Pediatric ENT Services in Atlanta, GA

We believe in providing optimal treatment to our patients, including children.

That is why we choose to complete every pediatric surgery at the Children’s Healthcare of Atlanta. This hospital has been named as one of the top pediatric hospitals in the entire country. They truly serve as a role model for all other pediatric hospitals in the United States.

Specialized care and treatment are provided by the caring doctors and nurses at Children’s Healthcare of Atlanta. They realize and understand that specialized support and equipment are needed to properly care for children. We prefer Children’s Healthcare of Atlanta over all others because we know they are committed to keeping young patients safe, while openly communicating with all family members and caregivers involved.

Your child’s health will surely be in excellent, caring hands.

Common Childhood Ear, Nose & Throat Problems

At some point in time, children get sick— that is inevitable. However, when it comes to ENT problems, there are several pediatric conditions that are commonly diagnosed and treated, including pediatric tonsillitis, pediatric sinusitis, and ear infections.

What is Pediatric Tonsillitis?

The pharyngeal tonsils are the glands at the back of the throat which you can visibly see when you open your mouth. If these glands become inflamed, then tonsillitis is usually diagnosed.

However, other areas in the back of the throat might also become inflamed if someone has tonsillitis. Other areas include the adenoids and the lingual tonsils (the tonsil tissue at the back of the tongue).

A patient can experience any of the variations of tonsillitis, including:

  • acute tonsillitis
  • recurrent tonsillitis
  • chronic tonsillitis
  • peritonsillar abscess

When seeing your child’s ENT doctor, he or she will evaluate your child’s health history to identify which type of tonsillitis is present.

What Causes Pediatric Tonsillitis?

Oftentimes, when a child is diagnosed with tonsillitis, there may be several causes. A few of the most common reasons for pediatric tonsillitis include:

  • viral infections
  • bacterial infections
  • immunologic factors

More specifically, tonsillitis can be caused by bacteria called streptococcus species. Furthermore, acute pharyngitis and acute tonsillitis are most commonly caused by:

  • Streptococcus pyogenes (GABHS)— causes most bacterial tonsillitis in children 5-15 years old (i.e. “strep throat”)
  • adenovirus
  • herpes simplex virus
  • Epstein-Barr virus (EBV)— There is a possibility of infectious mononucleosis due to EBV in an adolescent or younger child with acute tonsillitis (particularly when cervical, axillary, and/or groin nodes are tender)
  • cytomegalovirus
  • the measles virus

As a matter of fact, bacteria causes approximately 15-30% of pharyngotonsillitis cases.

Just about all children within the United States experience tonsillitis at least one time throughout their childhood. However, the medical industry keeps improving its’ medications, diagnoses, and treatment options (medical and surgical treatments). That is precisely why major tonsillitis complications (like mortality) are rare.

At What Age Can Kids Get Diagnosed with Tonsillitis?

  • Tonsillitis can occur in children who are older than two years old. It is very rare for children who are younger than two to get tonsillitis.
  • The Streptococcus species bacteria oftentimes occurs in children of ages 5 through 15, while viral tonsillitis is more common in children younger than 5.
  • Peritonsillar abscess can be found in young adults, but can sometimes occur in children, as well.

What Symptoms are Associated with Tonsillitis?

Symptoms differ depending on which type of tonsillitis you have.

Symptoms of acute tonsillitis:

  • foul breath
  • fever
  • sore throat
  • difficulty swallowing (called dysphagia)
  • tender cervical lymph nodes
  • painful swallowing (called odynophagia)
  • neck stiffness

Furthermore, if a patient experiences airway obstruction (because of swollen tonsils), he or she may also experience sleep apnea (including snoring, mouth breathing, or nocturnal breathing pauses). If this is the case, malaise and lethargy are commonly experienced. These type of symptoms usually dissipate in 3-4 days (with some symptoms lasting up to 2 weeks despite therapy).

