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Otolaryngologist (ear, nose, throat)
11 years of experience
Video profile
Accepting new patients

Education ?

Medical School Score
Loyola University Chicago (1999)
  • Currently 2 of 4 apples

Awards & Distinctions ?

Associations
American Academy of Otolaryngology: Head and Neck Surgery
American Board of Otolaryngology

Affiliations ?

Dr. Mucha is affiliated with 8 hospitals.

Hospital Affilations

Score

Rankings

  • ProMedica North Region-Herrick Campus
    500 E Pottawatamie St, Tecumseh, MI 49286
    • Currently 4 of 4 crosses
    Top 25%
  • St Luke's Hospital
    Otolaryngology
    5901 Monclova Rd, Maumee, OH 43537
    • Currently 4 of 4 crosses
    Top 25%
  • ProMedica North Region-Bixby Campus
    Otolaryngology
    818 Riverside Ave, Adrian, MI 49221
    • Currently 1 of 4 crosses
  • Herrick Medical Center
  • Bixby Hospital
  • Herrick Hospital
  • Flower Hospital
  • St Luke's Hospital
  • Publications & Research

    Dr. Mucha has contributed to 6 publications.
    Title Nasal Challenge with Allergen Leads to Maxillary Sinus Inflammation.
    Date June 2008
    Journal The Journal of Allergy and Clinical Immunology
    Excerpt

    BACKGROUND: Allergic rhinitis and chronic rhinosinusitis are both characterized by chronic inflammation. OBJECTIVE: We sought to investigate the effect of nasal allergen challenge on the maxillary sinus and study the effect of premedication with loratadine. METHODS: We performed a double blind, crossover, randomized, placebo-controlled study in 20 allergic subjects out of season. After treatment with either placebo or loratadine (10 mg PO daily) for 1 week, a catheter was inserted into one maxillary sinus and used to lavage the cavity. The subjects then underwent nasal challenge with diluent for the allergen extract, followed by 3 concentrations of grass or ragweed. Nasal and ipsilateral sinus lavages were performed after each challenge and then hourly for 8 hours. Sneezes and symptoms were recorded, and the lavage specimens were evaluated for eosinophils and levels of eosinophil cationic protein, albumin, and histamine. Eleven of the subjects underwent a similar challenge with lactated Ringer's solution. RESULTS: Compared with the lactated Ringer's solution challenge, allergen challenge resulted in significant increases in most early- and late-phase nasal parameters. Allergen challenge of the nose also led to a significant increase compared with control values in maxillary sinus eosinophils and the levels of albumin, eosinophil cationic protein, and histamine during the late response. Loratadine resulted in significant inhibition of the nasal early response compared with that seen with placebo (P < .05). CONCLUSION: These findings suggest that a neural reflex or systemic allergic inflammation is responsible for the sinus inflammatory response and that this inflammatory response might play a role in the development of rhinosinusitis in allergic subjects.

    Title Delayed Maxillary Sinusitis After Orbital Floor Repair.
    Date April 2007
    Journal Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-head and Neck Surgery
    Title Comparison of Montelukast and Pseudoephedrine in the Treatment of Allergic Rhinitis.
    Date March 2006
    Journal Archives of Otolaryngology--head & Neck Surgery
    Excerpt

    OBJECTIVE: To compare montelukast sodium and pseudoephedrine hydrochloride in the treatment of seasonal allergic rhinitis. DESIGN: A 2-week, parallel, randomized, double-blind study with rolling enrollment. SETTING: Tertiary care medical center. PATIENTS: A total of 58 adult subjects with ragweed allergic rhinitis as documented by positive findings on a skin test to ragweed and history of symptoms during previous seasons. INTERVENTIONS: After recording their own baseline nasal symptoms, nasal peak inspiratory flow (NPIF), and diurnal and nocturnal rhinoconjunctivitis quality of life (QOL) scores, subjects were randomized to receive daily morning oral doses of either pseudoephedrine hydrochloride (240 mg) or montelukast sodium (10 mg) for 2 weeks. They recorded their nasal symptoms and NPIF twice daily during this time, and at the end of the study, they completed another QOL questionnaire and 2 tolerability profiles. MAIN OUTCOME MEASURES: Nasal symptoms, NPIF, QOL scores, and tolerability profiles. RESULTS: Both active treatments resulted in significant improvements from baseline in all symptoms of allergic rhinitis as well as in all the domains of the QOL questionnaires. When changes from baseline were compared between treatments, there were no significant differences except in the symptom of nasal congestion, for which pseudoephedrine was more effective than montelukast. Both treatments resulted in a significant increase in NPIF over baseline with no significant difference between treatments. Both drugs were well tolerated with no differences in the tolerability profiles between treatments. CONCLUSIONS: Pseudoephedrine and montelukast are equivalent in improving symptoms and QOL and increasing nasal airflow in patients with seasonal allergic rhinitis. The lack of the usual adverse effects in the pseudoephedrine group is ascribed to morning dosing.

    Title Sinusitis Update.
    Date June 2003
    Journal Current Opinion in Allergy and Clinical Immunology
    Excerpt

    PURPOSE OF REVIEW: Rhinosinusitis affects more than 10% of the US population. It results in high health care expenditure as well as decreased productivity through lost days of school or work. This review includes recent findings in diagnostics and pathophysiology, as well as recent advances in treatment. RECENT FINDINGS: Parameters used in the diagnosis of rhinosinusitis include patient symptomatology, physical and endoscopic findings, computed tomography scan scores, and culture results. There has been poor correlation between patient symptoms and computed tomography scan scores, but middle meatal cultures have been shown to correlate well with ethmoid sinus cultures obtained from chronic rhinosinusitis patients. Chronic inflammation with a predominance of eosinophils and T lymphocytes in the tissues is being recognized as a hallmark of chronic rhinosinusitis, especially in patients with asthma or allergic rhinitis. Th2 cytokines are prominent in sinus tissues of patients with chronic rhinosinusitis and allergic rhinitis. While antibiotics are used with greater frequency in the treatment of acute and chronic rhinosinusitis, adjuvant therapies, such as intranasal steroids, might affect patient symptoms and curb disease recurrence. SUMMARY: Clinical symptoms are important in making the diagnosis of rhinosinusitis and should be supported by objective findings on nasal endoscopy and, if necessary, computed tomography scans. The mainstay of treatment remains antibiotics, with a potential role for decongestants and intranasal steroids. The presence of chronic inflammation with a Th2 cytokine predominance in sinus tissues should be kept in mind, especially in patients with coexistent morbidities such as allergic rhinitis and asthma.

    Title Relationships Between Atopy and Bacterial Infections.
    Date May 2003
    Journal Current Allergy and Asthma Reports
    Excerpt

    Atopy in its most common forms (asthma, allergic rhinitis, and atopic dermatitis) has a significant impact on society in terms of health care costs and quality of life. Aside from having significant morbidity from these diseases, patients with atopy have also been noted to have a high incidence of comorbidities, including bacterial infections such as otitis media and sinusitis. In this paper, current evidence is reviewed that supports the close associations among allergic rhinitis and the two commonly diagnosed bacterial diseases, otitis media and sinusitis.

    Title Radiology Quiz Case 2. Verrucous Carcinoma of the Maxillary Antrum.
    Date March 2003
    Journal Archives of Otolaryngology--head & Neck Surgery

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