programs and services
comprehensive programs and services for conditions of the ear, nose and throat
Our pediatric ENT specialists provide comprehensive surgical care and outpatient clinics for children with conditions of the ear, nose and throat, from the common to the complex. In the past, children and families may have had to drive over an hour to receive the specialty ENT care and diagnostic testing now available at Dayton Children’s.
pediatric ENT clinics
Our clinics and multidisciplinary programs provide specialty care for the full spectrum of ear, nose and throat disorders. Learn what to expect at your child’s clinic visit.
pediatric ear, nose and throat clinic
Our pediatric ENT team diagnoses and treats common childhood conditions — such as chronic tonsillitis and chronic ear infections — as well as more complex conditions, such as deformities of the nose or tumors of the head and neck. They also specialize in providing ongoing care for children with airway conditions, particularly those who have a tracheostomy. These conditions can include stenosis of the larynx and subglottic region, bronchomalacia, laryngomalacia, stridor and many others.
hearing loss clinic
Dayton Children’s offers comprehensive specialty care for children with permanent hearing loss.
Pediatric ENT specialist Dr. Ankur Patel established the Hearing Loss Clinic at Dayton Children’s. He works with other specialists who include pediatric audiologists, developmental pediatrics specialists and speech/language pathologists are essential members of our team. Together, they offer:
- Complete evaluation and care for hearing loss
- Referrals to other pediatric specialists who can offer additional care, including neurologists, pulmonologists, endocrinologists, psychologists and others
- Referrals for comprehensive testing, including imaging tests, auditory brainstem response testing and speech-language evaluations
- Cochlear implants
- Bone-anchored hearing aids
- Support to help parents decide how they want to communicate with their child, whether using American Sign Language, cued speech, etc.
- Supportive resources for families and children
- Consultations with the child’s classroom teachers to help address the child’s academic needs
- Genetic testing for families who child has sensorineural hearing loss, if appropriate. This can help determine whether the child’s hearing loss is associated with inherited genetic factors—factors that may be present in siblings or other family members.
Our community offers extensive resources for children with hearing loss. Search our online database of helpful community resources.
Children with complex medical needs require care from many specialists who can work together in a coordinated way. Our pediatric ENT specialists participate in specialized programs for children with cleft lip/palate, aerodigestive disorders and vascular anomalies. Some appointments take place in the ENT clinic, and others in different clinics at Dayton Children’s.
cleft lip/cleft palate program
Dayton Children’s offers a comprehensive cleft lip/cleft palate program, with a team that includes developmental pediatricians, plastic surgeons, an oral surgeon, orthodontist, speech-language pathologist and others. Together, they provide a detailed diagnosis, comprehensive treatment plan and extensive support every step of the way.
Our pediatric ENT specialists evaluate children who need surgery, perform surgical repairs and provide follow-up care. Other surgeons may be involved in a child’s care, depending on the nature of the repair. Learn more about the Cleft Lip/Cleft Palate Program at Dayton Children’s
aerodigestive disorders clinic
Dayton Children’s is designed for chronically ill children with disorders of the upper airway, lungs and upper digestive tract, including sleep and feeding problems.
Pediatric ENT specialists are part of the dedicated team that cares for children with these conditions. During your child’s initial evaluation, he or she may be seen by multiple specialists, including a pediatric otolaryngologist, a pulmonologist and gastroenterologist. After evaluating your child’s condition, the physicians meet to discuss his or her overall health, medical concerns and what kind of therapy is needed. This coordination of care is essential to your child’s well-being, since children who come to this clinic often have complex needs.
vascular birthmarks/vascular anomalies of the head and neck
Dayton Children’s provides comprehensive diagnosis and treatment for children who have vascular anomalies, including:
- Vascular tumors
- Vascular malformations
- Lymphatic malformations
Vascular birthmarks and vascular anomalies are a grouping of abnormal blood vessels in the body. The cause of these lesions is unknown. They can occur on the top of the skin, deep inside the skin, or both. Some vascular anomalies, such as hemangiomas, can grow rapidly during the first few months of life, whereas others grow as the child grows. Vascular anomalies can cause problems with a child’s appearance, as well as interfere with bodily functions. Some vascular anomalies can be associated with disorders of other organ systems.
Our experienced specialists will work together to establish an accurate diagnosis and comprehensive treatment plan. Our multidisciplinary team includes pediatric ENT specialists and a hematologist/oncologist. Your child’s first visit to this clinic will include a thorough evaluation and may recommend additional testing, such as magnetic resonance imaging or blood tests..
After diagnosing your child’s condition, the tem will develop a comprehensive care plan and discuss it with you. This plan may include surgery, laser therapy, interventional radiology, or medication, although the team also may recommend simply watching your child’s malformation over time to see if treatment is necessary.
voice and swallowing clinic
Voice and swallowing disorders can occur at any age, and involve a wide variety of symptoms. Our multidisciplinary voice and swallowing clinic provides a team approach to care, bringing together an ear, nose and throat specialist and speech language pathologist to evaluate and treat these patients in a shared clinic.
The initial evaluation may include:
- A thorough physical exam
- Endoscopic testing, which involves using a thin, flexible tube to view the esophagus (sometimes called the “food pipe”)
- Computerized voice analysis instrumentation (for children who are experiencing voice problems)
The doctor and speech/language pathologist will put together a personalized treatment plan based on their findings. The treatment plan may involve care from the physician and our speech/language pathology colleagues.
Voice clinic is for any child experiencing dysphonia (difficulty voicing) is a candidate for a referral to the voice clinic. Children can be referred to the voice clinic with a diagnosis of “dysphonia” or “hoarseness.” A thorough assessment is completed in the voice clinic and can help to determine the reason for the dysphonia.
- Vocal cord paralysis or paresis (unilateral or bilateral)
- Vocal cord nodules
- Vocal cord edema
- Vocal cord granulomas
- Vocal cord polyps
- Laryngeal edema or laryngitis
Some children with breathing difficulty can also be referred to the voice clinic if there is concern for “paradoxical vocal fold dysfunction” (PVFD), sometimes also referred to as “vocal cord dysfunction” (VCD). It is important for children to be evaluated by a pulmonologist prior to voice clinic referral if there is concern for PVFD.
Children with PVFD may experience:
- Difficulty getting air in or throat tightness during:
- Chemical exposure (chlorine, perfume, bleach, etc.)
- Weather changes
- Anxiety-invoking situations
- Tightness in the throat with sensation that the airway is being “cut off”
- Inspiratory stridor, especially during exercise
- Difficulty breathing that does not improve with inhaler use
- Voice changes or difficulty during an “attack”