Dr. David Paul Goldstein

Dr. David Goldstein manages a variety of conditions related to the ear, nose, throat, and head/neck. Some common areas of treatment include:

Specific Pediatric ENT Conditions

• Pediatric Dysphagia (Swallowing Problems in Children): Difficulties with swallowing in infants or children, which can be due to various structural or functional issues.
• Pediatric Allergic Rhinitis & Sinusitis: Allergic reactions affecting the nasal passages and sinuses in children, requiring age-appropriate management strategies.

Common Nose and Sinus Conditions

• Recurrent Epistaxis (Nosebleeds): Frequent or difficult-to-control bleeding from the nose, which can have various underlying causes.
• Nasal Fractures & Trauma: A break or crack in the bones of the nose, often resulting from an injury, which can affect breathing and appearance.

Common Ear Conditions

• Barotrauma (Ear Pressure Injury): Ear pain or damage to the eardrum caused by unequal pressure between the middle ear and the environment, often during flying or diving.
• Mastoiditis: A bacterial infection of the mastoid bone, the prominent bone behind the ear, usually resulting from an untreated middle ear infection.

This list is not exhaustive and provides examples of common conditions. If you have specific concerns regarding your ear, nose, throat, or head/neck health, please consult with Dr. David Goldstein or your primary care physician for a comprehensive evaluation and appropriate referral.

• Interpretation of CT & MRI Scans of Head, Neck, Sinuses & Temporal Bones: Expert review of advanced imaging studies to diagnose complex ENT conditions.
• Fine Needle Aspiration (FNA) Biopsy of Head & Neck Masses: Minimally invasive procedure to obtain cell samples from thyroid nodules, lymph nodes, or other head and neck masses for diagnosis, often under ultrasound guidance.
• Flexible & Rigid Nasal Endoscopy / Sinuscopy: Diagnostic procedure using a thin, flexible or rigid camera with light to examine the nasal passages, sinuses, and nasopharynx.
• Flexible & Rigid Laryngoscopy / Stroboscopy: Examination of the larynx (voice box) and vocal cords using specialized endoscopic techniques to assess voice, airway, and swallowing disorders. Stroboscopy provides slow-motion view of vocal cord vibration.
• Comprehensive ENT Consultation & Examination: Thorough evaluation of ear, nose, throat, head, and neck conditions, including detailed history taking, physical examination, and formulation of a treatment plan.

Note: This list may provide an overview of common otolaryngology services. Dr. Goldstein offers a comprehensive range of diagnostic and treatment options for conditions of the ear, nose, throat, and head/neck. Specific services may vary based on individual patient needs and Dr. Goldstein's areas of focus.

All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO). A referral may be required.

Dr. Goldstein practices primarily at Hamilton Health Sciences situated in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto. The practice is conveniently located near Ontario Place and Harbourfront Centre, making it accessible for patients across the city. Patients can reach the clinic easily via TTC, including subway, streetcar, and bus services. The facility is wheelchair accessible. Parking is available at the facility, ensuring ease of access for all patients.

Are services from Dr. Goldstein, an Otolaryngologist - Head and Neck Surgeon, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, diagnostic tests, and surgical procedures performed by a licensed Otolaryngologist - Head and Neck Surgeon like Dr. Goldstein are generally covered by Ontario Health Insurance Plan (OHIP) in ON when you have a valid referral from your family doctor or another referring physician. Some elective or cosmetic procedures may not be covered. It's always recommended to confirm specific coverage details with Ontario Health Insurance Plan (OHIP) or the clinic if you have questions.

Do I need a referral from my doctor to see Dr. Goldstein, an Otolaryngologist - Head and Neck Surgeon?

Yes, for services to be covered by your provincial health plan (Ontario Health Insurance Plan (OHIP)), a referral from your family physician or another specialist is typically required to see an Otolaryngologist - Head and Neck Surgeon like Dr. Goldstein. This ensures coordinated care. Some clinics may offer non-insured consultations without a referral, but this is not standard for provincially covered services. Please check with the clinic or your referring doctor.

How can Dr. Goldstein help with snoring and sleep apnea?

Snoring and obstructive sleep apnea (OSA) are often caused by an obstruction or narrowing of the airway in the nose or throat. Dr. Goldstein, an ENT specialist, can perform a thorough examination to identify the areas of obstruction (e.g., deviated septum, enlarged tonsils or adenoids, large tongue base, elongated soft palate). Depending on the findings, treatment options may include lifestyle modifications (weight loss, positional therapy), CPAP therapy (often managed by a sleep physician), oral appliances, or surgical procedures aimed at improving airway patency. Examples include septoplasty, tonsillectomy, UPPP, or Inspire therapy in select cases.

How does Dr. Goldstein treat chronic sinusitis?

Treatment for chronic sinusitis is individualized and aims to reduce inflammation, drain the sinuses, and address underlying causes (like allergies or polyps). This may involve medications such as nasal corticosteroid sprays, saline rinses, oral antibiotics (if bacterial infection is confirmed), antifungal treatments in specific cases, or allergy management. In some cases, if medical management is not sufficient, Dr. Goldstein may recommend surgical procedures like functional endoscopic sinus surgery (FESS) or balloon sinuplasty to improve sinus drainage and ventilation.

What are common causes of hearing loss an ENT might address?

Hearing loss can result from various causes, including age-related changes (presbycusis), noise exposure, earwax buildup (cerumen impaction), ear infections (otitis media), fluid in the middle ear, damage to the eardrum or middle ear bones (ossicles), Meniere's disease, otosclerosis, or, less commonly, tumors or genetic conditions. An ENT specialist can perform a thorough evaluation to determine the cause and recommend appropriate management, which may include medical treatment, hearing aids, assistive listening devices, or surgery.

Hamilton Health Sciences
8NU885 - 200 Elizabeth St, Department of Pediatrics McMaster University
Toronto, ON M5G 2C4

Phone: (416) 340-3062 | Fax: (416) 946-2300

The facility is wheelchair accessible.

Dr. Goldstein is a licensed physician and surgeon, regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from your family physician or another specialist is typically required to schedule an appointment for provincially insured services.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Goldstein-David-Paul/0150315-72312