Pediatric Otolaryngology

Pediatric Otolaryngology is an area within General Otolaryngology that sub-specializes in the care of children who have complex problems with the ears, nose, or throat. The sub-specialty allows for certain advanced surgical procedures or medical management in children with unique problems of the head and neck, or to address common problems in medically complex or very young children.

Check out the article about Dr. Alexander and our expanded Pediatric ENT services in the latest edition of FOCUS on Pediatrics.

Location & Hours

200 Patewood Dr., Bldg. B, Suite B-400, Greenville, SC 29615 (View Map)
Phone: (864) 454-4368 | Fax: (864) 241-9232
Hours: Monday-Friday 8a.m.-5p.m.

Common otolaryngology problems in children

  • Chronic otitis media (chronic ear infections)
  • Eustachian tube (between the ear and nose) dysfunction
  • Tonsil and adenoid enlargement
  • Obstructive sleep apnea
  • Chronic tonsillitis
  • Nose bleeds
  • Chronic sinus infections
  • Ear drum perforation
  • Stridor (noisy breathing)
  • Gastroesophageal reflux
  • Chronic cough
  • Neck mass/enlarged lymph nodes

Services/types of treatments provided

Ears

  • Hearing loss
  • Middle ear reconstruction
  • Tympanic membrane (ear drum) repair
  • Cholesteatoma (growth in the middle ear)
  • Otitis media (middle ear infection)
  • Congenital ear anomalies/Microtia (external ear) repair
  • Bone conduction hearing aid
  • Cochlear implantation

Nose

  • Congenital nasal mass
  • Tumors of the sinonasal cavity
  • Sinusitis
  • Cystic fibrosis
  • Epistaxis (nosebleed)

Head and Neck

  • Congenital neck mass
  • Hemangioma
  • Lymphatic/vascular malformations
  • Neck masses
  • Speech and swallowing difficulty
  • Drooling
  • Airway obstruction
  • Stridor (noisy breathing)
  • Tracheostomy placement and management
  • Obstructive sleep apnea
  • Tonsils/adenoids

To be expected in a Clinical Evaluation

A child with chronic ear problem may have the following done

  • Hearing tested by audiology
  • Evaluation by the doctor
  • If indicated, child may be scheduled for surgery, and given pre-and post-operative teaching
  • Ear procedure: wax removal, ear suctioning, or ear culture
  • Post-op visits: packing removal and/or dressing change

A child with chronic strep throat may have the following done

  • Evaluation by the doctor
  • If indicated, child may be scheduled for surgery

A child with croup/stridor or any voice related problems may have the following done

  • Evaluation by the doctor
  • Scope evaluations which require special equipment
  • Education regarding any special diagnosis of the voice box
  • If indicated, child may be scheduled for surgery
  • May require special airway x-rays or diagnostic test

A child with sinus/congestion problems/adenoid problems may have the following

  • Evaluation by the doctor
  • Scope evaluation which require special equipment
  • Education regarding the sinuses, nasal cavities, adenoid tissue, turbinates
  • If indicated, child may be schedule for surgery
  • May require a course of medical management prior to the consideration of surgical management - with or without special X-rays

If your child is being evaluated for anything that may fall under the following concerns: noisy breathing, sleep apnea, reflux, difficulty feeding/swallowing, neck mass, vocal cord evaluation, airway evaluation, tracheostomy care, chronic cough, please do not allow them to eat or drink within one hour of appointment time. This is to allow for the use of a flexible scope if indicated, with less of a concern for stimulating regurgitation.

If a flexible scope is performed for evaluation of the airway and voicebox, numbing medicine (gel or spray) is typically used in the nose to decrease any associated discomfort. The exam takes usually less than one minute to perform and the child is usually allowed to eat/drink immediately following the exam. Children of all ages are able to cooperate with the flexible exam.

Multidisciplinary Laryngoscopy Clinic

The GHS Pediatric Otolaryngolgy department works closely with Kidnetics, a department of Children's Hospital of Greenville Health System (GHS) that provides therapeutic services on an inpatient and outpatient basis for children throughout upstate South Carolina.

Speech-Language Therapy

The Kidnetics speech-language pathologists evaluate and treat children with a broad range of speech and communication disorders. These therapists specialize in feeding disorders, oral motor dysfunction, dysphagia, apraxia, autism and other sensory-based communication disorders, fluency disorders, voice disorders, social/pragmatics disorders, auditory and language processing disorders, augmentative communication, and articulation/phonological disorders.

Feeding Disorders

Kidnetics therapists also work with children who have a variety of feeding disorders, including breastfeeding issues. Children with feeding difficulties are assessed by an occupational therapist and/or speech pathologist, looking at both the oral/motor and sensory components that are impacting their feeding. Certified speech pathologists provide Vital Stim/NMES (neuromuscular electrical stimulation) and traditional approaches for swallowing and feeding disorders. If there is a concern about swallowing safely, one of the therapists can perform a modified barium swallow study with the GHS Radiology Department or FEES (fiberoptic endoscopic evaluation of swallowing) with a pediatric ENT.