Pediatric ENT. Treatment of ENT diseases in children

As you know, the body of a growing child is radically different from that of an adult. Children have a much harder time bearing various diseases, which are fraught with serious consequences. In the case of treating a childhood illness, doctors need to conduct other studies and look for different approaches to diagnosis than for a similar illness in an older patient. Thus, it becomes clear why such a highly specialized field of medicine as pediatric otolaryngology is isolated as a separate one.

Frequent “grunting”, snoring, the base of crusts in the nasal cavity - normal phenomena in young children in the first stages of life. Experts associate these points with the personal hygiene characteristics of a child who has recently been born. Unfortunately, these same symptoms can provoke and accompany the onset of inflammatory processes in the nasal cavity and nasopharynx.

Children who attend kindergarten or school often bring a runny nose or other similar diseases. Unfortunately, a seemingly harmless disease can develop into a serious illness that can lead to various complications paranasal sinuses, larynx, ears, lungs and bronchi. First of all, parents need to contact a qualified children's ENT center for an objective analysis hearing aid child.

Code	Name of service	Price
10.1	Appointment with an otolaryngologist (examination, consultation, treatment prescription)	1750.00
10.3	Appointment with an otolaryngologist as part of a medical examination	800.00
10.4	Intralaryngeal infusions medicines	1200.00
10.5	Application of aseptic gauze bandage otolaryngologist	600.00
10.6	Unilateral puncture of the maxillary sinus with administration of drugs	1800.00
10.7	Puncture maxillary sinuses bilateral with drug administration	3000.00
10.8	Rinsing the paranasal sinuses and nasal cavity through the anastomosis	1200.00
10.9	Stopping nosebleeds using a sponge, film, etc.	700.00
10.10	Anterior nasal tamponade for bleeding	1000.00
10.11	Posterior nasal tamponade with bleeding	1700.00
10.12	Removing a tampon after nasal tamponade	500.00
10.13	Intranasal blockade	900.00
10.14	Anemization of the nasal mucosa, bilateral	500.00
10.15	Anemization of the nasal mucosa with sinusitis is one-sided	400.00
10.16	Rinsing the nasal cavity using the Proutz method (CUCKOO)	1000.00
10.16.1	Rinsing the nasal cavity using the Proutz method (CUCKOO) without seeing a doctor	1500.00
10.17	One-sided administration of medications into the external auditory canal/nasal cavity (ointments, drops, turundas)	500.00
10.18	Massage of the nasal mucosa medicines unilateral	250.00
10.19	Washing tonsil lacunae with medications	900.00
10.19.1	Rinsing the lacunae of the tonsils with medications (without consulting a doctor)	1500.00
10.20	Opening of tonsil cysts	1900.00
10.21	Extinguishing tonsil lacunae with drugs	600.00
10.22	Lubricating the throat mucosa with medicinal substances	400.00
10.23	Blowing auditory tubes according to Politzer	1000.00
10.24	Catheterization of the auditory tube with insertion medicinal substances one-sided	900.00
10.25	Washing tympanic cavity medicines, attica	900.00
10.26	Electric mucus suction for preschool children	1200.00
10.27	Removal of wax plug instrumental, unilateral	1200.00
10.28	Removal of wax plug with medications, unilateral	800.00
10.29	Outdoor toilet ear canal unilateral	600.00
10.30	Toilet of the middle ear with epi- and mesotympanitis is one-sided	700.00
10.31	Pneumomassage of eardrums	500.00
10.32	Determination of cross-country ability eustachian tube one-sided	450.00
10.33	Opening of hematoma, boil, carbuncle of ENT organs	2500.00
10.34	Opening of abscess, atheroma, cyst of ENT organs	2500.00
10.34.1	Opening of submucosal abscess of ENT organs up to 5 mm	500.00
10.35	Aerosol anesthesia of ENT organs, one-sided	300.00
10.36	Anesthesia of ENT organs, application, unilateral	400.00
10.37	Injection anesthesia of ENT organs	600.00
10.38	Removal postoperative sutures otolaryngologist	700.00
10.39	Cauterization of the mucous membrane of the ENT organs (medicinal)	900.00
10.40	Treatment of wounds of the mucous membrane of the ENT organs	1100.00
10.41	Application of medicinal substances to the mucous membrane of the ENT organs	400.00
10.42	Removal of foreign bodies from the nasal cavity/ear/pharynx: difficulty category 1	1200.00
10.43	Removal of foreign bodies from the nasal cavity/ear/pharynx: difficulty category 2	2100.00
10.43.1	Removal of laryngeal foreign bodies	3000.00
10.44	Taking material for culture (smear from the throat and/or nose)	300.00
10.44.1	Laser therapy – 1 field (1 procedure)	400.00
10.45	Calling an otolaryngologist to your home (Sviblovo)	4000.00
10.46	Calling an otolaryngologist to your home (SVAO)	4500.00

