Pediatric ENT is a medical specialty branch of otolaryngology focused on treating ear, nose, and throat conditions in children. Most children may not be able to accurately describe their symptoms when they’re sick, which is common due to their limited ability to articulate how they feel.
Typical signs of potential ENT issues in children include fever, irritability, delayed speech, and frequent flu episodes. It’s crucial to recognize these symptoms early in children, as untreated ENT conditions can lead to serious complications. Prompt medical attention is essential for effective management.
ENT stands for “ear, nose and throat”. The ear, nose and throat are anatomically and functionally connected, sharing pathways for hearing, taste, smell and breathing. Because of this, they are interdependent, meaning problems in one area can affect the others. For example, fluid drainage from the middle ear can be blocked by a blocked eustachian tube which runs from the ear to the throat. This can cause discomfort and ear infections. Therefore, ear, nose and throat infections are typically treated together by the same doctor.
Your child’s immune system is still developing, making them more likely to catch infections. This can lead to frequent colds, ear infections, and throat problems.
Babies and toddlers haven’t built up immunity to many common viruses yet. They may catch 6-8 colds a year, compared to 2-3 for adults. Each cold can last up to two weeks.
As your little one grows, their immune system gets stronger. They’ll get sick less often. Until then, good hygiene helps. Teach them to wash their hands often and cover coughs and sneezes.
The Eustachian tube connects your child’s middle ear to the back of their throat. In kids, this tube is shorter and more horizontal than in adults.
This makes it easier for germs to travel from the nose and throat to the ears.
When your child has a cold, the tube can get blocked. This traps fluid in the middle ear, leading to ear infections.
About 5 in 6 children will have at least one ear infection by age 3.
As your child grows, their Eustachian tube will change position. This helps reduce ear problems.
Until then, treating colds quickly can help prevent ear infections.
Tonsils and adenoids are part of your child’s immune system. They trap germs that enter through the mouth and nose. In some kids, these tissues can become enlarged.
Large tonsils and adenoids can cause:
Enlarged tonsils and adenoids are common among children aged 3 to 6. If the problem is severe, your doctor might suggest removing them.
Allergies can cause ongoing nose and throat issues in children.
Common triggers include:
Symptoms of nose allergies include:
About 40% of children have allergies. They often start between ages 3 and 5. Avoiding triggers and using medicine can help manage symptoms.
If your child has frequent ENT problems, talk to your doctor. They can help find the cause and suggest treatments.
Speech therapy is for kids who have speech and language disorders. Therapists work with kids to improve pronunciation, understanding and use of language and correct speech impediments. This tailored approach helps with better communication skills so kids can interact more effectively in school and daily life.
FEES is a test that looks at how your child swallows. A small camera goes through the nose to see the throat.
This test shows if food or drink goes into the lungs instead of the stomach.
The doctor will ask your child to eat different foods and drinks. They watch how your child swallows on a screen.
This helps spot any problems.
FEES is quick and doesn’t need special prep. It’s safe and doesn’t use X-rays. Your child can eat normally right after the test.
Aspiration is when food or drink goes into the lungs. This can cause breathing problems or infections.
Your doctor will check for signs of aspiration during meals.
They might use special tests like X-rays or FEES. These show if your child is aspirating.
The doctor will then make a plan to help. This might include:
The goal is to keep your child safe while eating and drinking.
Hearing tests check how well your child can hear. There are different types of tests for different ages.
For babies, the doctor might use a test called OAE (otoacoustic emissions). This checks how the inner ear responds to sound.
Another test, ABR, looks at how the brain reacts to sounds.
Older children might have a test where they raise their hand when they hear a beep. Or they might play a game where they move toys when they hear sounds.
These tests help find any hearing loss early. This is key for your child’s speech and learning.
Nasoendoscopy uses a thin, flexible tube with a camera. It goes through the nose to look at the throat and voice box.
This test helps check for:
The doctor can see if there are any growths or blockages. They might spray a numbing medicine in the nose first. This makes it more comfy for your child.
The test is quick, usually taking about 5 minutes. Your child can go back to normal activities right after.
Too much ear wax can cause hearing problems or ear pain. Removing it needs care, especially in children.
Doctors use a microscope to see clearly inside the ear.
They might use small tools or gentle suction to remove the wax. Sometimes, they use drops to soften the wax first.
This makes removal easier.
This method is safe and doesn’t hurt. It’s better than using cotton buds at home, which can push wax deeper into the ear.
Kids sometimes put things in their ears, nose, or mouth that get stuck. Doctors have special tools to remove these objects safely.
For the ear, they might use tiny forceps or suction. In the nose, they could use special tweezers or a suction device. For the throat, they might need a scope to see and grab the object.
The doctor will choose the best method based on what and where the object is.
They’ll make sure your child is calm and comfy during the process.
