Douglas Backous
Douglas D. Backous, M.D.

Douglas D. Backous, M.D.

Douglas D. Backous, M.D.
Specialty

Neurotology, Otology

  • Accepting Children: Yes
  • Accepting New Patients: Yes
  • Accepting Medicare: Yes
  • Accepting Medicaid/DSHS: Yes
Insurance Accepted:

Contact this office for accepted insurance plans.

Additional Information:

Dr. Backous was voted "Top Doctors" in Seattle Metropolitan Magazine (2011, 2012)

Nearly 4,500 physicians, nurses and physician assistants in King, Kitsap and Snohomish counties nominated colleagues they would choose to treat themselves and their loved ones.

News Release

Dr. Backous was voted "Top Doctors" in Seattle Magazine (2011, 2012).

A survey was mailed to more than 18,000 physicians in King, Pierce, Snohomish and Kitsap counties. The survey asked physicians to name the provider they would seek out or recommend to loved ones.

News Release

Philosophy of Care

It is my privelege to treat each person who chooses my care with respect and dignity as they come to understane the nature of their medical condition and choose a treatment option.

Personal Interests

Hiking, camping, water and snow skiing, golf, youth soccer, church activites and boy scout volunteering

Medical School

University of Washington School of Medicine

Residency

Otolaryngology, Baylor College of Medicine

Fellowship(s)

Neurotology, Johns Hopkins University

Board Certifications

Otolaryngology-Head and Neck Surgery, Neurotology

Languages:

English

Professional Associations:

American Academy of Otolaryngology – Head & Neck Surgery American College of Surgeons American Neurotology Society American Otological Society

Awards:

Distinguished Service Award, American Academy of Otolaryngology- Head and Neck Surgery 2009 America’s Best Doctors

Additional Information:

Dr. Backous was voted "Top Doctors" in Seattle Metropolitan Magazine (2011, 2012)

Nearly 4,500 physicians, nurses and physician assistants in King, Kitsap and Snohomish counties nominated colleagues they would choose to treat themselves and their loved ones.

News Release

Dr. Backous was voted "Top Doctors" in Seattle Magazine (2011, 2012).

A survey was mailed to more than 18,000 physicians in King, Pierce, Snohomish and Kitsap counties. The survey asked physicians to name the provider they would seek out or recommend to loved ones.

News Release

Cochlear Impant Clinical Trials

Baha Clinical Trials

Program efficiency

Acoustic Neuromas & How We Treat Them

Acoustic Neuromas, also known as vestibular schwannoma, is a slow growing  benign tumor on the balance nerve connecting the inner ear to the brain.

This is an uncommon condition, found in roughly 1 in 100,000 people. The most common symptoms include hearing loss, tinnitus (ringing in your ear), and vertigo (a feeling of imbalance). Because these symptoms are present with many conditions, it is important to see your doctor if they persist more than a few weeks. Your healthcare provider will make a referral to an ENT surgeon or to a Neurotologist if they feel you need further evaluation. Neurotology is a sub-specialty of  otolaryngology (ears, nose, and throat) specializing in the neurological conditions of the ears and brainstem (also referred to as skull base surgery. if an acoustic neuroma is suspected). The neurotologist may conduct a clinical evaluation, hearing and balance tests and imaging studies, such as MRI, to make the diagnosis. 

Once diagnosed, there are many options to consider:

  • Observation with a repeat MRI scan in 6 months. If the scan shows no growth,  repeat scanning at annual intervals for 3 years is recommended. If the tumor size is stable, the scan will be repeated after 2 years thereafter. If at any interval the tumor grows, the other treatment options should be considered.
  • Radiosurgery is an option which ...

Hearing loss from driving a convertible: reality or myth?

 Leave it to the Brits to address such a common question with scientific rigor and analysis! Philip Michael, Niel Opie and Michael Smith, from Worcestershire Royal Hospital in the UK, published a short but information-packed article in the August edition of the journal Otolaryngology-Head and Neck Surgery (2010;143:219-22). They looked at seven different types of convertible cars (Audi A4, Porsche 911, Aston Martin V8 Vantage, Morgan Roadster, Bentley Continental GT, Toyota MR2, and a Mazda MX5) driving at 50, 60 and 70 mph with windows raised and down. They placed a noise sensor on the traffic side of the car (on the right in the UK- they drive on the wrong side of the road) and took 3 separate measurements in each condition (scientific method at work). All tests were done on similar roadways and in non-rush hour traffic to minimize data contamination.

What did they find?

The Odd Syndrome of Bilateral 8th Nerve Tumors

Bilateral 8th cranial nerve tumors, also known as vestibular schwannomas or acoustic neuromas (see figure), are pathognomonic of a fascinating syndrome called central neurofibromatosis or neurofibromatosis type 2 (NF-2). NF-2 is a rare, autosomal-dominant disease with an incidence of 1 in 30,000 live births. The mechanism by which the genetic changes underlying NF-2 produce these tumors of a cranial nerve remains a mystery. Interestingly, two other associations are also sufficient to make a diagnosis of NF-2. These are unilateral VS at early age (< 30 years) plus two other specific lesions (meningioma, schwannoma other than VS, glioma or pre-senile cataract), and unilateral VS at early age with an affected first-degree parent, sibling or child. Patients with NF-2 usually present between the ages of 18 and 24 years with tinnitus, hearing loss and balance difficulties. Symptoms of unilateral tinnitus, asymmetric hearing loss or unresolving vertigo or imbalance warrant a gadolinium-enhanced MRI with a neurotological consultation to rule out brainstem pathology.

NF-2 is caused by inactivation of the NF-2 tumor suppressor gene on chromosome 22 (22q12.2) which encodes the "Merlin" protein. Like a double negative, inactivation of a tumor suppressor gene produces an autosomal-dominant inheritance pattern identical to classical activating mutations.

When a diagnosis of NF-2 is entertained, evaluation should include a complete family history; a detailed head and neck and neurological examination with attention to cranial nerve deficits, and an MRI of the brain with dedicated images to detect bilateral VS, meningiomas and optic gliomas. Spinal MRI with gadolinium should be performed to look for spinal meningiomas or schwannomas, and ophthalmologic evaluation should be obtained in cases with visual loss or with suspicion of juvenile cataracts.

Unilateral VS and NF-2

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Offices

Center for Hearing and Skull Base Surgery
550 17th Avenue
Suite 540 for Neuro-Otology or Suite 520 for Audiology
Seattle, WA 98122
Phone: 206-320-4488 or Audiology - 206-215-4327
Fax: 206-320-8149

Map & Directions

Center for Hearing & Skull Base Surgery
550 17th Ave, Suite 500
Seattle , WA 98122
Phone: 206-320-2800
Fax: 206-320-2827

Map & Directions

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