Pediatric ENT

The Sistrunk procedure is the standard surgical approach for thyroglossal duct cyst removal. In this comprehensive guide, pediatric otolaryngologist Dr. Christopher Liu walks through his approach to the Sistrunk procedure, detailing surgical technique, post-op care, and long-term follow-up.

Thyroglossal duct cysts are rare, benign, congenital neck masses that form from a persistent thyroglossal duct. They usually appear in young children, though occasionally an adult may present with one. Dr. Christopher Liu explains how a patient with a thyroglossal duct cyst presents to his practice and how he determines when which treatment is appropriate.

Cochlear implants can offer life-changing benefits for children with congenital hearing loss, but the evaluation process is complex. This article explores how medical, neurological, and social factors shape the decision to implant.

Pediatric hearing loss stems from various causes like auditory neuropathy, CMV, and bacterial meningitis, each requiring tailored approaches. Timely detection and intervention are key, especially in cases like bacterial meningitis where cochlear ossification can complicate treatment.

Congenital hearing loss impacts many newborns, necessitating early detection and intervention. Newborns with hearing loss undergo audiological tests like otoacoustic emissions (OAE) and auditory brainstem response (ABR).

Micrognathia, also called “small jaw,” is a condition in which the mandible (lower jaw) is underdeveloped or smaller than it should be. Micrognathia is an important feature to notice in infants where other comorbidities or syndromes may lead to airway obstruction.

Mandibular distraction is a common surgical procedure for the treatment of micrognathia in which hardware is placed to lengthen the mandible, thereby improving the child’s ability to breathe and feed.

The approach to pediatric cardiac patients with feeding difficulties poses a unique set of challenges. Learn more about the use of fiberoptic endoscopic evaluation of swallowing (FEES) for these patients and related protocols.

Fiberoptic endoscopic evaluation of swallowing (FEES) testing in pediatric care has made significant strides in both equipment and clinical outcomes. Speech pathologist Olivia Brooks and Dr. Gopi Shah highlight the multifaceted benefits of this emerging procedure, including financial savings, improved patient safety, and increased clinician adaptability.

Infants can present with feeding challenges due to a wide variety of underlying reasons including premature birth, invasive surgery, or developmental delays. Learn more about how to work up this presenting symptom by utilizing the physical exam, FEES, VFSS, and other modalities.

Eustachian tube balloon dilation is a more effective, root cause-targeting alternative to repeated tympanostomy tube placement for eustachian tube dysfunction. This article covers the indications and contraindications of balloon dilation in pediatric eustachian tube dysfunction.

Balloon dilation can drastically improve eustachian tube function, but success depends on precise technique and deliberate post-op care to avoid complications. This article explains how to measure success after eustachian tube balloon dilation and how to avoid complications.

The eustachian tubes are crucial for equalizing pressure and draining fluids from the middle ear. There are significant differences that exist between adult and pediatric eustachian tubes, mainly in anatomy, etiology, and how to assess them.

Pediatric dysphagia (difficulty swallowing) threatens the overall health and nutritional status of affected children. Learn more about how to evaluate pediatric dysphagia with BackTable ENT.

As one of the most common (and successful) otologic surgeries, tympanoplasty remains an essential tool for treating tympanic membrane perforation. This article from Backtable ENT provides insight into how two leading otologists approach this surgery in children.

While tympanic membrane perforation occurs commonly in younger children, tympanoplasty is not indicated in all situations. Learn more about etiologies and management of this common complaint with BackTable ENT.

Otolaryngologists Briac Thierry and Gopi Shah unravel the complexities of infant laryngomalacia, providing information on diagnostic criteria, clinical decision making, and various treatment options.

Otolaryngologists Gopi Shah and Briac Thierry provide a comprehensive guide to assess and diagnose stridor in babies. They cover the presentation, differential diagnosis, history, sounds, respiratory signs, feeding patterns, and growth indicators.

Otolaryngologists Dr. Gopi Shah and Dr. Briac Thierry discuss the intricacies of complex airway disorders in infants with persistent stridor, including diagnosis, surgical approaches, and tracheostomy considerations. Various challenging conditions are highlighted spanning from vallecular cysts to bilateral vocal fold immobility.

Until recently, pediatric ear tube insertion has required a trip to the operating room. Join Dr. Jordan Schramm and BackTable ENT to learn more about the Tula ear tube system, which enables ENTs to insert ear tubes in-office.

In-office ear tube placement allows for no general anesthesia and potentially lower costs to families, but also brings challenges. ENT Dr. Jordan Schramm shares how he does in-office ear tube placements.

Expert ENT Dr. Gauri Mankekar provides key insights and considerations for cholesteatoma surgery, including how to mitigate cholesteatoma surgery risks and the importance of long-term clinical surveillance to manage cholesteatoma recurrence.

Cholesteatomas are infection prone skin lined cysts within the ear that are classified as congenital or acquired. Pediatric and adult cholesteatoma patients often have different clinical presentations and symptoms, with children at a higher risk for hearing loss and complications.

Sleep apnea diagnosis in complex pediatric patients poses unique challenges that require multidisciplinary solutions.