PEDIATRICS

 

Our team delivers comprehensive and personalized care for children with disorders of the ear, nose, throat and related structures. Whether your child's situation is routine or complicated, our team will provide the highest level of care to meet the unique needs of your child. Our clinic offers compassionate support from the initial evaluation through surgical repair and recovery when required. To provide your child with the most comprehensive care, we take a collaborative approach working with other specialists such as audiology, speech pathology and learning services, pulmonary medicine, allergy, immunology, and pediatric medicine.

 

 

Some of the services and conditions we treat include sinusitisvelopharyngeal insufficiency (VPI)microtiavoice disorders, balance disorders, hearing loss, resonance disorders and vestibular disorders and 22-q. Our otolaryngologists also routinely treat Cleft Lip and Palate DisordersVascular Anomalies and Sleep Apnea. Our specialists are also involved in plastic surgery and trauma surgery for the face, including lacerations and fractures caused by trauma, congenital or acquired cosmetic conditions and function defects.

COMMON PEDIATRIC ENT SERVICES

EAR INFECTION: An ear infection can be unpleasant for anyone, especially a baby or toddler. Ear infections cause pain, irritability, and loss of appetite. Also, when your child has an ear infection, he or she will grab at the ears. An ear infection (referred to as acute otitis media) occurs behind the eardrum in the middle ear. This type of illness is often called a middle ear infection. Many children, especially those under the age of 7 years, suffer from these types of ear infections. This type of illness causes pain and complications when left untreated. Because of a short Eustachian tube, children are more at risk.


In children, the Eustachian tube is horizontal, short, and soft. This tube should drain fluid from the eardrum area. When a child suffers from an allergy or even a cold, the tube swells and does not function properly. Air cannot get into the middle section of the ear, and this can create problems, as the air acts like suction cup and pulls in fluid. When the fluid becomes trapped in the middle ear, an ear infection develops. Once the fluid is trapped, bacteria and viruses can form which cause the infection. SIGNS AND SYMPTOMS
Pulling or tugging at the ear | Holding the ear or scratching it | Irritability | Drainage from the ear that is thick and yellow | Fever | Ear Pain | Vomiting | Trouble sleeping | Trouble hearing | Loss of appetite
There are two different way to approach treating an ear infection. Home treatment for an ear infection involves over the counter medication, such as Tylenol or Advil, to relieve the pain and decrease swelling. If you give a baby or small child these types of medicines, consult your doctor for the recommended dosage. If the symptoms persist, or the child develops a fever, you should consult a doctor.Medical treatment for ear infections typically involves prescription antibiotics. If there is a risk of the child developing more serious complications, or if the child is extremely sick, the doctor may have to perform additional tests and treatment. In cases where the child has continuous ear infections, surgery may be performed to insert tubes into the ear to drain the fluid.




TONSIL INFECTION: A tonsil infection is also referred to as tonsillitis. Tonsillitis can happen to anyone at any age, and it is an inflammation of the tonsils (the lymph glands in the throat). Tonsillitis is typically caused from viruses or bacteria. Children occasionally get tonsil infections. Find out about the symptoms and solutions for a tonsil infection.Tonsillitis from bacteria and viruses occurs when the disease is transferred from person to person through the air, and it is highly contagious. In most cases, tonsillitis occurs from a viral source. Tonsillitis that is bacterial is often caused from Streptococcus bacteria (strep throat). This infection becomes a problem for the child if left untreated, as it leads to complications.


There are combinations of symptoms that occur with tonsillitis. The symptoms range from minor to severe, and the child can have just a couple symptoms or quite a few symptoms. SYMPTOMS Runny Nose | Fever | Headache | Sore Throat | Pain when Swallowing
White Patches on the Tonsils | Swollen Lymph Glands | Redness that appears on the Throat and Tonsils
Abdominal Pain | Coughing | Vomiting | Nausea If you suspect that your child has tonsillitis, it is important to get it checked out by a pediatric throat specialist. The doctor will conduct a physical examination to verify whether or not the child has a tonsil infection. Since tonsillitis is contagious, it is important to seek medical care immediately.Treatment of tonsillitis medically is through antibiotics and sometimes even surgery. If any abscesses form on the tonsils, the doctor may perform a procedure to drain this, open the airway, and to prevent infection. Surgical removal of the tonsils is required when a child has reoccurring tonsil infections in a given time period.




