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22.11.2014
Children and teenagers must not be confused with adults for the diagnosis and treatment of Ear, Nose and Throat related conditions.
At Advanced ENT and Allergy we have the trained staff, facilities and the equipment required to treat all areas of Pediatric Otolaryngology. Young children have immature immune systems and are more prone to infections of the nose, sinus, and ears, especially in the first several years of life. Recent studies have shown that children’s school performance suffers significantly as a result of poor sleep patterns and interruptions of quality sleep. Ear tubes are tiny cylinders placed through the ear drum (tympanic membrane) to allow air into the middle ear. Ear tubes are often recommended when a person experiences repeated middle ear infection (acute otitis media) or has hearing loss caused by the persistent presence of middle ear fluid (otitis media with effusion).
Each year, more than half a million ear tube surgeries are performed on children, making it the most common childhood surgery performed with anesthesia. After surgery, the patient is monitored in the recovery room and will usually go home within an hour if no complications are present. Myringotomy with insertion of ear tubes is an extremely common and safe procedure with minimal complications. Perforation – This can happen when a tube comes out or a long-term tube is removed and the hole in the tympanic membrane (ear drum) does not close.
Scarring – Any irritation of the ear drum (recurrent ear infections), including repeated in-sertion of ear tubes, can cause scarring called tympanosclerosis or myringosclerosis. Ear Tubes Come Out Too Early Or Stay In Too Long – If an ear tube expels from the ear drum too soon (which is unpredictable), fluid may return and repeat surgery may be needed.
The proportion of American teens with slight hearing loss rose by 30 per cent in the past 15 years, and the number with mild or worse hearing loss has increased by 70 percent. One in every five teens now has at least slight hearing loss, which can affect learning, speech perception, social skills development and self-image; one in 20 has more severe loss. Hearing tests in older children are usually done at ages 4, 5, 6, 8, 10, 12, 15, and 18, and at any other time if there’s a concern. If the hearing test reveals a problem, it is important to have the child’s hearing difficulty further evaluated by us wo we can rule out medical problems that may be causing it, such as otitis media (ear infection), fluid in the ear, excessive earwax, or an inner ear hearing loss.
Painful ear infections are a rite of passage for children – by the age of five, nearly every child has experienced at least one episode. Obstructive sleep apnea, also known as sleep-disordered breathing (SDB), is not uncommon in children. Many injuries are preventable by wearing the proper protective gear, and as a parent, your attitude toward safety can make a big difference. There are seven areas of specialization within the field of otolaryngology and some ENT physicians may choose to limit their practice to one or a few of these areas.  It is important to know which, if any, your physician specializes in.
Allergy: focused on the treatment of allergies by medication, immunotherapy (allergy shots,) or avoidance. Facial Reconstructive Surgery: specializing in the functional and reconstructive surgical treatment of face and ear abnormalities caused either by trauma or birth defect. TestimonialsClean OfficesI would like to compliment you on how clean and organized your waiting rooms and patient rooms are.


At Ingalls Ear, Nose and Throat Center, we bring together highly trained physicians, audiologists and the latest technology to diagnose and treat conditions of the ear, nose and throat, and head and neck for every member of the family – from newborns to seniors. Hearing loss can happen gradually as you age, especially if you are, or have been, exposed to loud noises on a regular basis.
Unfortunately, even mild hearing problems can lead to isolation, anxiety and depression if left untreated. If you have been referred for a diagnostic audiologic evaluation, your doctor feels your hearing loss needs further examination. While there are fundamental similarities with an adult, a young person's stature, weight, immune system, physical and mental development require special care and consideration. These are most frequently caused by viral infections (colds), and they may be aggravated by allergies. They also may be called tympanostomy tubes, myringotomy tubes, ventilation tubes, or PE (pressure equalization) tubes. These conditions most commonly occur in children, but can also be present in teens and adults and can lead to speech and balance problems, hearing loss, or changes in the structure of the ear drum. The hole can be patched through a minor surgical procedure called a tympanoplasty or myringoplasty. How-ever, these infections are usually less frequent, result in less hearing loss, and are easier to treat – often only with ear drops. Ear tubes that remain too long may result in perforation or may require removal by the otolaryngologist.
Because hearing loss is cumulative, these teens are at high risk for significant hearing problems as adults. Several methods can be used to test a child's hearing, depending on age, development, or health status. Many treatment options are available and our ENT physicians will be able to determine the right therapy.
Most ear infections either resolve on their own (viral) or are effectively treated by antibiotics (bacterial). Each year, it seems like it gets harder and harder to get my child out of bed for school in the morning. Check with your child’s coach to make sure they have and are wearing all the necessary protective equipment. Our experts offer a full range of otolaryngic care, including nasal and sinus surgery, head and neck cancer care, and facial plastic surgery services.
Both benign and malignant tumors of the head and neck can affect breathing, swallowing and speech, and often require treatment by physicians familiar with ear, nose and throat conditions. Children can experience a variety of ear, nose and throat conditions, including ear infections, adenoid problems, tonsillitis, cleft lip and palate, laryngitis and sleep apnea.
Hearing loss can also be caused by illnesses or injuries, or even as a side effect from using certain medications. Withdrawal from personal relationships and danger to personal safety can also result from decreased hearing sensitivity.
The evaluation is also indicated for individuals who did not pass an initial hearing screening.


Proper dosage and selection of medications; observation of acute and chronic (reoccurring) ailments, and watching for the non-verbal signals a child presents are paramount in the treatment of your child. However, when your child remains ill beyond the usual seven to ten days, a serious sinus infection is likely. Other less common conditions that may warrant the placement of ear tubes are malformation of the ear drum or Eustachian tube, Down Syndrome, cleft palate, and barotrauma (injury to the middle ear caused by a reduction of air pressure), usually seen with altitude changes such as flying and scuba diving. This is most often done under a surgical microscope with a small scalpel (tiny knife), but it can also be accomplished with a laser. A myringotomy is performed and the fluid behind the ear drum (in the middle ear space) is suctioned out. According to the National Institutes of Health (NIH), hearing loss affects approximately 17 in 1,000 children under age 18.
Even though most people associate sleep disorders with adults, children also commonly suffer from sleep-related health problems. On the down side, they can result in a variety of injuries to the face, including broken noses, facial cuts, and general bumps and bruises. Also check with the coach after each practice to see if your child sustained any injuries while playing. Your office staff was recently very helpful with helping me sort out problems I had with insurance. Sleep apnea has been linked to high blood pressure, heart disease and other serious conditions. Ingalls features two experienced head and neck surgeons who serve as a critical part of a patient’s multidisciplinary team. Our physicians have special expertise in treating children and helping parents care for their child’s condition.
At Ingalls Audiology Center, all audiological services are performed by a state-licensed audiologist who hold a master’s degree in audiology and is certified by the American Speech-Language-Hearing Association. Most children have their hearing evaluated after birth or in the first few years to determine any congenital conditions. In these cases, insertion of an ear tube by an otolaryngologist (ear, nose, and throat surgeon) may be considered.
This includes loud snoring that occurs every night, regardless of sleep position; snoring is then followed by a complete or partial obstruction of breathing, with gasping and snorting noises. Our physicians also treat other breathing problems, including asthma and chronic obstructive pulmonary disease (COPD). Ear drops may be administered after the ear tube is placed and may be necessary for a few days. However, hearing loss is also caused by things like infections, trauma, and damaging noise levels, and the problem may not emerge until later in childhood.
Sometimes the otolaryngologist will recommend removal of the adenoid tissue (lymph tissue located in the upper airway behind the nose) when ear tubes are placed.



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