Professional and Medical Procedures, Testing, & Services We Perform

Services Include, But are Not Limited To:

Allergy Testing and Shots/Drops (More Info)

Please note that we do NOT treat patients with symptommatic asthma (daily inhaler use). We are an ENT allergy practice and as such, deal only with problems above the shoulders which excludes the lungs and asthma. We also do NOT typically address other types of allergies including foods, insect, metal, etc. We mainly focus on inhalant pollen allergy.

• Allergy Testing by mRAST or immunoCAP for Inhalant (Environmental) Allergies. Please note that we do not participate with Quest. We do participate with Labcorp, Piedmont, and Commonwealth.
• Allergy Shots (Watch Video)
• Allergy Drops / Sublingual Immunotherapy (SLIT)
• Fauquier ENT is one of only a half dozen practices in the entire Northern Virginia/Washington DC area to offer this mode of treatment.
• Pre-Seasonal Rush Therapy
• Endoscopic Rhinoscopy
• FeNO (Fractional Expired Nitric Oxide)

Hearing and Balance Related Testing and Services (More Info)

• Routine Hearing Tests for Infants to Adults
• Digital Hearing Aids
• Otoacoustic Emissions (OAE) WITHOUT sedation (Watch Video)
• Auditory Brainstem Response (ABR) WITHOUT sedation (Watch Video)
• Bone Conduction ABR (BC-ABR)
• Tone Burst ABR (TB-ABR)
• Auditory Steady State Response (ASSR)
• Electroneurography (ENG)
• Videonystagmography (VNG)
• Video Head Impulse Testing (VHIT)
• Vestibular Evoked Myogenic Potentials (VEMP)
• Electrocochleography (ECoG)
• Intra-Tympanic Steroid Injections (Watch Video)

Video Nasal Endoscopies (VNE) (More info) (Watch Video)

• For evaluation of nasal-sounding speech
• NOTE: Fauquier ENT Consultants is one of the few practices in the Northern Virginia/Washington DC area where this exam can be performed where both video and audio is recorded.

Head & Neck

• Parotidectomy (Watch Video)
• Submandibular / Parotid Gland Resection
• Face/Neck Masses
• Sistrunk Procedure for Thyroglossal Duct Cysts
• Throat Cancer Biopsies
• In-Office Ultrasounds (only in adults)
• Mouth Masses/Lesions
• Endoscopic Staple Diverticulostomy (ESD) for Zenker's Diverticulum (Watch Video)
• Tracheostomy (Watch Video)
• Facial Fracture Evaluations
• Thyroid Disorders / Thyroidectomy (Watch Video) - Dr. Chang no longer provides this service.
• Parathyroid Mass / Parathyroidectomy - Dr. Chang no longer provides this service.

Snoring Surgery (More Info)

• Uvula Excision (Uvulectomy) (Watch Video)
• Pillar Procedure (More Info) (Watch Videos) (Our office no longer offers this option)
• Injection Snoreplasty
• Coblation Palatoplasty (Our office no longer offers this option)
• Sleep Endoscopy (Watch Video)
• Velopharyngeal Insufficiency

Obstructive Sleep Apnea Surgery (More Info)

• Uvulopalatopharyngoplasty (UPPP) (Watch Video)
• Tonsillectomy & Adenoidectomy (Watch Tonsillectomy Video / Adenoidectomy Video) (Normal Appearance After Tonsillectomy Picture)
• Thyro-Hyoid Advancement
• Lingual Tonsillectomy
• Base of Tongue Reduction (Watch Video)
• Tracheostomy (Watch Video)
• Sleep Endoscopy (Watch Video)
• We do NOT perform genio-glossal advancement (Repose), genio-hyoid advancement, nor mandibular-maxillary advancement.

Skin

• Skin Cancer Excisions and Reconstruction
• Cryotherapy
• Infrared Coagulation Treatments
• Skin Tag Removals

Endoscopy of the Head & Neck (More Info) (Watch Video)

• Narrow Band Imaging (NBI)
• Flexible Fiberoptic Nasal Endoscopy (Rhinoscopy)
• Flexible Fiberoptic Nasopharyngoscopy
• Flexible Fiberoptic Laryngoscopy
• Flexible Fiberoptic Stroboscopy
• Flexible Fiberoptic Tracheoscopy and Bronchoscopy
• Trans-Nasal Esophagoscopy (Watch Video) - At this time, only screening diagnostic exam is performed without biopsies.

