Pediatric ENT Treatment & Solutions
Treating Middle Ear Infections
- Apply a warm compress to the affected ear
- Use pediatric pain-relieving eardrops (as directed by your doctor)
- Offer an appropriate over-the-counter pain reliever like acetaminophen or ibuprofen
Antibiotics may be prescribed if your child’s symptoms persist beyond a few days, the infection is severe, or the child is under 6 months of age. The American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) recommend judicious use of antibiotics to help reduce the development of antibiotic-resistant bacteria. Surgery may be recommended when middle ear infections fail to respond to antibiotics.
Myringotomy is a surgical procedure that creates a small opening in the eardrum to decrease pressure and increase fluid drainage. In some cases, a tiny tube (tympanostomy tube) is placed in each eardrum. Surgery may also be used to remove enlarged adenoids.
Treating Tonsillitis
- Gargle with warm salt water
- Drink warm tea
- Suck on popsicles
- Use acetaminophen or ibuprofen for fever and pain

Prevention, Risk, and Complications
Middle Ear Infections
- Promoting good hand hygiene
- Avoiding exposure to tobacco smoke
- Feeding infants in an upright position
- Avoiding bottle or Sippy cup use while your child is lying down
- Children attending daycare
- Children with Down Syndrome or cleft palate
- Native American or Alaskan Native children
- Perforated eardrum
- Hearing loss
- Speech and language delays (in children with persistent hearing impairment)
- Spread of infection to nearby structures such as mastoid bone or brain
Tonsillitis
- Encourage frequent handwashing
- Teach children to cough/sneeze into a tissue or elbow
- Avoid sharing food, drinks, or utensils
- Use hand sanitizer when soap and water aren’t available
- Enlarged tonsils causing airway obstruction or sleep apnea
- Peritonsillar abscess (pus-filled pocket behind the tonsil)
- Spread of infection to surrounding tissues
- Rare complications of untreated strep throat, including rheumatic fever or post-streptococcal arthritis

Hearing Loss Solutions
Endoscopic Sinus Surgery
Types of Sinus Surgery
- Functional Endoscopic: The most common type of sinus endoscopy, the procedure utilizes small telescopes and microdebriders, allowing for less trauma and less recovery time.
- Image-Guided Functional Endoscopic: This procedure allows for a precise visualization of the anatomy of the paranasal sinuses. It is usually indicated for patients with more extensive disease or patients who have had previous sinus surgery.
- Balloon Sinuplasty: This procedure utilizes a balloon device to open blocked sinuses, many times without the need for tissue or bone removal, resulting in reduced bleeding and less post-op discomfort.
Sinus Endoscopy & Balloon Sinuplasty
- Facial pain
- Breathing difficulty
- Post-nasal discharge
- Persistent bad smell in nose
- Hoarseness, cough, and occasional headaches
What to Expect
Our physicians will do a thorough examination in our office that many times will include a CT scan of the sinuses to accurately assess the specific areas involved. CT scanning can be done in our Central Austin location, allowing a review of the results on the same or next day.
If surgery is indicated, your procedure will be scheduled on a date convenient for you. In most cases, the surgery will be performed on an outpatient basis, but hospital admission is sometimes necessary.
You can expect your first office follow-up visit within one or two weeks following the procedure and a second follow-up within six weeks.
After the Procedure
- Bleeding: Requires nasal packing and sometimes hospital admission.
- Eye Injury: Some swelling or bruising of the area around the eye may occur, very rarely, temporary or prolonged double vision, or blindness.
- Numbness or discomfort in the upper front teeth.
- Temporary facial swelling caused by blowing your noise in the early post-op period.
- Decreased sense of smell.