About Us

Dr. James S. Soileau and Dr. Gerard J. Gianoli are board certified in Otolaryngology (ear, nose and throat)and Neuro-otology (inner ear and skull base), but their practice is restricted to balance disorders, hearing loss and skull base surgery (to treat disorders of the ear and skull base). They have been working extensively with other doctors and researchers for many years to unlock the mysteries of balance and hearing disorders.

Ear and Balance Institute is equipped with one of the most extensive audio-vestibular testing labs in the country. It is also one of a handful of medical practices in the country which solely sees patients with ear and skull base-related problems. This enables Dr. Soileau and Dr. Gianoli to diagnose and treat on-site all levels of inner ear disorders.

Our Mission

Comprehensive care for people with hearing loss, dizziness, and balance disorders. To maintain a medical practice environment in which we can treat you the way we ourselves would like to be treated if we were in your place. While most so-called, “experts” say that this is simply not possible anymore. We do it every day! The importance of a patient’s trust in their physician should never underestimated.

Our Physicians

Gerard J. Gianoli, M.D., graduated from Tulane University with a degree in Engineering and subsequently matriculated from Tulane University’s Medical School in 1986. He did an internship in General Surgery and an internship in Pediatrics. Following a residency in Otolaryngology- Head and Neck Surgery, he completed a fellowship in Otology, Neurotology and Skull Base Surgery at the Michigan Ear Institute.

He was a full-time Associate Professor at Tulane Medical School until July 2000 when he joined Ear and Balance Institute. He still maintains a Clinical Associate Professor appointment at Tulane in both the Department of Otolaryngology-Head and Neck Surgery and the Department of Pediatrics. He has published and lectured extensively in the field of Neurotology and serves on multiple Editorial Review Boards for the fields of Neurotology and Otolaryngology.


James S. Soileau, M.D. graduated from Louisiana State University Medical School in 1963.  After two years of research regarding inner ear function, he completed his residency at Louisiana State University where he also performed two years of research on vestibular testing (ENG) in the Master’s degree program.  He also completed a fellowship at the EAR Foundation in Nashville, Tennessee with Dr. Michael Glasscock, after a stint as a medical officer in the Vietnam War.  Dr. Soileau supervised the Vestibular Lab at LSU Medical School and was a lecturer for graduate students on vestibular physiology from 1970-1975.

He has been in private practice since then and has been involved in the development of vestibular testing equipment throughout his entire career.  In addition to the development of multiple medical instruments (including helping set the standard for caloric irrigation systems), he has assisted many of the industry leaders in the beta testing of vestibular testing devices.  He has lectured at many national meetings on vestibular testing and evaluation.  His practice is strictly limited to the evaluation and medical treatment of vertigo and dizziness.

He is Board Certified in Otolaryngology-Head and Neck Surgery.


Kacie S. Harvey, Au.D., FAAA, CCC-A has directed audiological services at Ear and Balance Institute since 2000. She graduated from Southeastern Louisiana University in 1996 with a Bachelor’s in Communication Disorders, and then completed her Master’s degree in Audiology at Louisiana State University in 2000.  In 2006, she returned to school to complete her Doctor of Audiology (Au.D.) degree. Dr. Harvey has extensive experience in diagnostic audiology and hearing aids, as well as advanced electrophysiological testing. Kacie is licensed by the State of Louisiana, is a member of the American Academy of Audiology and holds her Certificate of Clinical Competence in Audiology through the American Speech, Language and Hearing Association. Outside of work, her interests include spending time with her husband and three children.

Our Services

Ear and Balance Disorders

Ear and Balance Institute is equipped to handle virtually any ear-related medical problem. However, the following are a selection of some of the ear-related problems we encounter with a great deal of frequency.

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Superior Semicircular Canal Dehiscence (SSCD)
  • Dizziness and Balance Disorders
  • Perilymph Fistula
  • Meniere’s Syndrome
  • Migraine Associated Vertigo
  • Vestibular Neuritis
  • Labyrinthitis
  • Hearing Loss
  • Sudden Sensorineural Hearing Loss
  • Otosclerosis
  • Cholesteatoma
  • Tinnitus
  • Encephalocele – CSF Leak
  • Ototoxicity
  • Acoustic Neuroma

Superior Semicircular Canal Dehiscence

Superior Semicircular Canal Dehiscence (SCDS) is a medical condition of the inner ear, leading to hearing and balance symptoms to different extents in those affected. The symptoms are caused by a thinning or complete absence of the part of the temporal bone overlying the superior semicircular canal of the vestibular system. It often becomes symptomatic after physical trauma to the head or a severe pressure-altering event. The presentation can vary quite dramatically from one patient to another.  The Ear and Balance Institute has one of, if not the largest, experience in the diagnosis and treatment of SSCD in the world. We have become an international referral center for SCDS.

Diagnostic Testing

Because the hearing and balance functions of your inner ears are closely related, it is important to comprehensively evaluate the hearing and balance systems whenever either system is affected.

Hearing Loss, Hearing Aids & Hearing Protection

Hearing and understanding provide a vital link to the world around you. They enable you to communicate and interact with others and are a source of enjoyment and information. Hearing loss can creep up gradually, impacting your ability to actively participate in life. Some sounds become difficult to hear while others remain audible. Communication becomes more challenging and requires more effort, especially in the presence of background noise. Making the decision to have your hearing tested is the first step toward improving the quality of your life.

If you answer “yes” to one or more of the following questions, you should have your hearing evaluated by an Audiologist who can perform a thorough hearing test and offer advice.

  • Do people seem to be mumbling?
  • Do you have to turn up the volume on the TV or radio?
  • Do you find it difficult to hear the doorbell or the telephone ring?
  • Are certain voices easier to hear compared to others?
  • Do you have difficulty following conversation in a group or in the presence of background noise?
  • Do you avoid certain social activities because it’s difficult to hear and communicate?
  • Has anyone mentioned that you may have a problem hearing?

Expert Witness Services

The doctors of the Ear and Balance Institute have extensive experience in work as Expert Witnesses. We have the ability to completely evaluate in an objective fashion, claims of hearing loss, dizziness, vertigo and imbalance. For several years we have taught national courses on the evaluation patients with ongoing litigation or other secondary gain issues.

Our expert witness services can include any or all of the following:

  • Medical Record Review
  • Patient Evaluation – IME
  • Depositions
  • Testifying at trial

Financial Policy

What is “Third-Party-Free”?

We don’t work for any insurance company.  We work only for you, the patient.

Third-Party-Free means that we do not participate with ANY third party (Medicare, Medicaid, HMOs, Tri-Care, Workers Comp, Motor Vehicle No Fault, insurers etc).  Because we have no contract with any third party payer, we have no conflict of interest with our patients. We are not subject to the coercion, restrictions, rationing and meddling in your medical care by bureaucrats – for the purpose of improving their profits or limiting care to meet cost-containment objectives (often at the expense of the individual patient).  We are able to practice ethical medicine, based on our best medical judgment (in accordance with the Oath of Hippocrates) as opposed to practicing medicine according to the “substituted judgment” of a third party.

Contact Us

1401 Ochsner Blvd., Suite A
Covington, Louisiana 70433
(985) 809-1111 (phone)
(985) 809-1119 (fax)

Directions
From Baton Rouge (Take I-12 East)
or New Orleans (Take the Causeway bridge North and exit West onto I-12)

©2019 Ear and Balance Institute

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