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Who is a pediatric otolaryngologist?

A pediatric ENT specialist, or more scientifically an otolaryngologist, is usually called a doctor who specializes in treating diseases associated with the upper respiratory tract, ear diseases.

Diseases of these organs are one of the most common pathologies in pediatric patients. For very young clients it has a number of peculiarities: the child is unable to explain what and where exactly is bothering him and hurting, he becomes disobedient, inactive, and may stop wanting his mother’s breast. Young children with this condition may have high temperature. A consultation with a professional ENT specialist in a children's otolaryngology center will allow timely identification of the disease of the so-called ENT organs and will prevent the development of complications.

When visiting various children's groups, children 4-10 years old often get sick for a long time. Timely and effective treatment diseases, as well as subsequent prevention, can prevent the development of the disease and prevent it from becoming chronic.

According to statistics, more than 60% of parents consult a doctor with diseases of the ENT organs in their children. In first place were various diseases pharynx (a little more than 50%), a little more than 25% is allocated to diseases of the nasal sinuses, infections (runny nose). The remaining 30-35% - various diseases ear. Exposure child's body To various ailments due to weak immune system and inability to independently fight various infections. Almost every one of us has similar problems at a young age. Some people even have a certain predisposition to diseases of the ENT organs and become regular patients otolaryngologist. How to find out the main symptoms of diseases and cure them early stages and understand which children's ENT clinic in Moscow is the best? You will find out the answers to all these questions by reading this article to the end.

In what cases should you contact a pediatric otolaryngologist?

Human breath - most important function organism necessary for life. Thanks to it, the activity of organs in all systems is supported. It is logical if this function functions abnormally - this will soon affect the state of the body as a whole. If you do not promptly resort to the help of an ENT specialist in a children's clinic, you may miss the development of problems that are difficult to eliminate or even irreparable. pathological diseases nasal mucosa, which will soon lead to disorders normal breathing nose.

You should urgently seek the help of a specialist if:

Your child has prolonged nasal congestion, in the worst case, a runny nose;
If your baby has nosebleeds;
There is a disturbance in the perception of smell (sense of smell);
Hearing has deteriorated;
Feels pain in the ear;
There is a change in voice, hoarseness, pain in the throat cavity;
The baby often a long period exposed to colds.

In addition, parents need to be vigilant and if they notice the following deviations, seek help from a doctor:

The process of nasal breathing is difficult;
Unpleasant formations in the nasal cavity - itching, crusts;
Frequent sneezing;
Recurrent sore throat;
Bronchitis, cough;
Popular pediatric ENT diseases.

Today there are 3 most common diseases of the pharynx of a small child:

Adenoiditis.
Otitis.
Chronic tonsillitis.

