Dr. Ivor Emanuel

Dr. Ivor Emanuel  is Board Certified and brings his 30 years of experience to San Francisco ENT & Allergy.


Dr Emanuel’s expertise in the state of the art Management of nasal and sinus disease, allergy and asthma, enables him to provide the latest innovations in the management of these conditions to his patients.


Dr. Emanuel is a Fellow and Past President of the American Academy of Otolaryngic Allergy. He is a member of the American Academy of Otolaryngology/Head and Neck Surgery and the American College of Allergy, Asthma and Immunology.


Dr. Emanuel has been a Clinical Assistant Professor in Otolaryngology at the University of California, San Francisco, and also a member of the clinical faculty in the Department of Otolaryngology at Stanford University, Palo Alto, California.


Dr. Emanuel received his medical degree at the University of Witwatersrand in South Africa. He completed his otolaryngology residency at the Albert Einstein College of Medicine in New York City and a head and neck surgical fellowship at the University of Cincinnati, Ohio.


Throughout his career, Dr Emanuel has edited and written numerous scientific articles, book chapters and other professional publications. He has lectured extensively both in the United States and internationally, especially on the subject of allergy diagnosis, acute and chronic sinus disease, the allergic relationship to chronic sinusitis and asthma, and sublingual allergy immunotherapy (SLIT).


He is considered a national expert in the field of sublingual immunotherapy and allergy blood testing, having used these methodologies for over 25 years. He was a consultant for Phadia diagnostics, the developer of the allergy blood test, ImmunoCap, from 1986 – 1994. He has been a medical consultant for Blue Shield of Northern California and has sat on the Otolaryngology and Allergy Advisory Boards for numerous organizations.

Scientific Publications:

  • Malignant lymphoma presenting as a parotid mass.   The Journal of Laryngology and Otology, 1976


  • Assessment of In Vitro IgE Testing to Diagnose Allergic Disease. Annals of Allergy, 1985


  • Comparison of In Vitro Allergy Diagnostic Methods. Immunology and Allergy   Practice,1985


  • Allergic Rhinitis.  Audiodigest in Otolaryngology, 1986


  • A Comparison of In Vitro Diagnostic Assays. Ear, Nose and Throat Journal, 1990


  • In Vitro Testing. A Monograph. American Academy of Otolaryngic Allergy. Senior Editor. Thieme, 1994


  • Performance Characteristics in the Evaluation of In Vitro assays. In vitro monograph. Thieme, 1994


  • Allergic Rhinitis and Sinusitis. Clinical Courier, vol 15 #4, March 1997


  • In Vitro Assays for IgE .Otolaryngology Clinics of North America, Feb.1997


  • Current Opinions in Otolaryngology/Head and Neck Surgery, Editor, Allergy section, 1997-99


  • Methods of IgE; RAST and related methods. “Allergy” volume,  Methods in Molecular Medicine Series, Imperial college School of medicine, London.


  • Atopic Factors in Upper Respiratory Tract Disease: Diagnosing and Managing Nasal Symptoms. Annenberg Center for Health Sciences, CME; American Academy of Family Practice, 2000.


  • The Management of Allergic Rhinitis. Illinois State Medical Society and Illinois Academy of Family Practice, 2000


  • “The Allergy Report” task force. American Academy of Allergy, Asthma and Immunology, 2000.


  • Chronic Rhinosinusitis: Allergy and Sinus CT relationships, Otolaryngology/Head and Neck Surgery, 2001


  • Cost analysis of employing Multi-Test allergy screening to guide Serial Endpoint Titration testing (SET)  versus SET alone.     Otolaryngology/Head and Neck Surgery, 2001.


  • In Vitro Testing for Allergy Diagnosis. Otolaryngology Clinics of North America, Oct. 2003.


  • Allergic and Non-Allergic Rhinitis. Chapter, Current Diagnosis and Treatment in Otolaryngology/Head and Neck Surgery, Lange series 2004,  Revised 2007 and 2012.


  • Under Treatment of Allergy: Exploring the Utility of Sublingual Immunotherapy. Otolaryngology/Head and Neck Surgery, 2009.


  • Nasal deposition of Ciclesonide nasal aerosol and Mometasone aqueous nasal spray in Allergic Rhinitis patients.  Am J. Rhinol Allergy, 2014