Symptoms of chronic tonsillitis:

  • sore throat
  • tonsillitis
  • halitosis
  • persistent, tender cervical nodes

Symptoms of peritonsillar abscess:

  • severe throat pain
  • foul breath
  • drooling
  • fever
  • stiff jaw
  • pain near the ear regions
  • unilateral bulging near the tonsils (above the tonsils and to the side of the tonsils)
  • difficulty opening the mouth (called trismus)
  • muffled voice quality (“hot potato” voice— as if speaking with a hot potato in his or her mouth) (this voice change is more severe in patients with peritonsillar abscess)

What to Expect During the Pediatric Otolaryngology Office Visit

When your child comes in for an appointment, a general ear, nose, and throat examination will be conducted. In addition, the ENT doctor will review his or her health history, as well as conducting a physical examination.

If a child has tonsillitis, the ENT doctor might find the following during a physical exam:

  • symptoms of fever
  • enlarged and inflamed tonsils (commonly covered by pus)
  • signs of dehydration (found through examination of the skin and mucosa)
  • red, swollen tonsils with small ulcers on the surface (commonly found in patients who have herpes simplex virus—HSV— tonsillitis)
  • enlarged neck nodes
  • a fine, red rash over the body (may suggest scarlet fever)
  • the presence of palatal petechiae (tiny hemorrhagic spots the size of a pinpoint to a pinhead size on the soft palate) (typically found in patients with Group A beta-hemolytic Streptococcus pyogenes–GABHS)
  • tender cervical lymph nodes
  • a grey membrane which covers the inflamed tonsils from an EBV infection— the membrane can be removed without bleeding

Based on the symptoms, health history, and the underlying causes, the ENT physician will determine which treatment method is best.

Treatment Options for Pediatric Tonsillitis

Antibiotics are the typical treatment option to get rid of tonsillitis. It is also very important to replace fluids and to minimize the patient’s pain. In very severe cases of tonsillitis, hospitalization may be needed, particularly if airway obstruction is apparent.

If a child repeatedly gets diagnosed with tonsillitis (recurrent tonsillitis), then the ENT doctor might recommend surgically removing the tonsils.

For patients suffering from a peritonsillar abscess, he or she may need more urgent treatment to drain the abscess.

What is Pediatric Sinusitis?

The maxillary (behind the cheek) and ethmoid (between the eyes) sinuses are present at birth, even though they are very small. Your son or daughter’s sinuses do not fully develop until they are in their late teenage years.

Throughout the first several years of childhood, children are prone to infections of the ears, nose, and sinus. The infections are commonly caused by viral infections (the common cold).

However, the infections may be aggravated and symptoms exacerbated by allergies. In these cases, allergy testing and treatment can help identify triggers and reduce the frequency of recurring sinus and nasal infections. If you notice that your child continues to remain sick beyond 10 days, a sinus infection may be the culprit.

Reducing the risk of sinus infections (sinusitis) is a common goal for caregivers and parents. You can reduce their risk by:

  • reducing their exposure to known environmental allergies
  • reducing their exposure to known environmental pollutants (tobacco smoke, etc)
  • reducing the amount of time, if any, he or she spends at daycare
  • treating stomach acid reflux disease right away, if present

It is important to remember that pediatric sinusitis is different than sinusitis in adults.

It is very important for your pediatric ENT doctor to thoroughly evaluate your child’s symptoms. Pediatric sinusitis is often difficult to diagnose in children because symptoms can be caused by other common problems, such as allergies or viral illness.

How to Determine if Your Child Has Sinusitis: What are the Symptoms?

If your child has a sinus infection, he or she may experience the following symptoms:

  • a cold which lasts longer than 10-14 days
  • a cold accompanied by a low-grade fever
  • thick, yellow-green nasal drainage
  • headache (usually occurs in children of ages 6 or older)
  • post-nasal drip (this can sometimes lead to or be exhibited by a sore throat, cough, nausea, bad breath, and/or vomiting)
  • irritability
  • fatigue or low energy
  • swelling near the eyes

If your child suffers from one or more symptoms of sinusitis for at least 12 weeks, then he or she might have chronic sinusitis (recurrent episodes of acute sinusitis).

If your child gets a sinus infection more than 4-6 times per year, this is an indication that you should seek help from a pediatric ENT doctor (an otolaryngologist).

When your child comes in for his or her appointment, our ENT doctors will examine the ears, nose, and throat. In addition, we will review his or her symptoms and health history. Oftentimes we need to use special instruments to look inside of the nose. At times we may need to order a CT Scan to determine how developed your child’s sinuses are, confirm the diagnosis, and/or determine where any nasal blockage is occurring.