According to experts, children aged 3 to 15 years are most at risk of getting adenoid disease. Adenoids and hypertrophy palatine tonsils often occur in children, most of whom have not even had time to recover from acute respiratory infection. In this case, adenoid vegetations block the mouths of the auditory tubes and, after some time, provoke various ear diseases. As soon as it gets worse nasal breathing, this is reflexively transmitted to cerebral circulation baby. After which, “thanks to” the so-called oxygen starvation brain, they become absent-minded, sedentary, lethargic, study poorly, and have problems with constant headaches.

Ear diseases

Ear diseases go away faster in young children than in adults. It's connected with anatomical features every organism. IN early age The child's auditory tube is short, wide and located almost horizontally, and has adenoid growths. All these factors contribute to inflammation spreading directly into the middle ear cavity. Doctors explain it this way: “When there are formations in the middle ear purulent processes, it is not always possible for a hole to be created in a child's strong eardrum. But it is very important so that the pus has the opportunity to leave the cavity. If it is still not there, he looks for another way of “evacuation”, one of which becomes the wide entrance of the mastoid process.

The best children's ENT clinic in Moscow

If you and your child are faced with the above problems and need a prompt qualified medical examination, we advise you to contact our otorhinolaryngological center “LD-Clinic”. Doctors work here with high vocational training, ready to provide advisory, diagnostic, and, if necessary, qualified surgical care every little client.

For diagnostics ear diseases in our center, in addition to the usual procedure for examining a child, specialists use Newest technologies and techniques to identify changes auditory functions at different stages.

To identify diseases in the nasal cavity and nasopharynx, pediatric ENT specialists use endoscopic examination. Thanks to special equipment, the doctor is able to obtain accurate data on the size, shape and condition of the tissue in the patient’s nasal pharynx. It is worth noting that radiography of the nasal bones and paranasal sinuses is carried out using professional, modern devices.

Treatment of inflammatory diseases of the nasal cavity

In order to completely heal inflammatory diseases nasal cavity and pharynx, specialists have been using the method of rinsing the nose by moving fluid for several years. After this, the patient must undergo treatment in a physiotherapy room.

In order to get rid of chronic tonsillitis, we need to hold a special bacteriological examination. During which the doctor finds out the contents of the lacunae of the palatine tonsils. After which, this part will be washed with sensitive antibiotics and antiseptics. It is great if the patient wishes to visit a physiotherapy room in parallel with this procedure.

Many of our clients leave positive reviews on the official website with the captions: “The best children's ENT center in Moscow.” It's nice to receive such compliments, because we try to develop more and more every day and work for the benefit of our little patients. To make an appointment for a consultation, call and find out the time when you can come to the appointment. We promise that the inspection process will not be delayed or lengthy, because it consists of only 3 short parts:

Interviewing the child and creating a medical history;
Thorough examination of the patient;
Prescribing a course of treatment and issuing necessary medical documents.

Entrust the health of your baby to the clinic’s specialists, and you will soon be surprised by the positive changes.

The promotion applies to all varieties initial appointment, including appointments with leading doctors, candidates medical sciences and children's specialists. Take advantage of this excellent opportunity to get a profitable consultation from one of the leading medical companies in Moscow! .

Pediatric ENT(otolaryngologist) is a specialist in diseases of the ear, nose and throat in children.

When is a pediatric ENT needed?

In the first year of life, an ENT doctor must examine the baby twice to make sure there are no pathologies of the ENT organs.

Young children are susceptible to viral and bacterial infections. Their immunity is still developing. It is important to prevent your child from becoming part of a group of frequently ill children.

The prevalence of ENT diseases leads to the fact that adults do not always react in time to the appearance of signs of the disease. How often do parents have to send children who are still sniffling and coughing to school in order to avoid a fatal lag behind curriculum. But a disease that is not completely defeated results in decreased attention, high fatigue, and possible dangerous complications. Therefore, it is very important to receive timely, high-quality consultation from a competent ENT doctor.

