ENT Care

For The Whole Family

Allergy Care

For the Whole Family

Sleep Better

Inspire | CPAP | Surgical Alternatives

FAMILY ENT

Providing expert ear, nose and throat care for patients of all ages

SINUS DISORDERS

Treating the underlying causes of sinus disorders for long lasting relief.

SLEEP DISORDERS

Diagnosing & treating snoring and sleep apnea for better sleep and a better life

Allergy Treatment

Seasonal, environmental, or age progressing, our allergy specialists are here to help.

OUR SPECIALTIES

Inspire Therapy for Sleep Apnea

Inspire therapy is an innovative treatment option for people with moderate-to-severe Obstructive Sleep Apnea who are unable to use or get consistent benefit from CPAP. Inspire therapy is controlled with a small handheld remote… no mask or hose needed. Schedule an appointment today.

Pediatric ENT

Many children suffer from  difficulties in the ear, nose, and throat which may require surgery or tonsillectomies.  Teenagers mightbreak a nose or a deviate a septum. No matter what the age or the ENT medical condition, we are committed to help.

Sleep Disorders

Having the freedom to sleep is something many of us take for granted. New breakthroughs in medical science have led us to understand more now, than ever. With surgical or non invasive CPAP alternatives and practices, and phenomenal restful results – our team is here to help you take back those nights of relaxation.

Head & Neck Disorders

Head and neck disorders of the ear, nose, and throat include a wide range of conditions, including thyroid and parathyroid disorders, neck cancer, growths on the neck, as well as other head and neck problems. At ENT, Dr. Keith Kowal provides compassionate care and the latest treatments for all types of head and neck disorders, including facial carcinomas.

Audiology & Hearing Aids

Hearing loss is the third most common health problem in the United States. It’s also on the rise with nearly 36 million Americans now reporting lost hearing. When hearing goes, it may affect quality of life and relationships. Hearing loss can happen in many different ways to people of all ages and can range from mild to severe. 

Sinus Disorders

From a sinus headache, to a foreign object – our team of specialists is here to assist with any range of sinus disorders. Every year, nearly 37 million Americans experience sinus inflammation, or sinusitis. Our board certified team can diagnose and treat your specific case. 

ABOUT US

Welcome to ENT Centers of Excellence

ENT Centers of Excellence provides complete ENT care for the entire family. Dr. Keith Kowal and our team offer comprehensive diagnosis and treatment for all types of ear, nose and throat conditions. We see Baldwin County patients of all ages, including adult and pediatric patients and allergy patients.

We are pleased to offer the latest, specialized ENT treatments, including in-office Balloon Sinuplasty for the treatment of chronic sinusitis and transoral robotic surgery (TORS) to treat conditions ranging from obstructive sleep apnea to head and neck cancers. Dr. Kowal also offers numerous CPAP alternatives for patients who are unable to use CPAP for snoring and sleep apnea treatment. In addition, our practice offers comprehensive hearing loss services on-site with our audiologist, Dr. Jessica Pruett.

CLINIC HOURS

ENT + Allergy Clinic Hours

Mon/Wed/Thurs8:30 am – 5:00 pm

Monday (Tele Med ENT)5:00 pm – 6:00 pm

TUESDAY2:00 pm – 5:00 pm

ENT + Audiology Clinic Hours

Mon-Fri8:30 am – 5:00 pm

WEEKENDCLOSED

this is invisible9:30 am – 3:30 pm

OUR DOCTORS

Dr. Keith A Kowal, M.D.

Dr. Keith A Kowal, M.D.

Otolaryngology (ENT) and Sleep Medicine

Double Board Certified in Otolaryngology and Sleep Disorders. Dr. Kowal has been practicing for decades.
Jessica Pruett, Au. D.

Jessica Pruett, Au. D.

Clinical Audiologist

Dr. Jessica Pruett moved to the Gulf Coast in 2010 to pursue a career in audiology.

