Dr. Peter S. Roland

• 
  www.hispanichealth.org/news/action.lasso?-response=resp - [Cached Version]
  Published on: 8/29/2008    Last Visited: 8/31/2008  

  While many people feel they need to remove ear wax -- technically called cerumen and a mixture of secretion, hair and dead skin -- it is actually protective since it has lubricating and antibacterial properties, said Dr. Peter Roland, an ear specialist at the University of Texas Southwestern Medical Center at Dallas.He chaired a panel that released new guidelines Friday from the American Academy of Otolaryngology--Head and Neck Surgery Foundation.
  
  The guidelines are the first comprehensive clinical recommendations meant to help health-care professionals identify patients with impacted wax and treat them properly.Panel members reviewed scientific studies and sought expert opinion to create the guidelines.
  
  "The conclusion is that the mere presence of ear wax does not require anything," Roland said.If the ears are functioning, and there is no problem, most people should do nothing.And that includes resisting the urge to use a cotton-tipped swab to clean out the ear, he said.
  
  Using a swab can actually drive excess wax in further, he said, and then medical attention is often needed to remove it.
  
  Certain people need to pay more attention to their ear wax status, he said.Those who wear a hearing aid, Roland said, "are much more likely to develop problems with ear wax."That's because the hearing aid "prevents the ear from doing its job," which is to clean out excess ear wax naturally.
  
  As people age, ear wax problems are more common, too, he said, with those over age 65 more likely to have problems than younger people.
  ...
  SOURCES: Peter S. Roland, M.D., chairman, Cerumen Impaction Guideline Panel, American Academy Otolaryngology--Head and Neck Surgery Foundation, and ear-nose-throat specialist, University of Texas Southwestern Medical Center at Dallas; September 2008, supplement, Otolaryngology--Head and Neck Surgery

• 
  mediconews.com/2006/12/27/antibiotic-ear-drops-favored- - [Cached Version]
  Published on: 1/1/2006    Last Visited: 9/1/2008  

  "With the use of ear drops, you can put more potent medicine just where you need it," said Dr. Peter Roland, chairman of otolaryngology at UT Southwestern and one of the study's authors.
  
  The latest study looked at children ages 6 months to 12 years who had ear tubes, middle ear infections, and visible drainage in the ear.Both the oral and topical antibiotics cure the infections in more than 70 percent of cases.But the topical drops resolved the ear drainage three to five days faster and resulted in more clinical cures overall - 85 percent for those taking drops, compared to 59 percent for oral administration of medication - according to the study.
  
  That-s in line with previous research and other findings that support increased use of topical antibiotics over oral antibiotics in other cases involving middle ear infections, one of the most common childhood afflictions, said Dr. Roland, who heads the Clinical Center for Auditory, Vestibular and Facial Nerve Disorders at UT Southwestern and who is also chief of pediatric otology at Children-s Medical Center Dallas.
  
  Middle ear infections are the most common diagnosis for which children receive antibiotics, and insertion of ear tubes is the most common surgery performed on children.
  
  Many doctors treat these infections with oral antibiotics like amoxicillin, which is absorbed through the blood stream, said Dr. Roland.
  
  The tubes, researchers reported, provide better access to the middle ear, behind the ear drum, so more of the ear drops medicine reach the infection, avoiding potential intestinal and blood absorption that occurs with oral antibiotics.Researchers discovered that the concentration at the infection can be a thousandfold greater than when oral or IV medication is used.
  
  In addition, because the antibiotic is not distributed throughout the body, there is less chance of developing antibiotic resistance.
  
  Dr. Roland has previously demonstrated that middle ear infections are often caused by micro-organisms that are not susceptible to antibiotics approved for pediatric patients.

• 
  www.healthimperia.com/article/Antibiotic_Ear_Drops_Favo - [Cached Version]
  Published on: 5/14/2007    Last Visited: 5/14/2007  

  "With the use of ear drops, you can put more potent medicine just where you need it," said Dr. Peter Roland, chairman of otolaryngology at UT Southwestern and one of the study's authors.
  
  The latest study looked at children ages 6 months to 12 years who had ear tubes, middle ear infections, and visible drainage in the ear.Both the oral and topical antibiotics cure the infections in more than 70 percent of cases.But the topical drops resolved the ear drainage three to five days faster and resulted in more clinical cures overall - 85 percent for those taking drops, compared to 59 percent for oral administration of medication - according to the study.
  
