Nasal Allergy and Sinus Disease
Immunotherapy:
Allergy Shots or Drops
Immunotherapy involves carefully exposing an allergic patient to the
substances they are reacting to in order to "turn off" their
hyperactive immune system.
Immunotherapy is indicated when avoidence
of the offending substances and medications are not fully controlling
the allergic symptoms.
Allergy testing determines the allergens responsible
for the patient's symptoms. A vaccine is then prepared composed
of these allergens. Immunotherapy can be delivered either by weekly
shots or as daily drops under the tongue.
By adding immunotherapy to the patient's medications, we can
see an improvement in their allergy control by 6 months to 1 year.
As we continue with the treatments, we usually see a reduction in
the need for medications within the first 1 to 3 years, making these
treatments
a more cost-effective way of controlling allergies.
Hopefully, after
3 to 5 years of treatment, many of our patients achieve immunity
to their allergens and the treatments can be discontinued.
For children
and young adults, immunotherapy has been shown to decrease the
chance of other allergies or allergic diseases, such as asthma, from
developing
in the future.
Tina Hartman, LVN, has over 10 years of experience in advanced
allergy care and is our Allergy Care Co-Ordinator.
It has been estimated that allergy is a factor in about half of the
medical problems encountered by an ENT doctor.
As an Otolaryngic Allergist,
an ENT doctor who does his own allergy treatments, Dr. Kevin Lunde
is able to comprehensively diagnose and treat such disorders of the upper
respiratory tract.
Information about avoiding and limiting contact
with allergens, those substances that are triggering the allergic response,
are available for review. Ensuring that medications are being used
for
their maximal benefit is emphasized.
Allergy testing can be performed
to identify the specific inhalant allergens responsible for a
patient's symptoms. Immunotherapy, either given as shots or as drops
under
the tongue, can then be used to alter the body's reaction to these
allergens.
Because Dr. Lunde is an ENT surgeon, he can follow the progress of patients
with specialized examinations and offer other medical and surgical treatments
when indicated.
Diagnostic nasal endoscopy uses a small fiberoptic scope
to fully examine the nasal and sinus cavities in detail. Lung function
tests can screen patients for asthma.
Nasal polyp removal, sinus surgery,
straightening a deviated septum and placement of ear ventilating
tubes are examples of surgical procedures that may indicated in the management
of the allergic patient.
Other non-allergic diseases can also be
efficiently
diagnosed and treated. The American Academy of Otolaryngic Allergy recommends the following
circumstances when a patient should seek consultation with an Otolaryngic
Allergist:
- When the diagnosis of an ear, nose and throat allergy or cause
of an ear, nose and throat symptom is uncertain.
- When allergy or ear,
nose or throat symptoms are not adequately controlled.
- When special
diagnostic allergy tests are needed.
- When specialized treatment such
as immunotherapy is needed. Dr Lunde offers both allergy shot and
allergy drop immunotherapy.
- When other related ear, nose and throat medical
problems, such as chronic sinusitis, nasal polyps, fluid in the
middle ear,
chronic ear infections,
deviated septum, vocal disturbances, or enlarged adenoids
or tonsils may be present.
- When complications associated with treatment
or difficulty in controlling symptoms are affecting the patient's
quality of
like.
We believe the knowledge of a well-trained allergist and staff is necessary
to make sure the allergy patient receives the full range of treatment
advice and education. This expertise will ensure that comprehensive allergy
management is delivered.
More information on allergy drops. |