Your ENT doctor can also evaluate certain factors that make your child more susceptible to pediatric sinusitis.

Such factors include:

  • allergies
  • structural changes
  • immune system problems

Proper evaluation and testing lead to an accurate diagnosis so we can provide effective treatment.

Treatment Options for Pediatric Sinusitis

Treatment options for pediatric sinusitis differ. Treatment for acute sinusitis differs from treatment for chronic sinusitis. We’ll outline both.

Treatment for acute sinusitis:

  • antibiotic therapy (most children respond very well to this therapy)
  • nasal decongestant sprays or saline nasal sprays (provides short-term relief of nose stuffiness)
  • nasal saline (saltwater) drops or gentle sprays (helps thin out secretions and improves mucous membrane function)

For pediatric acute sinusitis, symptoms should improve within the first few days of starting treatment. Even if the symptoms fade away, it is very important to complete the entire antibiotic treatment, as prescribed by your ENT physician.

If for some reason your child’s allergies or other conditions make the sinus infection worse, he or she will decide a different course of treatment (i.e. different medications, etc).

It is important to note that over-the-counter antihistamines and decongestants are generally NOT effective in treating viral upper respiratory infections in children. The role of these two medications are not well defined in the treatment for pediatric sinusitis either. These two medications should NOT be given to children who are younger than 2 years old.

Treatment for chronic sinusitis:

  • medical treatment of the sinuses
  • surgical treatment of the sinuses

Is Surgery Necessary to Treat Sinusitis?

Surgery is needed for only a small percentage of children who are diagnosed with severe or chronic sinusitis (despite medical therapy). If medical therapy fails for some reason, surgical therapy is a safe and effective way to treat sinus disease in children.

If surgery is needed, the ENT doctor will use an endoscope to open the natural drainage pathway of the sinuses. He or she may also make the narrow passages wider. This process allows for culturing, which means that antibiotics can be directed to the specific areas. This procedure (of opening the sinuses and permitting air to circulate) results in a reduction in the frequency and the severity of sinus infections in kids.

There are times when an ENT doctor may recommend removing the adenoid tissue (located behind the nose). If the adenoid tissue becomes infected (called adenoiditis), it can cause many of the symptoms that are similar to sinusitis— bad breath, cough, headache, stuffy nose, runny nose, and post-nasal drip.

What Should You do if Your Child has Pediatric Tonsillitis or Pediatric Sinusitis?

If you notice that your child is suffering from the symptoms talked about in this article, seek help right away before symptoms get worse. Call either of our ENT offices in Lawrenceville, Johns Creek, Dacula, and Braselton. We will schedule an appointment so your child can receive proper treatment and start feeling better in no time.

Pediatric ENT FAQs

Frequently Asked Questions about Pediatric ENT

Most children recover from a tonsillectomy in about 10 to 14 days, though throat pain and ear pain can peak around days 5–7 as the surgical scabs come off. Plan to keep your child home from school and away from strenuous play during this window, and push fluids constantly to prevent dehydration, which is the most common post-surgery complication. Expect soft, cool foods for the first week — yogurt, applesauce, mashed potatoes, popsicles, and skip anything crunchy, spicy, or acidic that can irritate the healing area. Pain is usually managed with prescription liquid pain relievers on a scheduled dose. Call Northeast Atlanta Ear, Nose & Throat at 770-237-3000 right away if you notice bright red bleeding from the mouth, which needs prompt evaluation.

Ear tubes are typically recommended when a child has three or more ear infections in six months, four or more in a year, or persistent fluid behind the eardrum for three months or longer that’s affecting hearing or speech. A pediatric ENT will confirm the need with a hearing test and eardrum examination before recommending the procedure. Ear tube placement, called a tympanostomy, takes about 10 to 15 minutes under brief general anesthesia and involves placing tiny tubes in the eardrum to drain fluid and prevent buildup. Most tubes fall out on their own within 6 to 18 months. Kids usually return to normal activities the next day, and parents often notice fewer infections, clearer hearing, and better sleep within weeks.

