India’s best pediatric ENT surgeon could be defined as one who has either pioneered the concept of paediatric ENT surgery in India or has set up a nationally-famous institute that is dedicated solely to the treatment of disorders and diseases of the ear, nose & throat in infants and children. Also called a pediatric otolaryngologist, he would be trained, experienced and equipped with specially designed and manufactured pediatric instruments to perform some very complex and intricate procedures on infants ranging from a few days old to young adolescents up to the age of 12 or 13.
The pediatric otolaryngologist population is growing in India with pediatric otolaryngology now being recognized as a super specialty in the country. It, therefore, falls within the ambit of India’s best pediatric ENT surgeon to identify, prevent and treat a host of diseases of the ear, nose, throat, head and neck that affect children mostly or may be congenital.
The ideal way India’s best pediatric ENT surgeon works is to provide multidisciplinary care with the help of a highly trained and specialized team. This would include experts from other disciplines like neonatology, audiology, plastic surgery, maxillo-facial surgery, language and speech pathology, pediatric anesthesiology and radiology. The common conditions that the pediatric otolaryngologist and his team would treat are aural infections, perforated tympanic membranes or ear drums, endoscopic foreign body removal, pits and cysts, hearing loss, congenital malformations and cholesteatoma.
With regard to the nose, the most commonly treated ailments are: Nasal obstruction, removal of foreign bodies, removal of polyps or nasal masses, chronic congestion, deviated septum, allergies, nose bleeds, sinusitis, nasal fractures and choanal atresia. In children and young adolescents, tonsillitis, respiratory problems, speech problems, drooling, swallowing obstructions, voice-related problems like hoarseness, cleft palate and lip, enlarged tonsils and adenoids, sleep apnea, snoring and velopharyngeal insufficiency are common throat problems which also is the responsibility of the pediatric ENT surgeon to look into and treat.
The neck region of children is prone to enlarged or malignant lymph nodes, vascular anomalies, cysts, infections, draining pits, abscesses, lymphatic malformations and hemangiomas which need surgical or onco-radiological treatment and these too, fall within the specialist’s area of work. It is also often seen in children that they suffer from noisy breathing, airway obstruction, stuck foreign bodies in the trachea, paralysis of the vocal cords and laryngomalacia, which any eminent pediatric ENT surgeon can treat.
The most common procedures performed are surgery of the ear tube to drain fluid that has accumulated behind the tympanic membrane or eardrum and which may lead to speech delays. Once the ear tube is inserted, it prevents further fluid buildup and pressure, thus improving hearing. Adenoidectomy and Tonsillectomy are done to remove infected adenoids and tonsils of children that have become infected and are causing breathing difficulties while sleeping or are disturbing his breathing pattern, a condition called sleep apnea. Sinus Surgery and surgery to cure sleep apnea are also commonly performed to cure chronic sinusitis which is unresponsive to medical treatment or to ease out breathing as the child sleeps. The Frenuloplasty operation is also done on children who suffer from Ankyloglossia or Tongue Tie and where the tongue’s mobility is limited. This is due to the tongue getting tied to the floor of the mouth’s by a tissue band called the frenulum and leads to speech problems and also feeding. Frenuloplasty releases the frenulum to enhance tongue movement.