Paediatric ENT

ENT for Children's Ear Nose and Throat Conditions

Many different ear, nose and throat conditions can affect your child’s health and impact the quality of your child’s life. Our ear, nose, and throat specialists know that parents are rightfully concerned whenever their child is sick and requires treatment.  Our facility is home to Ms. Kuchai, who is an experienced pediatric ear, nose, and throat surgeon.

Ms. Kuchai received training at the Great Ormond Street Hospital for Sick Children, a renowned and well-known facility.  She is also in charge of running the Pediatric Clinic at Imperial College NHS Foundation Trust at St. Mary’s Hospital in London, which focuses on treating pediatric ear, nose, and throat conditions.

Among her many specialties and her advanced medical background, Romana is skilled in helping children and their parents to feel calm and reassured as children are treated for a wide range of conditions.  While childhood allergies are a special focus for Ms. Kuchai, she also treats many other ear, nose, and throat problems affecting children including:

Ear infections and glue ear.
Breathing through the mouth.
Nasal obstructions.
Stuffy and runny noses.
Rhinitis, both allergic and non-allergic

Sore Throats
Disorders of the voice
Neck lumps and bumps

For some children, ear, nose, and throat conditions are able to go away on their own. However, other children need surgery, or require routine medical care in order to recover.  Our ear, nose, and throat professionals can provide individualized care, one-on-one attention, and full information about all treatment choices available to your child. Whatever medical interventions become necessary, we also work hard to make sure that your child is kept comfortable during the treatment process.

You can read more about ear, nose, and throat conditions that affect children (and adults) using the links on the left. However, for many conditions, causes and symptoms differ for children versus adults. For example, when considering the following conditions affecting children, here are a few important facts to be aware of:

Hearing Loss

Symptoms of hearing loss in children include:

Regularly turning the volume up on a television or on music.
Not acknowledging or replying when you or others address the child or call the child.
Not providing answers to questions.
Inability to follow a conversation.
Complaining about hearing noises in the ear
Complaining about earaches.

When a child experiences hearing loss, there may be a clear reason for the medical problem, such as a genetic or inherited condition or glue ear. In other situations, however, the cause of a child’s hearing loss may not be apparent. A hearing test and other diagnostic evaluations will become necessary to determine why your child is experiencing hearing loss.

Glue Ear and Grommets

When a child’s middle ear fills with fluid, it is called glue ear. This condition is especially common in the winter, and it usually resolves on its own. Sometimes, however, it can cause hearing loss. If it is not resolved on its own or if it reoccurs, grommets or tubes can be placed in the ear. This procedure is a routine surgical procedure and parents do not need to worry if their child requires the procedure.

Ear Infections

Many young children experience ear infections, but the infections can sometimes cause temporary hearing loss until the infection clears. Parents who are concerned about ear infections can visit our ear, nose, and throat specialists to get a diagnosis of the condition and to get antibiotics or other treatments.

If the infection spreads into the middle ear, into the mastoid cavity, discharge can occur from the ear or skin growths can occur in the ear. A mastoid surgery may become necessary; but this is also a routine surgery and your child can usually return home the same day. Our ear, nose and throat specialists can provide information on this treatment option and can perform the treatment on your child.

Hearing Loss from Birth

Children may be born with hearing loss due to inherited conditions, problems during pregnancy, or premature birth. Determining the cause of hearing loss after birth is essential to find effective treatments. Our ear, nose, and throat specialists will conduct an exam, discuss symptoms, and learn your family’s history. Treatment choices will depend upon many factors and may include hearing aids, which are aimed at managing hearing loss. Hearing aids have evolved in recent years and most models are small, easy for children to wear, and can be seen only by looking directly into the ear.

Hearing Tests

When the cause of your child’s hearing loss is unclear, routine tests may be recommended by our ear, nose, and throat specialists. These tests can include Tympanometry to see if the ear is blocked by inserting a small tube and blowing air gently down into the ear. A pure tone audiometry (PTA) test is another non-invasive and pain-free test in which your child hears sounds at varying volumes and pitches through head phones to determine when sounds are heard.