You will need a consultation with a pediatric ENT specialist if your child has:

difficulty in nasal breathing;

deterioration or loss of smell;

pain or sensation of pressure in the bridge of the nose or forehead;

nasal discharge;

discharge from the ear;

earache;

a sore throat.

Appointment with a pediatric ENT specialist

At the appointment, the doctor will examine the child’s ENT organs, establish a diagnosis, and carry out the necessary healing procedures, will prescribe a course of treatment. Diagnosis may require additional research: blood test, culture for microflora (for this, during the examination, the doctor will take the necessary biological material), radiography and others instrumental studies. An alternative to radiography when examining children over the age of 3 years can be ultrasound. Using the device ultrasound diagnostics With Sinuscan, the doctor can perform a study of the condition of the child’s nasal sinuses right during the appointment.

As a rule, a preliminary diagnosis is established on the basis of an endoscopic examination of the ENT organs, and laboratory diagnostics are used for clarification (for example, to determine the pathogen).

If necessary, manipulations and procedures such as removing wax plugs from the ear, washing the lacunae of the tonsils, washing the nose, pneumomassage are performed directly at the appointment. eardrum and others. In most cases therapeutic effect achieved at course treatment, so you will need to come for the procedures several more times.

Paid children's ENT in Moscow

If you need a good pediatric ENT specialist in Moscow, contact JSC " Family doctor».

At the “Family Doctor” you will find qualified pediatric ENT doctors who are well versed in both the characteristics of childhood diseases and the specifics of living conditions. big city. “Family Doctor” was built precisely as a network of clinics for Moscow families, so childhood diseases are an integral part of the competencies of our medical staff.

You can find out the prices for pediatric ENT services and make an appointment with a doctor by choosing the most convenient clinic for you below.

Our History of the treatment of adenoiditis and tonsillitis) There was a problem with breathing, a runny nose, and the mouth was open during sleep. Send Laura. I won’t describe for a long time how we were treated, anyone who has encountered it knows. There was no result. Throughout 2014, we took antibiotics every month. It all started with a temperature below 40, a red throat. The local pediatrician became a frequent visitor to our house, and every time she and we hoped that we could do without antibiotics, but it didn’t work out, and after a week-long struggle with fever, we still took antibiotics. This continued constantly, systematically, once a month. Once again, when the pediatrician came on call for a high temperature, she somehow, without much hope, suggested that we contact Yuri Nikolaevich Tkach, who uses a non-surgical method for treating adenoiditis and tonsillitis. They say go, you never know, maybe it will help. She found out about him at the clinic; he was giving a presentation of his treatment method. Our doctor said that simply impostors cannot get to the presentation at the clinic, and this doctor appeared in agreement with the Ministry of Health. Since we were already very tired of everything that was happening, I made an appointment with him the next day. But we didn’t see this doctor right away, only a month later, because he doesn’t see him in St. Petersburg all the time. He comes several times a year. And he conducts all his main patient visits in Yevpatoria. We had no choice but to wait. At the same time, another ENT advised us to wait until we turn 5 years old and remove it, and life will become calmer. Everything would be fine, and we probably would have done just that, but! I myself had my adenoids and tonsils removed as a child. Because the nose was not breathing, and the tonsils were inflamed. So, removing the adenoids did not solve my breathing problems, I just needed treatment allergic rhinitis, and leave my adenoids and tonsils in place. But this is already up to me mature age got it. And yet, I often get sick, and until now, all infections, viruses that should slow down in the tonsil area, they fly straight to the bronchi, and therefore any cold I have is accompanied by severe cough. I believe that there is no excess in the body, and if it is possible not to remove it, it is not worth removing. A month later we went to the doctor. He prescribed a course of treatment. Its meaning is as follows: a special phytobalm is injected into the natural openings of the tonsils with a special cannula. Cleanses pathogenic microflora, replacing it with healthy ones. The doctor also cleans and massages the nasopharynx, injects phyto balm into the nose and closes the nostrils for 5 minutes with cotton swabs. It takes 5 minutes, but the treatment is carried out every day for two weeks. Not very good for children pleasant procedure, but not painful. Arina tolerated it well. We completed the first course in February 2015. Let me tell you right away, this pleasure is expensive. I don’t know what prices are now, but we paid 37 thousand rubles. per course. The doctor immediately said that one course would most likely not be enough; usually tonsillitis and adenoiditis can be completely cured in 2-3-4 courses, which are done twice a year. It looked like some kind of scam, and of course we didn’t really trust this doctor, but we decided to undergo treatment, because there was really no way out, only removal. And I wanted to avoid this. So, after the first course, I probably noticed improvements by the end of the second week. It was immediately noticeable by his breathing; at night the child breathed calmly through his nose. Further - better, and we decided not to waste time and go to the second year to see a doctor in Evpatoria, especially since we were going to go to Crimea anyway. On vacation, the procedures were even easier) If the job was done, go for a walk)) In the morning we went for the procedures and were free the whole day to relax. In the hallway outside the doctor's office, I met big amount people who came from Vorkuta, Khanty-Mansiysk, Norilsk, Moscow, Belgorod, Bryank, Yekaterinburg specifically for a course of treatment. Some came to take the 4th and final year with the whole family, some on the recommendation of friends and relatives. Someone accidentally found out about the doctor while on vacation and came for treatment. We completed the second course in July 2015. From February 2015 until now, we have NEVER taken antibiotics! They were sick, but not often, and much easier, I didn’t see a red throat like before, the temperature was high, but for a maximum of 1-2 days, the nose was blocked due to acute respiratory infections, ARVI, but in a quiet life the nose breathes well. A week ago we saw the doctor, he is very pleased with our condition, we will continue the course, perhaps in the summer or autumn. I wish everyone good health!