  That's in line with previous research and other findings that support increased use of topical antibiotics over oral antibiotics in other cases involving middle ear infections, one of the most common childhood afflictions, said Dr. Roland, who heads the Clinical Center for Auditory, Vestibular and Facial Nerve Disorders at UT Southwestern and who is also chief of pediatric otology at Children's Medical Center Dallas.
  
  Middle ear infections are the most common diagnosis for which children receive antibiotics, and insertion of ear tubes is the most common surgery performed on children.
  
  Many doctors treat these infections with oral antibiotics like amoxicillin, which is absorbed through the blood stream, said Dr. Roland.
  
  The tubes, researchers reported, provide better access to the middle ear, behind the ear drum, so more of the ear drops medicine reach the infection, avoiding potential intestinal and blood absorption that occurs with oral antibiotics.Researchers discovered that the concentration at the infection can be a thousandfold greater than when oral or IV medication is used.
  
  In addition, because the antibiotic is not distributed throughout the body, there is less chance of developing antibiotic resistance.
  
  Dr. Roland has previously demonstrated that middle ear infections are often caused by micro-organisms that are not susceptible to antibiotics approved for pediatric patients.

• 
  www.dcip.org/node/90 - [Cached Version]
  Published on: 3/26/2006    Last Visited: 10/30/2007  

  Dr. Peter Roland | Dr. Peter Roland, | doctor
  ...
  Dr. Peter Roland | Dr. Peter Roland, | doctor
  ...
  Peter S. Roland, M.D.
  ...
  Photo of Peter S. Roland, M.D.
  ...
  Dr. Roland
  
  Dr. Roland is the Medical Director of the Dallas Cochlear Implant program.He has worked with adults and children seeking cochlear implantation since 1986.Dr. Roland has performed hundreds of CI surgeries and is respected internationally for his cochlear implant expertise.At the University of Texas Southwestern Medical Center in Dallas he holds the Arthur E. Meyerhoff Chair in Otolaryngology/Head and Neck Surgery and he is Professor and Chairman of the Department of Otolaryngology/Head and Neck Surgery at the UTSWMC.

• 
  www.eurekalert.org/pub_releases/2008-08/usmc-uss082908. - [Cached Version]
  Published on: 8/29/2008    Last Visited: 8/31/2008  

  Dr. Peter Roland, chairman of otolaryngology -- head and neck surgery, helped develop new national guidelines regarding the removal of wax from the ear.Click here for more information.
  
  DALLAS - Aug. 29, 2008 - The age-old advice to routinely clean out earwax is discouraged under the first published guidelines from health care professionals about removing wax from the ear.
  
  "Unfortunately, many people feel the need to manually remove earwax, called cerumen, which serves an important protective function for the ear," said the guidelines' lead author, Dr. Peter Roland, chairman of otolaryngology - head and neck surgery at UT Southwestern Medical Center.
  ...
  "When cerumen builds to the point of causing symptoms such as pain, ringing, itching or hearing problems, it's a sign you should see a physician," said Dr. Roland, who also serves as chief of pediatric otology at Children's Medical Center Dallas.
  
  The problem affects one in 10 children, one in 20 adults, and greater than one-third of the elderly and cognitively impaired, according to the academy.About 12 million people annually seek treatment for impacted or excessive cerumen, resulting in nearly 8 million cerumen removal procedures by health care professionals.
  
  "Earwax" is not actually wax, but a water-soluble mixture of secretions produced in the outer third of the ear canal, along with hair and dead skin.
  
  The mixture serves a critical protective function for the ear and shouldn't be removed unless it's causing symptoms or interfering with assessments of the ear, said Dr. Roland, who heads to Clinical Center for Auditory, Vestibular and Facial Nerve Disorders at UT Southwestern.
  
  "The complications from cerumen impaction can be painful and include infections and hearing loss," Dr. Roland said.
  ...
  Dr. Peter Roland -- http://www.utsouthwestern.edu/findfac/professional/0,2356,16205,00.html

• 
  www.tmh.org/body.cfm?id=223&action=detail&aeproductid=H - [Cached Version]
  Published on: 9/1/2008    Last Visited: 10/2/2008  

  While many people feel they need to remove ear wax -- technically called cerumen and a mixture of secretion, hair and dead skin -- it is actually protective since it has lubricating and antibacterial properties, said Dr. Peter Roland, an ear specialist at the University of Texas Southwestern Medical Center at Dallas.He chaired a panel that released new guidelines Friday from the American Academy of Otolaryngology--Head and Neck Surgery Foundation.
  
