Pediatric ENT

Pediatric ENT (Ear, Nose & Throat Care for Children)

Children commonly experience ENT problems that require specialized care and a gentle approach.

Common Pediatric ENT Conditions

Recurrent Ear Infections

Frequent ear pain, fever, or discharge
May affect hearing and speech development

Tonsil & Adenoid Enlargement

Repeated throat infections
Recurrent cold and nasal blockage
Snoring, mouth breathing, and sleep disturbances

Hearing Problems in Children

Delayed speech development
Difficulty responding to sounds

Nasal Blockage & Allergies

Persistent cold, sneezing, and nasal congestion
Breathing difficulty, especially at night
Recurrent nasal bleeds

Pediatric Snoring & Sleep Apnea

Loud snoring or disturbed sleep
May affect growth, behavior, and concentration

Foreign Bodies
Foreign Bodies in ear nose or throat are some of the commonest emergencies in ENT practice. Children are naturally curious and may accidentally place small objects into their nose or ears. Foreign bodies can also become lodged in the throat after swallowing. Prompt evaluation and removal by an ENT specialist helps prevent complications and discomfort.

Do not try to remove foreign bodies from the ear or nose at home – they may
accidentally get pushed deeper. When unsure whether there is foreign body or not it is best to visit an ENT to confirm.

When it comes to foreign bodies, time is of the essence. Timely intervention can
prevent complications like bleeding, infections, scarring and hospitalisation in some cases.

When Should You Consult an ENT Specialist?

Frequent ear infections
Hearing or speech delay
Persistent mouth breathing or snoring , persistent colds and nasal blockage
Recurrent throat infections
Poor sleep or behavioral changes

Treatment Options

1. Medical Management – We help diagnose and treat pediatric ENT conditions with medicines as indicated including –

Antibiotics and medications for infections of the ear , nose or throat
Allergy management with oral medication and nasal sprays

2. Surgical Treatment (When Needed)

Tonsillectomy and adenoidectomy
Ear tube (grommet) insertion for persistent middle ear fluid
Correction of nasal obstruction
Ear surgeries for chronic otitis media or cholesteatoma

Our Approach

We focus on child-friendly care, accurate diagnosis, and minimal intervention, ensuring your child’s comfort and healthy development.

Frequently asked questions

Is ear wax normal in children?

Yes. Ear wax is a natural secretion of the skin of the ear canal that protects the ear canal from dust, bacteria, and irritation.

When should wax be removed?

Only if it is causing symptoms such as ear pain, hearing difficulty, blockage, itching, discharge, or if the doctor cannot see the eardrum clearly.

Can I clean my child’s ears with cotton buds?

No. Cotton buds often push wax deeper and can injure the ear canal or eardrum.

How is wax removed safely?

An ENT specialist will remove it by flushing it out with warm water (syringing) or by suctioning or prescribing softening drops depending on the child’s age and wax type.

Is wax removal painful?

Usually it is quick and may cause mild discomfort. It is advisable to soften the wax first by using softening ear drops after which we flush it out (syringing).

What are tonsils?

Tonsils are lymphoid tissues which are a part of the immune system located in your throat on either side of the uvula.

What symptoms can enlarged tonsils cause?

Snoring, mouth breathing, restless sleep, pauses in breathing, difficulty swallowing, frequent sore throat, bad breath, or nasal speech.

When is tonsil surgery needed?

It may be recommended for recurrent tonsillitis, sleep apnea, breathing difficulty, swallowing problems, or persistent enlargement causing symptoms. The 7-5-3 rule is a criteria followed as indication for tonsillectomy – 7 tonsillitis episodes in 1 year or 5 episodes in 2 consecutive years or 3 episodes in 3 consecutive years.

Is tonsil surgery safe?

Tonsillectomy is a routinely performed surgery by ENT surgeons and done under general anaesthesia. It is generally safe when done by an ENT specialist. Like all procedures , tonsil surgery also carries risks. A thorough pre operative counselling is done at Sahawas ENT clinic before each and every surgery and all risks and expectations discussed.

How long is recovery after tonsil surgery?

Usually 7–14 days, depending on the age of the patient and degree of enlargement. Soft cold diet is recommended during the recovery period.

What are adenoids?

Adenoids are lymphoid tissue which is a part of the immune system located at the back of the nose.

What problems do enlarged adenoids cause?

Blocked nose, mouth breathing, snoring, sleep disturbance, recurrent colds, ear infections, or hearing issues from fluid build-up in the ears.

How are adenoids checked?

Us ENT doctors rely on symptoms , clinical features and may perform a nasal endoscopy or X ray to check for degree of enlargement. At Sahawas ENT clinic we have a pediatric nasal endoscope to directly visualise adenoids in children after applying a local numbing spray.

When should adenoids be removed? 

If they cause persistent nasal blockage, sleep problems, recurrent ear infections, glue ear, or poor quality sleep.

With the advent of nasal endoscopes and newer methods like coblation and microdebrider, adenoid surgery is a safe procedure routinely performed by ENT surgeons with faster recovery and reduced chances of regrowth.

Tonsil and adenoid surgeries may be performed as standalone procedures or combined whenever indicated.

Will removing tonsils and adenoids affect immunity?

No significant long-term effect on immunity is expected. Many other tissues in the body help fight infection.

What is Coblation surgery?

Coblation is a modern surgical technique that uses controlled radiofrequency energy in a saline medium to remove tonsils or adenoids at relatively lower temperatures than traditional cautery methods. At Sahawas ENT clinic we offer coblation tonsillectomy and adenoidectomy for our pediatric and adult patients.

Why are advantages of coblation tonsillectomy and adenoidectomy?

Coblation surgery is generally faster with minimal tissue damage, faster recovery and reduced post operative pain.

Is Coblation safe for children?

Yes, when performed by an experienced ENT surgeon, it is widely used and generally considered safe.