    OUR PROCEDURES

    CPAP Alternatives (Inspire)

    The Inspire upper airway stimulation system consists of a small impulse generator implanted beneath the clavicle, a tunneled breathing sensing lead placed between the external and intercostal muscles, and a tunneled stimulation lead attached to the branch of the hypoglossal nerve that produces tongue protrusion.

    When the sensing lead detects inspiration is occurring, the impulse generator sends a signal via the stimulation lead to the hypoglossal nerve, which results in slight forward displacement of the stiffened tongue. The impulse generator is similar in size and appearance to a cardiac pacemaker, and the latest version is magnetic resonance imaging compatible.

    Balloon Sinuplasty
    Balloon Sinuplasty is a minimally invasive procedure for treating chronic or recurrent sinusitis, a condition characterized by inflammation of the sinuses. This advanced treatment opens up blocked or narrow sinus passages to relieve sinus pain and pressure without the need for cutting. During the procedure, natural sinus openings and surrounding tissue are preserved.

    Dr. Keith Kowal at ENT Centers of Excellence is the only ENT physician in the region who offers Balloon Sinuplasty in-office. He can also perform Balloon Sinuplasty as an outpatient procedure.

    Transoral Robotic Surgery
    ENT Centers of Excellence is pleased to offer a breakthrough, state-of-the-art surgery called transoral robotic surgery (TORS), a minimally invasive procedure that offers numerous benefits to patients. TORS can be used for multiple purposes, for treatment of both sleep disorders and head and neck cancers. Dr. Keith Kowal is the only board-certified provider of TORS in the region.
    Lateral Pharyngoplasty
    Lateral pharyngoplasty is surgery that is designed to treat obstructive sleep apnea (OSA) and chronic snoring. The procedure involves a combination of tissue removal and tissue repositioning of the roof of the mouth (soft palate) as well as the tissues on the sides of the throat (the lateral pharyngeal tissues).
    Radiofrequency Ablation (of the tongue)
    Radiofrequency (RF) ablation of the base of tongue is a minimally invasive procedure for the treatment of obstructive sleep apnea (OSA) and chronic snoring that may be performed if the tongue is the primary cause of OSA and snoring symptoms. The purpose of the procedure is to reduce the size of the tongue base so that the airway is clearer and less likely to cause a blockage.
    Hyoid Suspension
    Hyoid suspension is a treatment for obstructive sleep apnea (OSA) and chronic snoring. The hyoid bone is a U-shaped bone in the neck that has attachments to muscles of the tongue as well as other muscles and soft tissues around the throat. The hyoid bone is free to move around rather than firmly anchored in position, and this mobility may cause this area to collapse and cause airway blockage during sleep. With a hyoid suspension procedure, this mobility is eliminated.

    Letitia G.

    After years of battling sinus infections, I went to ENT Centers of Excellence. Dr. Kowal and his staff were great! A CT scan at the office revealed a deviated septum, nasal valve collapse and ethmoid sinus disease. My nose had been broken twice in my 49 years, once when I was a young teen playing sports and once as a young adult from working with Autistic children. Dr. Kowal recommended sinus surgery with a rhinoplasty to repair the damage. His staff worked quickly to get my surgery approved through my insurance company and then got me scheduled around my children’s school and my busy work. My surgery was a huge success!!! It has been three weeks now and I am so happy with my results. I can breathe so much better and my nose looks amazing! Dr. Kowal did a fantastic job! I did my best to follow the discharge instructions to the letter that I was given at my pre-op visit. My outpatient surgery experience was pleasant too given the COVID prevention protocols. Kudos to the surgery center. The nurses and anesthesia staff did their best to make me as comfortable as possible. Following my surgery, I had minimal bruising compared to my friend who had a very similar surgery (rhinoplasty) performed by another ENT surgeon. It took about two weeks for all of the stitches to dissolve and most of the swelling to go away but after years of not being able to breathe well, that was nothing!

    We are blessed to have Dr. Kowal on the Eastern Shore!