Endoscopic Sinus Surgery (ESS) (More Info)

• Chronic Sinusitis
• Balloon Sinuplasty (Watch Video)
• Nasal Polyps
• Sino-Nasal Masses
• Image Guided Sinus Surgery (We use BrainLAB technology) (Watch Video)

Nasal Surgery

• Septoplasty (Watch Video) (Watch Animation)
• Turbinate Reduction (Watch Video)
• RhinAer (Watch Video)
• ClariFix (Watch Video)
• Vivaer
• Nosebleeds (Watch Cautery or Nasal Packing)

Tonsil, Adenoid, Intra-Oral Procedures

• We use coblation to perform this procedure. (Watch Tonsillectomy Video / Adenoidectomy Video) (Normal Appearance After Tonsillectomy Picture)
• Tonsil Cryptolysis for Tonsil Stones (Watch Video)
• Peritonsillar Abscess drainage
• Laser tonsillectomy/cryptolysis
• Adult Tongue Tie Release
• Tongue Tie Release (Watch Video)
• Upper Lip Tie Release (Watch Video)
• Posterior Tongue Tie Release (Watch Video)
• Sialendoscopy for Sialadenitis / Sialolithiasis - Dr. Chang no longer provides this service
• We do perform rapid strep and mono testing as well as the Oral HPV Spit Test
• Rapid Strep Testing
• Rapid Mono Test

Ear Surgery

• Ear tube placement (Watch Video)
• Balloon Eustachian Tube Dilation - not offered at this time
• Eardrum perforation repair (Watch Video)
• Intra-Tympanic Steroid Injections for Sudden Hearing Loss (Watch Video)
• Earwax removal (Watch Video)
• Cauliflower Ear (Ear Hematoma) Correction
• Ear Piercing (Watch Video)
• Dr. Chang no longer performs more complex ear surgeries (mastoidectomy, cholesteatoma, etc)
• We do NOT offer surgical treatment of otosclerosis.

Speech and Voice-Related Procedures (ADductor and ABductor Spasmodic Dysphonia, Vocal Cord Paralysis, Vocal Cord Masses/Lesions, Hoarseness)

• Digital Chip-On-Tip Video-Stroboscopic Evaluation
• BOTOX for spasmodic dysphonia. BOTOX injections performed every Friday afternoon.
• Micro-Laryngeal Surgery of the Vocal Cords (vocal cord masses/lesions, nodules, polyps) (Watch Video) (Read Article)
• Vocal Cord Medialization Procedures for the Paralyzed Vocal Cord or Bowed Vocal Cord (Watch Video of Injection / Implant)
• Laryngeal Framework Procedures
• Mini-Vocal Cord Procedures (steroid injections, biopsies)
• Minimally Invasive Surgical Correction of Hypernasal Speech (Velopharyngeal Insufficiency)
• Adam's Apple Size Reduction

BOTOX Injections (Please note we ONLY use brand-name BOTOX from Allergan Corporation purchased in the United States. We do NOT use generic, replacement, or alternative botulinum toxins.)

• BOTOX for facial wrinkles (Cost)
  • Crow's Feet
  • Forehead Wrinkles
  • Chin Pebbling
  • Wrinkles Between the Eyebrows
  • Lip Wrinkles
• BOTOX for palatal myoclonus, oro-mandibular spasms, lingual dystonia, and other forms of head & neck dystonia
• BOTOX for vocal cord dysfunction (ie paradoxical vocal cord motion)
• BOTOX for spasmodic dysphonia (Watch Video)
• BOTOX for drooling and Frey's syndrome
• BOTOX for migraine headaches and headaches due to muscle spasms unresponsive to more traditional treatments (Cost)
• BOTOX for TMJ unresponsive to more traditional treatments (Cost)
• BOTOX for cricopharyngeal spasms
• BOTOX for head, neck, and facial muscle spasms/dystonia
• BOTOX for spasmodic torticollis

Pitch Altering Surgery

• More Info (We no longer offer these procedures)

Office and Other Surgical Procedures

• Nasal Fracture Reduction
• Foreign Body Removals
• Molecular Diagnostic Testing
• etc etc etc! Please call to ask!