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Ear, Nose & Throat (ENT)

Ear, Nose, & Throat

From persistent sinus problems and hearing concerns to thyroid conditions and complex head and neck disorders, Snoqualmie Valley Health provides specialized ear, nose and throat (ENT) care to help you breathe, hear, speak and feel better.

Also known as otolaryngology (pronounced “oh-toe-lair-in-GAWL-uh-jee”), ENT is a medical and surgical specialty focused on conditions affecting the ears, nose, sinuses, throat and other structures of the head and neck. ENT specialists treat conditions that can affect breathing, sleep, smell, swallowing, speaking, hearing, balance and thyroid and parathyroid health.

Our ENT specialist, Peiran Zhou, MD, offers both surgical and nonsurgical treatment options, working with you to understand your concerns and develop a personalized care plan.

We care for patients ages 3 and older. We also evaluate younger children experiencing recurrent middle ear infections to determine whether ear tube placement without general anesthesia may be appropriate.

Conditions Treated By Our Ear, Nose & Throat Provider

ENT doctors are experts in the diagnosis and treatment of a wide range of conditions affecting the ears, nose, throat, and related areas of the head and neck. Their role may include detecting cancer and surgically removing certain tumors, with referrals to specialized cancer care teams when additional treatment is needed. Snoqualmie Valley Health is not a cancer center.

Conditions ENT doctors evaluate and treat include:

Head and Neck Cancer

  • Cancers of the oral cavity, including those affecting the tongue, palate, and cheek mucosa
  • Oropharyngeal cancers, including tonsil cancer
  • Laryngeal cancer (voice box)
  • Skin cancers, including melanoma and squamous cell carcinoma
  • Sentinel lymph node biopsy

Mouth, Jaw, & Throat Disorders 

  • Tongue
  • Floor of the mouth
  • Lips
  • Jawbone (mandible)
  • Tonsils
  • Soft palate
  • Base of the tongue

Nose, Sinus & Skull Base Conditions

  • Sinus infections and inflammation (sinusitis)
  • Nasal allergies and inflammation (rhinitis)
  • Nasal congestion or difficulty breathing through the nose (nasal obstruction)
  • Postnasal drip

Thyroid & Parathyroid Disorders 

  • Thyroid nodules and thyroid cancers
  • Enlarged thyroid gland (goiter)
  • Thyroglossal duct cyst
  • Other thyroid diseases requiring surgical treatment
  • Hyperparathyroidism, including parathyroid adenoma

Salivary Gland Disorders

  • Benign and malignant salivary gland tumors
  • Salivary gland or duct stones and blockages

Voice, Airway & Swallowing Disorders

  • Voice changes and related vocal cord disorders
  • Narrowing of the windpipe (tracheal stenosis)
  • Swallowing difficulties or regurgitation, such as Zenker’s diverticulum

Benign Lumps & Masses

  • Congenital masses, such as branchial cleft cyst
  • Benign tumors, such as lipoma, dermoid cyst
  • Carotid body tumors

Pediatric Conditions

  • Recurrent strep throat
  • Recurrent middle ear infections (ear tube placement may be performed without general anesthesia when appropriate)
  • Sleep-disordered breathing
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Advanced Reconstructive Surgery

Our ENT surgeon performs transoral robotic surgery (TORS), a minimally invasive procedure that uses robotic-assisted instruments inserted through the mouth to access and remove tumors in the throat without external incisions.

Our team also offers free flap reconstruction, which uses tissue such as skin, muscle, or bone from another part of the body to reconstruct areas of the head and neck after tumor removal. This approach helps restore both form (appearance) and function (including swallowing and speaking).

When to See an Ear, Nose, & Throat Provider

When ear, nose or throat symptoms affect your daily life, specialized care can help. An ENT doctor diagnoses and treats concerns such as recurring sinus and ear infections, hearing changes, balance problems, and difficulties with voice or swallowing. If symptoms keep coming back or aren’t improving with treatment, an ENT can help identify the cause and recommend care tailored to your needs.

Talk with your primary care provider about whether a referral to an ENT is right for you.

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Scheduling and Referrals

Self referrals are welcome.

Scheduling: 425-831-2313
Referrals: 425-831-3521

For additional departments, please visit our contact page.

If you have an outside provider that you would like to have refer to our specialists, please provide them this form: Referral Request Form

Meet Our Ear, Nose & Throat Provider

Ears, Nose & Throat

Peiran Zhou, MD

Ears, Nose & Throat

Peiran Zhou, MD

Peiran Zhou, MD, PhD, is an Otolaryngology – Head and Neck Surgeon providing comprehensive ear, nose and throat (ENT) care, with a focus on advanced head and neck surgery. His clinical interests include thyroid and parathyroid surgeries, complex tumor removal and reconstruction, as well as robotic surgery. He is dedicated to providing personalized care that helps patients achieve the best possible outcomes and improve quality of life.

Dr. Zhou earned his medical degree and completed his residency in Otolaryngology–Head and Neck Surgery at the University of Washington. He then completed a fellowship in Head and Neck Oncology and Microvascular Reconstruction at Oregon Health & Science University. His research during residency has received support through grants from the American Academy of Otolaryngology–Head and Neck Surgery Foundation and Seattle Translational Tumor Research.

Dr. Zhou chose Snoqualmie Valley Health for the opportunity to build and grow a new Otolaryngology–Head and Neck Surgery service, bringing both comprehensive ENT care and advanced care for complex head and neck conditions to the community.

Originally from China, Dr. Zhou moved to Seattle after college and quickly fell in love with the Pacific Northwest. He met his wife at the University of Washington, and they now have two children.

Outside of work, Dr. Zhou enjoys traveling, snowboarding, cooking and spending time with his family exploring the Pacific Northwest.

Dr. Zhou speaks English and Mandarin.

Schedule An Appointment Today!