AIRWAY PROBLEMS: In children, airway problems are commonly caused from reflux of undigested food and secretions from the stomach. This condition is often difficult to diagnose, as typical symptoms are not always clear in children. This condition is called laryngopharyngeal reflux (LPR) or gastroesophageal reflux (GER). LPR and GER in children are similar to the adult forms of the condition. These airway problems occur when the lower esophageal sphincter relaxes.


This can cause acid and digested food from the stomach to come back up into the mouth. Children are more prone to LPR and GER, because the meal volume tends to be larger than the gastric volume. For young babies and infants, these airway problems occur from an undeveloped ring of muscle at the bottom of the esophagus. This muscle is a sphincter, and it keeps the fluid from coming back up into the throat, nasal cavity, and mouth. When it is not fully developed, it does not adequately function. If LPR and GER are left untreated, they can cause serious complications. Reflux esophagitis, acquired from untreated airway problems, is an adverse effect of persistent GER or LPR. Pneumonia and respiratory problems develop and cause life threatening problems for the child. It is important to seek treatment for your child as soon as you suspect these problems. SYMPTOMS AND SIGNS For young babies, LPR and GER may not be evident, as symptoms and signs are not always so obvious. Schedule an appointment with a specialist if you notice the follow: Vomiting | Hoarseness | Breathing difficulties | Swallowing difficulties | Weight loss
Loss of appetite | Recurrent regurgitation | Abdominal pain | Sleeping problems
Respiratory problems
LPR and GER are often left undiagnosed in children. Early diagnosis and treatment is the only way to prevent complications. The main goal of therapy is to provide relief for the child, to prevent complications, and to cure existing disease. In some cases, children may need to be put on medications to manage the airway problem symptoms. If you suspect your child has LPR or GER, be sure to keep him or her in an upright position after each feeding for at least 30 minutes. Proper burping and mouth care are also important. Also, avoid giving young children spicy or fried foods, as these contribute to the problem.




ALLERGY AND SINUS: Allergy and sinus problems can lead to sinusitis, upper airway infections, persistent allergies, and asthma in children. Asthma is a condition that can be life threatening for your child. There are many other causes of allergy and sinus problems in children. Find out about the symptoms and solutions for allergy and sinus conditions.


Sinusitis is caused from infection of a viral or bacterial nature. When allergies are left untreated, children are at risk for developing this condition. Asthma occurs when the airways swell leading to breathing difficulties. Swelling and inflammation of the airways can make it difficult for air to get to and from the lungs. Flareups are called asthma attacks, and they occur when the airway becomes restricted, or when the lung components swell and become tight. Some children only experience sinus and airway symptoms during allergy season, when the pollen count is high. Allergies are triggered by pet dander, cock roaches, mold, mildew, and pollen. Some children experience allergy symptoms on a regular basis from persistent allergies.
Sinus and allergy symptoms vary from child to child. If you notice any of these signs, consider consulting one of our pediatric allergy and sinus specialists. It is important to treat these symptoms early to prevent complications. SYMPTOMS Itchy, watery eyes | Nasal drainage and congestion | Wheezing | Fatigue during physical activity | Coughing | Tight feeling in the chest | Trouble sleeping |Shortness of breath Allergy and sinus problems can be diagnosed by a number of ways. Your child will first need to have an examination by the doctor to determine the possibility of asthma, sinusitis, upper respiratory infection, or persistent allergies. If the doctor suspects that your child has one of these conditions, he or she will conduct tests to further evaluate. Allergy testing determines whether or not the symptoms are from a reaction to an allergen. Spirometry is a test for asthma, and it is conducted in children older than 5. It will measure how much air is flowing through the lungs and the pulmonary function. The doctor may also perform x-rays if a sinus or lung infection is suspected. When the doctor determines the cause of your child’s allergy and sinus symptoms, he or she can then implement at treatment plan. Options include allergy desensitizing shots, medications, antibiotics, and breathing treatments. If your child has persistent allergy or sinus symptoms, it is an indication of an underlying medical condition.





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6830 Plum Creek Drive
Amarillo, TX 79124

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