  The guidelines are the first comprehensive clinical recommendations meant to help health-care professionals identify patients with impacted wax and treat them properly.Panel members reviewed scientific studies and sought expert opinion to create the guidelines.
  
  "The conclusion is that the mere presence of ear wax does not require anything," Roland said.If the ears are functioning, and there is no problem, most people should do nothing.And that includes resisting the urge to use a cotton-tipped swab to clean out the ear, he said.
  
  Using a swab can actually drive excess wax in further, he said, and then medical attention is often needed to remove it.
  
  Certain people need to pay more attention to their ear wax status, he said.Those who wear a hearing aid, Roland said, "are much more likely to develop problems with ear wax."That's because the hearing aid "prevents the ear from doing its job," which is to clean out excess ear wax naturally.
  
  As people age, ear wax problems are more common, too, he said, with those over age 65 more likely to have problems than younger people.
  ...
  SOURCES: Peter S. Roland, M.D., chairman, Cerumen Impaction Guideline Panel, American Academy Otolaryngology--Head and Neck Surgery Foundation, and ear-nose-throat specialist, University of Texas Southwestern Medical Center at Dallas; September 2008, supplement, Otolaryngology--Head and Neck Surgery

• 
  www.chole2008.org/veri.php?git=icerik&pa=sayfa_goster&p - [Cached Version]
  Published on: 9/15/2007    Last Visited: 9/15/2007  

  Peter S. Roland UT Southwestern Medical Center

• 
  www.impactlab.com/2008/08/31/back-off-leave-the-earwax- - [Cached Version]
  Published on: 8/1/2008    Last Visited: 10/1/2008  

  "Earwax is not intrinsically evil stuff, and consequently does not have to be removed merely because it's present," said Peter Roland, an ear, nose and throat doctor at the University of Texas Southwestern Medical Center at Dallas."In fact, it serves a function and so if you don't need to take it out, you should just leave it alone."
  
  > >
  
  Roland chaired a panel of doctors in charge of the new guidelines for earwax removal issued by the American Academy of Otolaryngology - Head and Neck Surgery Foundation (AAO-HNSF).
  ...
  "Then there are lots of people wearing earplugs for one reason or another, either because they've got hearing aids or they're transcriptionists at work or because they're addicted to their walkman," Roland told LiveScience, "and that can increase the likelihood that the wax doesn't come out on its own."
  
  Older adults are more prone to earwax buildup then younger individuals.
  
  "The wax gets much thicker and drier, and plus you actually end up with more hair in your ear, when you're older, and so it traps it," Roland said.
  
  He added, "Unfortunately, many people feel the need to manually 'remove' cerumen from the ears.This can result in further impaction and other complications to the ear canal."He said the saying, "Don't put anything smaller than your elbow in your ear," holds true.
  
  Leave your ears aloneFor the everyday individual, the new guidelines suggest you leave your ears alone unless you experience symptoms that you think are associated with too much earwax.
  
  "If they're going to do something at home, they should probably use drops of some sort," Roland said.The panel found no evidence that one type of over-the-counter drops works better than another, or better than just plain sterile water or sterile saline, he said.
  
  The drops help to loosen the earwax and then the ear often can do the rest, he added.

• 
  www.dcip.org/node/node/node/90 - [Cached Version]
  Published on: 8/15/2007    Last Visited: 10/30/2007  

  Peter Roland, M.D.Dallas Cochlear Implant Program |
  ...
  Dr. Peter Roland, Medical Director of the Dallas Cochlear Implant ProgramDr. Roland has worked with adults and children seeking cochlear implantation since 1986.Dr. Roland has performed hundreds of CI surgeries and is respected internationally for his cochlear implant expertise.At the University of Texas Southwestern Medical Center in Dallas he holds the Arthur E. Meyerhoff Chair in Otolaryngology/Head and Neck Surgery and he is Professor and Chairman of the Department of Otolaryngology/Head and Neck Surgery at the UTSWMC.

• 
  invest.alconinc.com/phoenix.zhtml?c=130946&p=irol-newsA - [Cached Version]
  Published on: 7/21/2003    Last Visited: 7/28/2008  

  "Targeted topical therapy for ear infections is very effective because higher concentrations of the drug can be applied directly to the site of infection," said Peter S. Roland, M.D., Professor and Chairman, Otolaryngology-Head and Neck Surgery, Professor Neurological Surgery, UT Southwestern Medical Center and Chief of Pediatric Otology, Children's Medical Center of Dallas.

Page:  1 2 3 4 5