These are surgeries to remove tonsils (small glands in the back of the throat that help fight infection) and adenoids (tissue high in the throat behind the nose and roof of the mouth, aiding immune response). Doctors might suggest this if your child has:
Before surgery, your child will have tests to check their health.
The doctor will explain what will happen and answer your questions.
The surgery is done under general anaesthesia. It usually takes about an hour. Your child will need to rest at home for about a week after.
This procedure helps children with frequent ear infections or fluid build-up.
The doctor makes a tiny cut in the eardrum and puts it in a small tube.
The tube helps air get into the middle ear. This reduces infections and improves hearing.
The procedure is quick, usually taking about 15 minutes.
Your child will be asleep during the surgery. They can often go home the same day. The tubes usually fall out on their own after 6-18 months.
Before a pediatric ENT procedure, you’ll meet with the specialist to discuss your child’s condition. They’ll explain the treatment plan and answer any questions you might have.
It’s important to share your child’s medical history and current medications.
The doctor may order tests like hearing assessments or imaging scans. These help create a tailored approach for your child’s needs.
You’ll receive instructions on preparing your child for the procedure. This often includes fasting guidelines and what to bring on the day.
It’s a good idea to explain the process to your child in simple terms to ease any worries they may have.
On the day of the procedure, you’ll arrive at the hospital or clinic. The medical team will check your child’s vitals and get them ready.
Common pediatric ENT procedures include:
Most procedures use general anaesthesia to keep your child comfortable.
The surgeon will perform the operation using specialised tools suited for children.
The length of the procedure varies depending on its complexity. You’ll be updated on your child’s progress throughout.
After the surgery, your child will be taken to a recovery area. The medical team will monitor them closely as they wake up from anaesthesia.
You’ll receive care instructions for home. These include:
It’s normal for children to feel groggy or upset after surgery. Comfort and reassure them as they recover.
Watch for signs of complications like fever or excessive bleeding. Contact your doctor if you have any concerns.
Most children bounce back quickly from ENT procedures. With proper care, they’ll soon return to their normal activities.
Minor infection: In rare cases, your child could develop a minor infection from the examination tools. This risk is very low, as clinics follow strict hygiene practices.
Temporary reaction to medications: Some children may have a temporary reaction to any medications prescribed. Keep an eye out for signs of allergies or unusual side effects.
Gradual hearing loss can occur after ear surgery. Get your child’s hearing checked regularly to manage this complication.
These prices may seem steep, but remember that they often include:
Some medical insurance plans cover pediatric ENT procedures. It’s a good idea to check with your provider about what’s included in your policy. This can help you plan for any out-of-pocket expenses.
While cost is important, the quality of care should be your top priority. Pediatric ENT specialists in Singapore are known for their expertise and use of advanced equipment. This means your child will receive top-notch care, giving you peace of mind.
Stay Vaccinated : Timely vaccination is key to protecting your child from diseases that can lead to ENT infections. Vaccines for influenza, measles, mumps and rubella are especially important to prevent these diseases and its complications.
Practice Good Hygiene : Many ear, nose and throat conditions come from viruses and bacteria in dirty environments. Teach your child to wash their hands with soap and water regularly especially before eating and to cover their mouth when they cough or sneeze to protect their health and prevent the spread of these infections.
Know and Manage Your Child’s Allergies : Allergic reactions like rhinitis and sinusitis can be caused by allergens like dust, pollen, mold or pet dander. By knowing what triggers your child’s allergies and minimising their exposure to these substances, you can manage their symptoms better and prevent the condition from getting worse.
Live Healthy : In addition to good hygiene, your child’s overall lifestyle and diet also plays a big role in preventing ENT issues and reducing doctor’s visits. Make sure your child eats a balanced diet, drinks plenty of water and gets enough sleep to keep their immune system strong.
Take Care of Your Child’s Ears : Dirt and earwax accumulation can block the ears and cause bacterial growth which can lead to infections. Gently clean your child’s ears with a damp soft cloth to remove any debris. Do not use cotton swabs or any objects inside their ears as these can damage the eardrum or push the wax deeper. Consult an ENT specialist for proper earwax removal methods or for recommended drops. Also, protect your child’s hearing by keeping them away from loud noises. A good rule to follow is if you need to raise your voice to be heard over the noise, it’s loud enough to be harmful to your child’s ears.
Your child will have a thorough exam of their ears, nose, and throat. The doctor will ask about symptoms and medical history. They may use special tools to look inside the nose and ears.
Explain what will happen in simple terms. Bring your child’s medical records and a list of current medicines. Write down any questions you have beforehand. Bring a favourite toy for comfort.
Most are not serious and can be treated easily. Some conditions, like chronic ear infections, may need ongoing care. Your doctor will explain the severity and treatment options for your child’s specific case.
Factors include exposure to smoke, allergies, family history of ENT issues, and frequent colds. Bottle-feeding whilst lying down can also increase ear infection risk in babies.