Alliance’s renowned team addresses all your sleep, sinus, allergy, & hearing needs—and our in-office CT scans may even save you a hospital visit. Temporal scans analyze hearing loss, ear infections, and diseases of the inner and outer ear. Sinus scans detect inflammatory diseases and issues like sinusitis. Take a look at our services below to learn more. For additional information, call today.


PHONE: (414) 727-0910



Sleep Services

Many of us suffer from the effects of poor sleep. With a comprehensive sleep program, we have expertise in sleep disorder diagnosis and sleep disorder treatment, including treatments for sleep apnea. Alliance is committed to providing the highest quality of patient care in the field of sleep medicine. If you are suffering from poor sleep, our team can provide you with the sleep disorder treatment you need.

    In some cases, patients may appear to only suffer from snoring, when in reality they have obstructive sleep apnea. Sleep studies are one way to determine if this is the case for a patient. Traditionally, most sleep studies were conducted at specialized sleep centers where patients would stay and sleep overnight to provide doctors with information about the patient’s sleep problems. These facilities continue to be very useful for doctors but are often inconvenient and can sometimes be less cost effective for their patients.

    As part of our commitment to our patients, Alliance offers home sleep studies as an alternative. For home sleep studies, patients can sleep at their own homes in their own beds and wear a specialized piece of equipment to gather valuable data our doctors can use to diagnose their condition.

      Continuous Positive Airway Pressure, or CPAP, is a commonly prescribed treatment for obstructive sleep apnea and some snoring conditions. When people who suffer from obstructive sleep apnea are asleep, breathing can cause their airway to collapse, blocking oxygen from reaching the lungs and lowering the amount of oxygen in their blood. CPAP machines remedy this condition. A CPAP mask is placed over the sleeper’s mouth and/or nose and delivers a stream of compressed air to keep the airways unblocked.

      If a CPAP machine has been prescribed to treat your obstructive sleep apnea, Alliance may be able to assist you. Contact Alliance today at 414-727-0910 to schedule an appointment to discuss your options with one of our talented and compassionate doctors.

        As you age, tissues in your body begin to sag and lose their firmness, including tissues at the back of your throat. When you sleep, breathing can cause these tissues to vibrate, causing snoring. These sagging tissues can also restrict your upper airway, causing obstructive sleep apnea. The Pillar Procedure is a clinically proved, FDA approved solution that can help reduce snoring and alleviate mild to moderate obstructive sleep apnea.

        After local anesthesia has been administered, the doctor will insert small woven implants into the soft palate at the back of the patient’s throat. Over time the implants will become integrated into the tissue of the soft palate and help stiffen it, reducing the vibrations that cause snoring, as well as reducing tissue collapse that contributes to obstructive sleep apnea. The procedure can be completed in around 20 minutes and does not require invasive surgical techniques or removal of any tissues from the patient, so recovery time is minimal.

        You should consult your doctor at Alliance if you think the Pillar Procedure might be the right choice for your snoring or obstructive sleep apnea. Call us today at 414-727-0910 to learn if you could be a candidate for the Pillar Procedure.

        We offer a number of FDA approved treatments that can act as a replacement for CPAP machines or help reduce your need for your CPAP machines. Alliance has been involved with the mutli-discipline treatment of sleep disorders and obstructive sleep apnea since 2006. We work closely with sleep dentists who are trained to treat Obstructive Sleep Apnea with mandibular advancement devices (oral appliances).

        In certain situations, a behavioral specialist or sleep psychologist can play an integral role in helping patients acclimate to CPAP or treat other types of sleep disorders. Alliance has an independent sleep psychologist on their team of sleep specialists. For patients that are unable to tolerate or if they are not appropriate candidates for non-invasive treatment of their sleep disorder, Alliance offers traditional minimally invasive and other surgical options for the treatment of snoring and obstructive sleep apnea.

        BREATHING Services

        Alliance is dedicated to the best and most advanced methods of diagnosis and treatment of allergies. We’re a unique center – based in Wauwatosa, Wisconsin – where nationally recognized asthma and allergy doctors, careful diagnoses, cutting-edge treatments, ongoing research, and education of patients are the primary objectives.

        Alliance was the first office in Southeastern Wisconsin to perform the in-office balloon sinus dilation procedure. Alliance surgeons were the first to place drug eluting sinus implants (Propel, Contour) into the sinus cavities in the office setting and is the first office to offer Sinuva, the next generation of drug eluting implants. Alliance was also an investigational site (2012-2015) for the MERLOT Study which was a prospective multicenter study that looked at outcomes related to medical therapy versus sinus surgery using balloon sinus dilation technology.