Who is a pediatric ENT doctor?

In specialized clinics and clinics, pediatric ENT specialists are involved in the diagnosis, prevention and treatment of nasopharyngeal diseases. As with many things, working with children with ENT diseases is very different from treating adult patients. Children's doctor is responsible for carrying out all kinds of surgical interventions, must know all the features of pediatric anesthesia, which is used not only during surgical procedures, but also during diagnostic studies child's nasopharynx.

Like any doctor who deals with children and adolescents, a pediatric otolaryngologist studies the psychology of his young patients and knows how to work with those who have not reached the age of 16. A child’s language and perception of reality are seriously different from an adult’s, but a doctor must understand perfectly what children say about their health problems.

What does a pediatric otolaryngologist do?

It is more convenient for the children of Moscow to call their uncle or aunt, who alleviates suffering, helps them breathe, hear, swallow, children's earworm. It is he who defines pathologies:

oropharynx;
nasopharynx;
larynx;
ears.

During the consultation, the pediatric ENT doctor must examine the child using specialized equipment, collect anamnesis, make a diagnosis and prescribe preventive measures or appropriate treatment. If necessary, any pediatric ENT specialist offers mothers and fathers to conduct additional laboratory research, such as:

microbiological;
immunological;
cytological;
radiography.

When examining the ears, nose, throat, paranasal sinuses, larynx, tonsils, maxillary sinuses diseases such as:

chronic tonsillitis or pharyngitis;
adenoids;
acute, chronic sinusitis, laryngitis, otitis media;
vasomotor rhinitis, sinusitis;
angina;
damage to the eardrum, presence of foreign bodies, sulfur plugs;
hearing loss and other diseases.

If possible, treatment is carried out directly during a consultation with a pediatric otolaryngologist, where you can:

rinse and treat tonsils, nasopharynx, ear canals;
suck out mucus from the nose and so on.

During the examination of the baby in Moscow, the following may be identified:

cyst;
nasal polyps;
adenoids;
sinusitis;
furuncle;
fungal infections;
deviated nasal septum and so on.

