Paediatric ENT

Paediatric ENT

Paediatric otolaryngology is a medical subspecialty primarily concerned with preventing, diagnosing, and treating conditions that affect the ear, nose, and throat in children. When it comes to problems of the ears, nose, or throat, a paediatric otolaryngologist.

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Adenotonsillectomy


An adenotonsillectomy is an operation that removes both the adenoids and tonsils. Adenoids are enlarged masses of lymphatic tissue found between the back of the nose and throat, often hindering speaking and breathing in children.

An adenotonsillectomy is typically recommended for children who struggle with frequent and severe tonsillitis or have problems with sleep. For example, children who snore or have obstructive sleep apnea issues may need an adenotonsillectomy to remove their tonsils and adenoids.

Grommet Insertion


Grommet insertion is when a small plastic tube is put into a hole in the eardrum so that air can be let in and out of the ear, keeping it healthy.

This short operation may be recommended for children with glue ears that won’t clear up or have frequent ear infections. Glue ear is a condition that causes the middle part of the ear to be filled with fluid. This fluid can become thick and sticky, like glue and will cause middle ear infections over time.

Grommet surgery allows air to go into the middle ear, reducing the risk of fluid building up and allowing the pus to come out if an infection occurs.

Paediatric Airway Assessment and Endoscopic Intervention:


A paediatric airway assessment involves obtaining a comprehensive history and performing a detailed clinical examination and appropriate investigation to determine abnormalities in a child’s airway.

Laryngoscopy, tracheoscopy, bronchoscopy
Laryngoscopy: a procedure that uses endoscopy to look at the larynx, including the vocal cords, as well as the nearby structures of the back of the throat
Tracheoscopy: a procedure performed to look at the trachea (windpipe) in more detail.
Bronchoscopy: a procedure that allows doctors to look directly at the airway passages and lungs.

Balloon dilation, Anterior and posterior cricoid split
Anterior cricoid split is an airway procedure that is performed on infants in an attempt to avoid a tracheotomy. In contrast, a posterior cricoid split is typically performed on children with bilateral vocal fold immobility due to bilateral vocal fold paralysis or cricoarytenoid joint fixation with posterior glottic stenosis. Balloon dilation is ordinarily helpful in treating conditions that result in a mild and soft airway narrowing in the areas of the subglottis or trachea. The balloon is inflated for a brief period in the airway during open airway surgery.

Supraglottoplasty
Supraglottoplasty is a microscopic surgical procedure to alter malformed structures of the upper larynx. This procedure is usually performed on children to help them breathe more quickly due to conditions like laryngomalacia. Laryngomalacia is a congenital softening of the tissues of the larynx above the vocal folds. The congenital softening usually causes the laryngeal structure to become malformed or floppy, making the tissue fall over the airway opening, resulting in a partial blockage.

Tracheostomy
A tracheostomy is when doctors create an opening at the front of the neck so a tube can be inserted into the windpipe to help a patient breathe. This procedure is usually performed on a child with a complex medical condition to manage an upper airway obstruction.

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