          When dealing with problems related to the nose, it is important to determine if the issues are being caused by allergies or sinus problems. These conditions often overlap and may present many of the same side effects, so determining the exact cause of your symptoms is essential to ensuring you receive the best care possible. Our team at Alliance contains some of Wisconsin’s best allergists and ear, nose, and throat doctors, so if your symptoms are allergy related or sinus related, we have the technology and expertise to help you. Our team is equipped to handle a variety of different allergies including rhinitis, food allergies, drug allergies, eczema, and many other allergies in both children and adults.

          When you visit Alliance for your appointment, our doctors will make use of all the available tools including physical examinations and a variety of allergy testing methods to determine the cause of your symptoms. From there we will work with you to develop a treatment plan tailored to your unique situation and your treatment preferences.

            While there is no way to permanently cure allergies, allergen immunotherapy can act as an effective treatment for them. Many treatments like over the counter allergy medication work to treat the symptoms of allergies without doing anything about the underlying cause of allergies, sensitivity in your immune system. Allergen immunotherapy works by increasing your immune system’s resistance to allergens so your body does not react as violently when you come in contact with them, reducing your symptoms.

            Allergen immunotherapy comes in two forms, injections (also known as allergy shots), and sublingual (under the tongue) drops or tablets. For allergy shots, your doctor will administer allergen treatments once or twice a week for a few months to build up your system’s tolerance over time. Once an effective amount has been reached, your doctor will only need to administer shots once every two to four weeks depending on your response to the treatment. For sublingual immunotherapy, your will take small tablets or drops underneath your tongue that can be swallowed after about two minutes. This procedure can be performed at home and should be done as often as your doctor recommends. This treatment can continue for a few years to slowly build up your system’s tolerance.

              Sinusitis is defined as an inflammation of the sinus lining commonly caused by bacterial, viral, or microbial infections; as well as structural issues such as ostial blockage. Symptoms include nasal congestion, facial discomfort, nasal discharge, headache, and fatigue. For chronic sinusitis where antibiotics have not proven effective, balloon sinuplasty offers an FDA-cleared, minimally-invasive alternative to more expensive sinus surgeries. The procedure is less invasive than traditional sinus surgery, and effective at relieving symptoms of chronic sinusitis. Best of all, balloon sinuplasty can be performed in-office at Alliance by one of our talented doctors, and recovery time can be as little as 24 hours.

              Dr. Rieder is the leading experts in Wisconsin for providing this procedure. If you live in the Milwaukee, Franklin, or Brookfield area, Alliance can offer balloon sinuplasty treatment to help alleviate your symptoms and help you breathe freely again. If other treatments for your sinusitis have not worked for you, contact Alliance today at 414-727-0910 and schedule an appointment to see if balloon sinuplasty is right for you.

              Having unblocked nasal passages is easy to take for granted until blockage occurs. Blocked nasal passages make it difficult or impossible to breathe through your nose, making simple activities like eating dinner, speaking to your friends, and sleeping much more difficult. Nasal blockage can be caused by small structures in your face called turbinates. Turbinates are small bony structures covered in mucous membranes that are located inside your nasal passages.

              Turbinate reduction is a procedure that can be used to treat enlarged turbinates. The procedure utilizes a specialized coblation device to heat up very precise areas of the turbinates to remove or shrink the tissue without harming the surrounding areas. Turbinate reduction can be performed in-office at Alliance by one of our doctors and takes around 10 minutes to complete. Downtime after surgery is minimal, and most patients can return to normal activity very quickly. Contact Alliance today at 414-727-0910 to see if turbinate reduction is the right solution to your nasal blockage symptoms

              New technology has provided a number of excellent ways to treat nasal problems, but sometimes conventional surgical options are viable solutions. At Alliance, our doctors have decades of experience performing sinus surgery on our patients, and Dr. Rieder was one of the first physicians in Southeastern Wisconsin to perform in-office sinus procedures such as balloon sinuplasty and turbinate reduction. At Alliance we believe that in order to provide the highest quality of care it is vital to explore all the available options for our patients. Contact us today at 414-727-0910 to learn more about the services we offer and how we can help you.

