be performed under general anesthesia. In order to repair the tympanic membrane, Dr. Paine will first need to determine the cause and size of the hole or perforations. He will then perform either a patch, fat, medial, or lateral tympanoplasty to repair the tympanic membrane.

A patch tympanoplasty is performed by placing a biologic tissue paper patch over the hole. The patch is held in place by gently irritating the edge of the hole so that a drop of blood adheres to the patch. This procedure is quick and causes little pain to the patient.

A fat typmpanoplasty involves freezing the ear lobe to remove a minor amount of fat. This fat is then used to seal up the hole within the tympanic membrane. Sutures are used to seal the donor site of the ear lobe.

A medial tympanoplasty is a slightly more invasive approach, which requires incisions made in the ear canal to place a tissue graft from the ear muscle beneath the ear-drum. Dr. Paine may widen the ear canal for this procedure.

A lateral tympanoplasty will be necessary to repair larger holes in the tympanic membrane. This procedure will remove parts or all of the original eardrum and use a fascia graft to create a new one. This graft will be taken from behind the outer ear.

After Your Tympanoplasty

It is normal to experience some discomfort and sensitivity of the ear following your surgery. Dr. Paine will provide you with prescription pain medications and antibiotics to help you through the recovery process. Following your tympanoplasty, you should notice a gradual improvement in your hearing.

Tympanoplasty

Contact our office today to schedule your tympanoplasty consultation with West Virginia ENT specialist and board-certified cosmetic surgeon, Dr. A. James Paine, Jr.

Stapedectomy

The innermost bone of the ear is known as the stapes bone. When the stapes stops functioning properly, it can interrupt the transmission of sound through the ear and cause progressive hearing loss. Dr. Paine can perform a stapedectomy to restore proper functioning of the ear and improve hearing.

Should You Consider a Stapedectomy?

The movement, or vibration, of the stapes bone can be hindered by a condition known as otosclerosis. Otosclerosis causes a hardening of sponge-like bone around the base of the stapes within the ear, fixing the stapes in place so that it is unable to vibrate and transmit sound properly. When left untreated, otosclerosis can lead to total deafness. A stapedectomy treats otosclerosis by removing the stapes bone and replacing it with a stainless steel wire surrounded by a small plastic ventilation tube.

Otosclerosis is present in about 10 percent of Americans and can be genetic. This condition most frequently develops between ages 10 and 30 and usually affects both ears.

Dr. Paine can correct otosclerosis with a stapedectomy to prevent hearing loss and restore normal functioning of the ear. Patients with tinnitus (a constant ringing sound in the ears) may also benefit from a stapedectomy procedure.

Your Stapedectomy Procedure

Dr. Paine will perform your stapedectomy under general anesthesia. The surgery will be completed through the ear canal, so no external incisions will be made.

After Your Stapedectomy

Your stapedectomy procedure will take roughly one and a half hours to perform. We will need to keep you in a recovery room for several hours to monitor your state. Most patients are able to return home the day of their procedure under the care of a loved one. We will provide you with antibiotics to help prevent infection.

Your ear will feel especially sensitive immediately following your procedure. It is important to avoid loud noises, blowing your nose, heavy lifting, swimming, or rapidly changing elevations for about a week. You should be able to return to work or school a week after your surgery. Talk to Dr. Paine for detailed aftercare instructions for your stapedectomy.

We have seen incredible results with patients who have undergone a stapedectomy procedure. Roughly 90 percent of stapedectomy patients show significant improvement in their hearing following their procedure.

Stapedectomy

Contact our office to schedule your stapedectomy consultation with West Virginia ENT specialist and board-certified cosmetic surgeon, Dr. A. James Paine, Jr.

Myringotomy

Ear Tube Insertion

Myringotomy, or ear ventilation tube insertion, is a procedure to drain fluid that has built up behind the eardrum. The purpose of the procedure is to restore the normal functioning of the ear. Alternative names include tympanostomy or ventilation tube placement. Dr. Paine can perform a myringotomy for patients experiencing problems due to fluid build-up behind the eardrum.

Most Common Reasons for Myringotomy

When fluid continues to build up behind the eardrum for four months or longer, there is a risk of hearing loss and other developmental problems. If there is a compelling reason, some children may be candidates for ear ventilation tube surgery regardless of how long the fluid has been present or their hearing ability.

Some Possible Reasons for Myringotomy or Tympanostomy Include:

  • Acute ear infections
  • Patients undergoing hyperbaric oxygen therapy
  • Those who have had a complication resulting from a severe ear infection, such as mastoiditis, brain infection, meningitis, or facial nerve paralysis
  • Barotrauma from flying or deep sea diving

While it is more common with children, Dr. Paine can also perform a myringotomy for adults facing one or more of the above issues.

