ENT Myths Busted: Separating Fact from Fiction About Your Sinuses, Ears, and Throat

When it comes to your sinuses, ears, and throat, misinformation spreads as easily as the common cold. Let’s set the record straight by debunking some of the most persistent myths about ear, nose, and throat (ENT) health.

Myth 1: A sinus infection always needs antibiotics.

Fact: Not every sinus infection is bacterial. Most are caused by viruses, which means antibiotics won’t help and can even contribute to antibiotic resistance. Typically, viral sinus infections improve within 5-7 days with rest, hydration, and over-the-counter treatments. If symptoms last longer or worsen, then it’s time to see an ENT specialist. We offer same-day appointments.  

Myth 2: Sinusitis always requires surgery.

Fact: Surgery is a last resort for chronic sinusitis that hasn’t responded to extensive medical management. Most cases of sinusitis, even chronic ones, can be managed effectively with medications like nasal corticosteroids, saline rinses, and allergy treatments. Surgery is considered only when structural issues or persistent inflammation prevent proper drainage and lead to recurrent infections. We find that only 10% of our chronic sinusitis patients require surgery. Most chronic sinusitis cases can be effectively treated with immunotherapy, AKA allergy shots. And for the past 20 years we have pioneered the newer, easier version of allergy shots which are drops placed under your tongue at home, making this a simple, effective and convenient way to prevent sinus congestion and infections. 

Myth 3: Earwax should be removed with cotton swabs or ear candles  

Fact: This is one of the most common—and dangerous—misconceptions. Cotton swabs actually push wax deeper into the ear canal, potentially causing impaction or injury. Candles are even more dangerous as they often burn the ear canal and eardrum resulting in serious injury. In most cases, earwax migrates out of the ear naturally. If you feel fullness, decreased hearing, or discomfort, see a professional for safe removal. We can also show you how to safely and effectively prevent future build up of ear wax. 

Myth 4: Hearing loss is no big deal.

Fact: While hearing loss is more prevalent with age, it can affect people of all ages, including children and young adults. Exposure to loud noise (e.g., concerts, headphones at high volume, noisy workplaces), certain medications, genetic factors, and underlying medical conditions can all contribute to hearing loss at any stage of life. And hearing is critical to brain development in infants and young children. Also, research has shown that hearing loss is one factor that causes dementia, probably by atrophy of brain cells that are no longer being sufficiently stimulated. The same research also shows that hearing aids are effective in preventing dementia in these patients. We can test and treat hearing loss in patients of all ages including fitting hearing aids in most patients. We only use the highest quality hearing aids at the most competitive prices. 

Myth 5: There is no treatment for tinnitus. 

Fact: tinnitus results from the absence of sound stimulating your brain cells due to hearing loss. New and effective treatments, such as neuromodulation, use sound filters that are individualized to your specific hearing loss and tinnitus frequencies, to dramatically reduce tinnitus. We are innovators in tinnitus treatments and offer the latest available options. 

Myth 6: If you have a sore throat, it must be strep.

Fact: While strep throat is common—especially in children—many sore throats are caused by viruses. Strep requires antibiotics, but viral infections do not. If you have severe pain, fever, swollen glands, or a rash, a rapid strep test can confirm the diagnosis.

Myth 7: Chronic hoarseness is just part of aging.

Fact: Persistent hoarseness lasting more than three weeks should never be ignored, regardless of age. It can indicate vocal cord damage, acid reflux, or even throat cancer. If your voice doesn’t improve in 2 weeks, consult an ENT physician to rule out serious causes.

Your ears, nose, and throat play vital roles in breathing, hearing, and speaking. Understanding the facts about ENT health empowers you to make better decisions and seek timely care. Don’t let myths guide you—if you have concerns, a board-certified ENT specialist can help you get clear answers and effective treatment.