              Alliance is proud to be the first practice in Wisconsin to utilize the new SINUVA implant to help treat nasal polyps. SINUVA is a small implant that is inserted into the nasal cavity during your office visit without surgery. Once the implant is in place it expands, opening up your sinus cavities before releasing anti-inflammatory medicine to help treat nasal polyps. The implant stays in place for up to 90 days and can be removed earlier if your doctor decides removal is the best course of action.

              SINUVA is designed to help treat nasal polyps as an alternative to surgery or other treatments for adults who have already undergone ethmoid sinus surgery. If you suffer recurring nasal polyps and surgery has not produced the results you need, contact Alliance today to learn if SINUVA is the right treatment for your sinus problems.

              HEARING Services

              Hearing loss can significantly affect your quality of life. Our hearing specialists can identify the cause of your hearing loss and, if needed, provide the latest in hearing aid technology. Contact us today at 414-727-0910 to learn about the hearing treatments Alliance can provide you.

                The ear is one of the most important parts of the human body, the most important of which is hearing. The ear is composed of four major components, each of which serves a vital role in your hearing, the outer ear, the middle ear, the inner ear, and the central auditory pathways. Damage to any of these structures can lead to hearing loss by reducing your ear’s ability to sense sounds or distorting the signals. Some types of neurological damage like head trauma or natural degeneration due to aging can also produce symptoms that are similar to hearing loss. If you are experiencing symptoms such as difficulty understanding parts of conversations, contact Alliance at 414-727-0910 and schedule an appointment with one of our talented audiologists.

                  If our doctors suspect that you are suffering from hearing loss we will utilize all the tools we have available to determine the source of your symptoms. This could include a visual inspection of your external ear as well as the latest diagnostic tests to determine how well your middle ear and inner ear are functioning. Once these tests have been completed your doctor will discuss the results with you. This will include a recommendation on what steps should be taken, including the treatment options or hearing aids that can be used to alleviate your symptoms. The audiologists at Alliance are dedicated to providing you with the very best care. Contact us at 414-727-0910 today if you think you are suffering from hearing loss to schedule an appointment with us.

                    At Alliance we take great pains to provide the best care for our patients. We recognize that for some individuals, hearing aids may represent an ‘unnecessary’ out of pocket expense. However, it is important to remember that letting your hearing loss go untreated will likely lead to a decrease in your quality of life. Losing your hearing could reduce or remove your ability to enjoy simple pleasures like music or the sound of a loved one’s voice, or result in more serious consequences like a loss of independence in older people.

                    Our audiologists can provide thorough hearing examinations to help determine the cause of your hearing loss and suggest ways to remedy this loss. Whether the solution involves hearing aids or another treatment method, we will find the best solution for your needs. Contact us at 414-727-0910 today if to see if hearing aids are the right solution for you.

                    Tinnitus is the perception of hearing a sound when there are no actual sounds present. This sound is usually described as a ringing, but can also sound like buzzing, hissing, whistling, or a roaring noise. It is believed by many doctors that tinnitus may result from the brain reacting oddly to hearing loss. Tinnitus has many potential causes, including:

                    • Damage to the ears from excessively loud noises such as very loud music or explosions
                    • Hearing loss as a result of age
                    • Medical conditions
                    • Certain medications

                    Because tinnitus has a different impact on every person who has it, developing a plan for each individual patient is an essential part of how Alliance cares for our patients. Depending on the results of the above tests we may recommend one of several treatment options, including music therapy and treatment devices. If you suffer from tinnitus, contact Alliance at 414-727-0910 and take the first step towards recovery.

                    If you’re one of the millions who partake in hunting or target shooting, you need to know the risks and remedies associated with subjecting your ears to repeated gunfire. About 80% of hunters report never using ear protection, but for every five years spent hunting, their risk of high-frequency hearing loss increases by 7%. For suffers of “shooter’s ear,” hearing loss may occur more acutely in one ear more than the other, depending on the handedness of the shooter.

                    To prevent progressive hearing loss, worsening communication demands, and the changes in personality that may result, act today with a baseline hearing test from Alliance. Our customized hearing protection provides a range of unique features for hunters and sport shooters, including improved communication, ambient awareness, comfort, and convenience.

                    “As a long-time allergy sufferer, I had almost given up on managing my allergies until I came to Alliance ENT & Hearing Center. Now, I feel better than I ever have!”

                    Robert, Wauwatosa

                    “The staff at Alliance is so friendly and helpful. I can’t thank them enough for everything they’ve done for my family.”

                    Claire, Mequon

                    “So my thanks to Dr. Rieder for improving both my day-to-day life as well as my driving life!”

                    Adam, Franklin