Advanced Ear, Nose and Throat Procedures

Lake Regional Otolaryngologist Edward Barns, M.D., FACS is board-certified and highly experienced in surgical techniques to treat a wide range of ear, nose, and throat conditions affecting adults and children. Some of the most common surgeries performed include tonsillectomy, adenoidectomy, ear tubes, endoscopic sinus surgery, and head and neck surgery, including thyroid and parathyroid surgeries. To schedule an appointment, call 573-302-2864.


When Katie Heinz learned that she needed both a tonsillectomy and thyroid surgery, missing out at school was one of her first concerns. By combining experience, expertise and cutting-edge technology, Ear, Nose and Throat surgeon, Edward Barns, M.D., FACS, had Katie back in the classroom and making the grade. Read and watch Katie's story.




The tonsils are two clusters of tissue located on both sides of the back of the throat and one of the most common operations both children and adults undergo. Surgery is often recommended in response to repeated tonsil infections or strep throat, or to remove enlarged tonsils and adenoids that are blocking the upper airway.


Surgery to remove the tonsils is often combined with removal of the adenoids. Located in the back of the nasal cavity, adenoids help keep your body healthy by trapping harmful bacteria and viruses that you breathe in and swallow. Though adenoids are beneficial as infection fighters in young children, as we get older they become less important in fighting germs.  

Swollen or infected adenoids can cause difficulty with breathing and cause the patient to breathe only through his or her mouth. It can also cause snoring and reduce the child's ability to sleep restfully. Common signs of swollen adenoids and tonsils include a sore throat, difficulty swallowing, swollen glands in the neck, and ear problems. 

Thermal Fusion Tonsillectomy

Conventional devices used to perform tonsillectomies can damage surrounding tissue and cause excessive bleeding with intense post-operative pain. As a result, it can take weeks for a patient to recover fully and resume his or her normal life. 

Dr. Barns uses state-of-the-art Thermal Fusion technology to remove the tonsils and adenoids. This procedure uses direct heat and pressure to seal and divide soft tissue quickly and delicately, thereby reducing damage to surrounding tissues. Using Thermal Fusion technology means faster recovery, with significantly less pain. Typically done as an outpatient procedure, the patient can go home a few hours after surgery. Recovery time is half that of traditional tonsillectomy.

Endoscopic sinus surgery

When medical treatment for sinus problems isn’t effective, endoscopic sinus surgery may be recommended. This surgery involves inserting a very thin fiber-optic tube called an endoscope into the nose so the surgeon can examine and see the sinuses. Using tiny state-of-the-art surgical instruments, the doctor can remove abnormal and obstructive tissues such as polyps. The advantage of this procedure is that the surgery is less extensive, and can usually be performed on an outpatient basis with a quick recovery.

Ear tubes

Many children and even some adults suffer from persistent, chronic ear infections. Sometimes this can result in a chronic middle ear problem that can lead to other issues, such as hearing loss, balance problems or behavior and speech problems. When this is the case, ear tubes may be recommended.

These tubes are tiny cylinders inserted through the eardrum to allow air into the middle ear. The ear tubes allow air to reach the middle ear space. This surgery usually is performed as an outpatient procedure under a general anesthetic.