When To See The Pediatric ENT

When To See The Pediatric ENT

A Pediatric ENT is a specialist who treats children for ears, nose, and throat conditions. The provider will evaluate the child and get a medical history before deciding on surgery. An ENT typically sees children for tonsils and adenoids, bilateral myringotomy and tubes, and hearing loss, but can treat children for a variety of conditions.

Tonsils And Adenoids

Conditions that affect the tonsils and adenoids are just a small part of what an ENT can treat. Tonsils are a cluster of tissue in the back of the throat on both sides. A tonsillectomy may be completed along with an adenoidectomy. An adenoidectomy is when the adenoids are also removed. Adenoids are located behind the nose. These tissues may become swollen and block airways resulting in surgery to remove them.


Tonsillectomy And Adenoidectomy

Tonsillectomy and adenoidectomy are medical procedures performed by an ENT. The surgical procedure usually takes 30 to 45 minutes to complete. This procedure is normally an outpatient procedure performed under general anesthesia. Most patients will go home the same day. There are many different reasons to remove the tonsils and adenoids. The most common reasons are:


  • Reoccurring tonsillitis
  • Obstructed breathing
  • Obstructed hearing


Reoccurring Tonsillitis

Tonsillitis is an infection of the tonsils. It can be bacterial or viral. Symptoms include a sore throat, a white or yellow coating on tonsils, fever, difficulty swallowing, chills, and headaches. A medical provider will swab the back of the throat to confirm if the infection is bacterial or viral and prescribe medications. The ENT may consider the child for a tonsillectomy if there have been 5-6 infections in the past year or several infections over the past two years.


Obstructed Breathing

Enlarged tonsils and adenoids can lead to obstructed breathing in a child. The provider will review the child’s medical history and evaluate the size of the tonsils and adenoids. Enlarged tonsils and adenoids can cause breathing issues and sleeping issues. If upon review the enlarged tonsils and adenoids are obstructing breathing and causing issues, then the provider may wish to remove them.


Obstructed Hearing

Enlarged tonsils and adenoids can lead to hearing loss. Adenoids can block the proper drainage from a child’s ear. This can lead to increased fluids. With an increase in fluids, the ear does not properly vibrate causing hearing loss for the child. It may be necessary to remove the tonsils and adenoids to reduce fluids and allow the child to hear properly.


An ears, nose, and throat specialist can evaluate your child for any of these conditions. The provider will review your child’s medical history and complete a full medical evaluation to determine if surgery is the right treatment for your child. Call Commonwealth ENT to make an appointment today.

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