How Is the Myringotomy Performed?

While under anesthesia, a small surgical cut is made in the eardrum. Dr. Paine then carefully suctions out the excess fluid. A small ventilation tube is then inserted through the eardrum. The ventilation tube allows air to flow in, and fluid to continuously flow out of the middle ear.

The surgical cut heals on its own, without the need for stitches. The hole closes and the ear ventilation tubes usually fall out naturally, after an average of 14 months or so.

What Can I Expect After Myringotomy Surgery?

Myringotomy is an outpatient procedure and a hospital stay is not necessary. Use of custom-made earplugs is recommended while in the shower or swimming for the length of time that the ventilation tubes are in place.

After this procedure, most patients report fewer ear infections and faster recovery from infections. If ear infections return after the first ventilation tubes fall out, the procedure can be repeated with another set of ear ventilation tubes.

What Are Some of the Risks Involved with Myringotomy?

As with any surgical procedure, there is a risk of bleeding, infection and problems with anesthesia. Risks specific to ear ventilation tube placement include scarring of the eardrum and drainage from the ear. These complications are usually temporary.

Myringotomy in West Virginia

Contact our office to schedule your myringotomy consultation with ENT specialist and board-certified cosmetic surgeon, Dr. A. James Paine, Jr.

Mastoidectomy

Mastoid Removal Surgery

The mastoids are air cells located in the skull behind the ear. When these cells become diseased, it can cause an ear infection, which may spread to the rest of the skull. Dr. Paine can perform a mastoidectomy to remove diseased mastoid cells and treat the infection.

Should You Consider a Mastoidectomy?

An infected mastoid cell may require surgery to prevent the infection from spreading. There are three different types of mastoidectomies that Dr. Paine may recommend for your procedure:

  • Simple mastoidectomy
  • Radical mastoidectomy
  • Modified radical mastoidectomy

Dr. Paine will carefully observe and analyze your condition to determine which procedure is right for you. In some situations, patients are able to treat their infection with antibiotics. A mastoidectomy is necessary if the antibiotics do not work to cure the infection.

A mastoidectomy is often used to treat chronic otitis media—an infection of the middle ear that can lead to a cholesteatoma, or skin cyst. When left untreated, these cysts can grow and lead to serious health problems such as:

  • Brain abscess
  • Loss of hearing
  • Vertigo
  • Facial nerve damage or paralysis
  • Brain swelling (meningitis)
  • Inner ear inflammation (labyrinthitis)
  • Continuous ear drainage

Other reasons for a mastoidectomy include the placement of a cochlear implant—an electronic hearing device.

After Your Mastoidectomy

Dr. Paine will use stitches to close the incisions and will place bandages over your ear following your surgery. When you first wake up, you may experience a headache and some numbness from your surgery. Dr. Paine will prescribe pain medications to help minimize any discomfort you may feel during the initial recovery period. Topical antibiotic drops will be used to help prevent infection.

Mastoidectomy in West Virginia

Contact our office today to schedule your mastoidectomy consultation with West Virginia ENT specialist and board-certified cosmetic surgeon, Dr. A. James Paine, Jr.

Audiological Hearing Tests

Vestibular Testing

Vestibular testing is offered for patients experiencing problems with balance or dizziness. There are a number of tests performed that help determine if there is something wrong with the balance portion of the inner ear. These tests can help isolate dizziness symptoms to a specific cause that can often be treated.

The VNG (videonystagmography) test is the “gold standard” for diagnosis of ear disorders affecting one ear at a time. The VNG test is a visual recording of the eyes during several short tests. The patient also has cool and warm air blown into their ears to cause a brief episode of dizziness. This will be used to determine whether or not dizziness may be due to inner ear disease.

If dizziness is not caused by the inner ear, it might be caused by the brain, by medical disorders such as low blood pressure, high blood pressure, or by psychological problems such as anxiety. To determine this, an ABR (auditory brainstem response) test may be performed. An ABR can also be performed to test hearing in a newborn or a patient with a physical handicap that is unable to participate in a standard hearing test.

ECoG’s are performed for patients who are suspected to have Meniere’s disease. Meniere’s disease is a disorder of the inner ear that causes episodes of vertigo, ringing in the ears (tinnitus), a feeling of fullness or pressure in the ear, and fluctuating hearing loss.

Hearing Tests

Contact our office today to schedule your hearing test with West Virginia ENT specialist and board-certified cosmetic surgeon, Dr. A. James Paine, Jr.