Whether you need a referral depends on your insurance plan, not the ENT practice itself. HMO plans usually require a referral from your child’s pediatrician before an ENT visit will be covered, while PPO plans generally allow you to book directly. Check your insurance card or call the number on the back to confirm what your plan requires. If you’re unsure, you can also call Northeast Atlanta Ear, Nose & Throat at 770-237-3000 and the office can verify your specific plan before scheduling. Bringing your child’s recent medical records, prior imaging, and any test results to the first visit, with or without a formal referral, helps the ENT get up to speed faster.

Yes, enlarged tonsils and adenoids are the most common cause of obstructive sleep apnea in children. If your child snores loudly, gasps, pauses breathing during sleep, or seems tired and irritable during the day, a pediatric ENT can examine the airway and determine whether the tissue is blocking normal breathing. Sleep apnea in kids often looks different from adults, instead of daytime sleepiness, children may be hyperactive, struggle to focus in school, or start wetting the bed after being dry. A sleep study is sometimes ordered to confirm the diagnosis. Removing enlarged tonsils and adenoids (an adenotonsillectomy) resolves symptoms for the majority of affected children and can dramatically improve sleep, mood, and behavior within a few weeks.

Go to the emergency room right away if your child is struggling to breathe, drooling and unable to swallow, has a stiff neck with a high fever, is turning blue around the lips, has visible swelling of the face or throat, or is bleeding heavily from the mouth, nose, or ear. These signs can indicate airway obstruction or serious infection that shouldn’t wait. Same-day ENT appointments are appropriate for symptoms that are worsening but not immediately dangerous — persistent high fever, ear pain that a child can’t sleep through, or a suspected foreign object stuck in the ear or nose. If you’re unsure how urgent something is, call Northeast Atlanta Ear, Nose & Throat at 770-237-3000 for triage guidance before heading anywhere.

Most pediatric ENT surgeries, including tonsillectomy, adenoidectomy, and ear tube placement, are performed under general anesthesia so your child is fully asleep and feels nothing during the procedure. A pediatric anesthesiologist administers and monitors the anesthesia the entire time, adjusting doses based on the child’s age, weight, and health history. For younger children, anesthesia typically starts with a flavored gas mask rather than an IV, so no needle sticks are needed while they’re awake, this cuts down significantly on pre-surgery anxiety. Most kids wake up within 15 to 30 minutes of the procedure ending and go home the same day. Because pediatric surgeries are performed at Children’s Healthcare of Atlanta, your child is cared for by a team specifically trained in pediatric anesthesia and recovery.

Yes, Atlanta consistently ranks among the most challenging US cities for seasonal allergies, and high pollen exposure can inflame the nasal passages, trap mucus in the sinuses, and make children much more prone to recurring sinus infections. Managing the underlying allergies is often the key to breaking the cycle. Tree pollen peaks in the Atlanta metro from mid-February through April, followed by grass pollen in late spring and ragweed in the fall. If your child gets a sinus infection during these same windows year after year, an allergy evaluation can identify their specific triggers so they can be treated before another infection develops. Simple steps like keeping windows closed on high-pollen days, using saline rinses, and showering after outdoor play also help.

Summer break is often the best window for non-urgent pediatric ENT surgeries because it gives your child a full recovery period without missing school. Ear tube placement generally needs just a day or two of downtime, while tonsillectomy recovery takes 10 to 14 days, so June or early July is usually the sweet spot for Georgia families whose kids return to school in early August. Booking early matters, pediatric ENT surgery calendars tend to fill their summer slots by early spring. That said, if your child’s symptoms are severe or affecting sleep, school performance, or hearing, don’t wait for the summer window; recurrent infections and untreated sleep apnea can have lasting effects. Same or next-day appointments are available at Northeast Atlanta Ear, Nose & Throat by calling 770-237-3000 to start the evaluation now.

Northeast Atlanta Ear, Nose & Throat provides pediatric ENT care at four locations across the northeast Atlanta metro: Johns Creek, Lawrenceville, Dacula, and Braselton. All pediatric surgeries are performed at Children’s Healthcare of Atlanta, consistently ranked among the top pediatric hospitals in the country. Call 770-237-3000 to schedule. Same or next-day appointments are frequently available for children with worsening ear, nose, or throat symptoms. The practice treats common pediatric conditions including recurrent ear infections, tonsillitis, adenoid issues, sinusitis, allergies, and sleep-disordered breathing. Full provider bios and location details are on the website, and most major insurance plans are accepted.