1871 Professional Park Circle
Tallahassee, FL 32308

Phone: (850) 878-2165

Fax: (850) 878-5348

Otolaryngology Services

Otolaryngology ServicesOtolaryngology deals with the diagnosis and treatment of diseases associated with the ears, nose, and throat. We are proud to assist patients that are dealing with these issues so that they are able to breathe better, see better, and have an overall better quality of life.

Hearing problems affect 1/10 people in North America. Otolaryngology can offer relief to people with ear disorders like hearing loss, ear infections, balance disorders, ear noise, and some cranial nerve disorders. Depending on what type of disorder you have will depend on the type of treatment. During your consultation, we will discuss your options and listen to your goals.

Around 35 million people develop chronic sinusitis every single year. This causes nasal cavities and sinus problems. Problems in the nasal area include allergies, smell disorders, polyps, and nasal obstruction due to deviated septum. We are proud to offer surgical options to our patients so that they can feel happy with their nose.

Communicating and eating involve the use of your throat. We are experts in managing diseases of the throat, voice box, and the upper aero-digestive tract or esophagus, and swallow disorders.

Balloon Sinuplasty (BSP) is a new and innovative procedure that is assisting millions of people that suffer from debilitating pain and the inconvenience of acute or chronic sinusitis. It is a safe and minimally invasive procedure and most people are able to return to normal activities after just 24 hours. Dr. Grate is proud to be the very first doctor to be trained to perform this technique in Tallahassee. For more information, click here.


A thyroidectomy is the removal of all or part of your thyroid gland, a butterfly or shield shaped gland that is located in your neck. It has many functions, perhaps the most significant being that it helps balance and regulate your metabolism, your heart rate and how efficiently your body burns calories.

This procedure is usually performed to treat thyroid issues, such as certain disorders, cancers, enlargement of the thyroid and overactive thyroid or hyperthyroidism. A thyroidectomy can be the removal of all or part of your thyroid gland, depending on your need for the surgery.

If only a partial thyroidectomy is performed, you may still have normally functioning hormones. If a full thyroidectomy is performed there are additional medical repercussions, such as needing daily hormone replacement to maintain or replace a normal function.

While it is a common procedure, it is a major surgery with very serious risks and many potential complications. While there are major advancements in recent years and new technologies, there may be less invasive treatment available for your particular case so it is important to get a second opinion and consider all of your possible available options.

Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery or “FESS” is a minimally invasive surgery where sinus air cells and sinus ostia are opened to restore ventilation and normal function. If you have recurrent infective sinusitis, or standard medical treatment has failed you, this may be the procedure for you. It can be performed under general or local anesthesia as an outpatient surgery and requires a minimal amount of inconvenience and discomfort, especially in comparison with the more conventional sinus surgery which is much more invasive and has many more complications.

This procedure requires no incisions but utilizes long thin rods of glass wrapped with stainless steel that provide illumination and visualization in the nose and sinus pathways. Certain instruments have been designed specifically for FESS and are used alongside the telescopes to perform the operation. The purpose of the operation is to enlarge the drainage pathways of the sinuses thereby preventing the buildup of mucus and pus in the sinuses so common in chronic sinusitis.

If you suffer from any of these symptoms, or have chronic sinusitis, you can find relief in receiving this surgery. While it creates relief, if you have an advancing disease you may need additional procedures in the future.

Laryngeal Surgery

A laryngeal surgery is one which is performed when the larynx or voice box is diseased, cancerous or injured. Often referred to as a laryngectomy, a patient receives this procedure to remove the problem. Often times, you must completely remove the dangerous tissue, which can lead to removal of all or part of the voice box or lymph nodes.

To perform this procedure, an incision is carefully made in the neck to access the problematic area, and the surgeon attaches the windpipe (or trachea) to a hole in the front of their neck which will be used to breathe for the rest of the patient's life. During some of these procedures, a small prosthesis is placed into the esophagus to allow a patient to speak without their voice box.

This surgery is usually very invasive, potentially dangerous and has many serious side effects. There are other less invasive surgeries, such as Endoscopic Laryngeal surgery, Vertical Partial Laryngectomy, Supracricoid Partial Laryngectomy and a few others depending on what your specific need is.

Each patient has specific needs and a laryngeal surgery may not be the right fit for your situation, so make sure to speak with your primary care physician about your best option for treatment.

For Chronic Sinusitis, Airway Obstruction, Polyps:

  • Septoplasty
  • Nasal and sinus Polypectomy
  • Balloon Sinuplasty
  • Image Guided Functional Endoscopic Sinus Surgery
  • Nasal and Septal Fracture Repair
  • FESS (Functional Endoscopic Surgery)
  • -Ethmoidectomy
    -Frontal Sinusotomy
    -Nasal Antral Windows
    -Concha Bullosa Resection/Reduction
    -Sphenoid Sinusotomy

For Neuro Endoscopy:

  • Pituitary Tumors
  • Image Guidance Pituitary Tumors

For Chronic Tonsillitis, Airway Obstruction:

  • Tonsillectomy by Coblation
  • Adenoidectomy by Coblation

For Sleep Apnea, & Snoring:

  • UP3 (Uvalopalatopharyngoplasty)
  • Hyoid Suspension
  • Tongue Suspension

For Chronic Ear Problems:

  • Myringotomy and Tube Placement
  • Myringoplasty
  • Mastoidectomy
  • Canalplasty
  • TympanoplastyStapedectomy

For Neck Problems:

  • Thyroid Lobectomy
  • Parotidectomy

For Chronic Throat Problems:

  • Bronchoscopy
  • Esophagoscopy
  • Direct Suspension Microlaryngoscopy

For the Removal of Foreign Bodies:

  • From the Ear
  • From the Nose
  • From the Throat

Dr. Grate and his staff have extensive knowledge and training in the field of Otolaryngology plastic surgery. The entire staff always stay up-to-date on the latest trends and techniques so that you are given the best procedures with the quickest recovery time. We want to make sure that our patients have the best possible results and health care. Otolaryngology is completed at Capital Regional Medical Center in Tallahassee, Florida.

If you have any questions about our practice, our policies, or the conditions we treat, please contact us today at 850-878-2165. We look forward to speaking with you!

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