Sometimes diagnosis and treatment by a pediatric otolaryngologist in Moscow may require instrumental intervention. In this case, problems of fear, resistance to examination, hysteria, and so on arise. Sometimes you have to involve child psychiatrist. Among the studies in Moscow that simplify diagnostics, the following are popular:

CT scan;
DEPN (diagnostic endoscopy of the nasal cavity);
laryngostroboscopy;
audiometry;
impedancemetry;

For what symptoms do you consult a pediatric ENT doctor?

The peculiarities of diagnosing children are that a complaint about the condition may not be received at all. It all depends on what the pathology of the nasopharynx is. Parents should always be attentive to the capricious states of their children and seek advice from a pediatric ENT specialist if the child;

eats poorly, cries constantly, is restless;
does not respond to sounds;
complains of pain in the ears when swallowing;
breathes poorly, and mucous discharge appears from the nose;
sleeps with open mouth, nasal when speaking, hoarse or wheeze;
coughs with constant nasal congestion;
constantly picks up nasopharyngeal infections.

This is a list of the most common symptoms, in fact there are many more. Range pathological changes very wide.

How to become a pediatric ENT doctor?

In almost all specialized educational institutions In Moscow you can find a faculty or department where children's doctors are trained, in particular pediatric ENT doctors. This:

GBOU VPO RNIMU im. N. I. Pirogova;
Institute for Advanced Training of Physicians of the National Medical and Surgical Center named after. N. I. Pirogova;
RMAPO;
MMA im. I. M. Sechenov;
Federal State Institution "Educational and Scientific Medical Center" of the Presidential Administration of the Russian Federation;
GOU DPO Russian medical academy postgraduate education Roszdrav and many others.

Famous Moscow specialists

The first significant research in the field of pediatric development was carried out by such famous medical scientists as Zybelin, Ambodik-Maksimovich, Novikov, Grum. In 1866, a specialized children's hospital was opened, the construction of which was carried out by Tolsky. Among the famous Russian pediatricians we can note Filatov, Korsakov, Filippov, Bystrov. We owe a lot in the development of children's ENT to Roshal, Botkin, and Fedorov.

Considering the frequency and prevalence of ENT pathology in children pediatric ENT doctor is an extremely sought-after specialist in children's medical institutions.

The priority direction of the ENT CLINIC ON LENINSKY is to provide specialized assistance children of all ages starting from birth. The clinic is equipped with the most modern diagnostic equipment, including endoscopic equipment, tympanometer, audiometer. Used for treatment wide range physiotherapeutic procedures that are highly effective in pediatric practice - USOL therapy on the CAVITAR device, therapeutic laser, phototherapy.

Nasal diseases in children

The most common problem in childhood is acute rhinitis(runny nose). How younger child, the brighter clinical picture and symptoms of the disorder general condition child. The cause of a runny nose can be infectious, allergic factors, as well as irritation of the nasal mucosa during penetration foreign body. Rhinitis often appears during teething in children under one year of age, which does not require drug therapy.

As a rule, with uncomplicated mild flow Just careful aspiration of the contents of the nasal cavity is enough to restore nasal breathing and improve the baby’s quality of life.

In all other cases, careful diagnosis is necessary and timely treatment to avoid complications and spread inflammatory process to other organs.

Foreign bodies of the external auditory canal, cerumen plugs

If a child’s hearing deteriorates, one may suspect the presence of foreign bodies or wax plugs in the ears. The clinic's pediatric ENT doctor conducts endoscopic examination little patient, if necessary, rinses the external auditory canal, removes a foreign body, administers medications into sore ear, physiotherapeutic treatment.

Prevention of diseases of the ENT organs, actively carried out by a pediatric ENT doctor in a clinical setting, will help maintain the health of your child and avoid severe complications to other body systems.

Friendly atmosphere in the clinic

The clinic has created a friendly atmosphere for children. Organized children's Corner with toys and coloring books. Children have something to occupy themselves with and doctor appointments become less painful.