Otolaryngology (Ear, Nose & Throat)

ENT doctor examines patient

Otolaryngology is a specialty devoted to the evaluation and treatment of ear, nose, and throat (ENT) disorders as well as head and neck, hearing, and communication problems. We understand how ENT conditions can affect hearing, learning, speech, and sleep and impact development. Our teams provide care that takes your whole child, not just the condition, into account.

 
Learn More About Otolaryngology

ENT conditions in children can range from recurring ear infections and enlarged tonsils, to sinus diseases or a complex craniofacial anomaly (irregular or abnormal growth of head and facial bones). Nemours Ear, Nose and Throat doctors, called otolaryngologists, are board-certified ENT surgeons who are highly trained in the latest minimally invasive and endoscopic surgery techniques.

The most common procedures our surgeons perform include:
  • tonsillectomy (removal of the tonsils)
  • adenoidectomy (removal of the adenoidal tissue)
  • myringotomy with tube placement (removal of fluid from the middle ear and insertion of ear tubes)

Nemours surgeons are also skilled in advanced reconstructive techniques and often work with other specialists to try to combine one or more surgeries during a single hospitalization, which helps reduce the number of times your child needs to receive anesthesia.

Nemours Children's Clinic, Jacksonville

807 Children’s Way
Jacksonville, FL 32207
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Phone: (904) 697-3600

Hours: Monday - Friday: 8 a.m. - 5 p.m.
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What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients

Bring these forms for your first appointment:

Returning Patients
 
Forms & Resources
New Patient Forms
Returning Patient Forms
Resources for Patients & Families
Support Service for Overnight Stays

When you bring your child to see an ENT specialist (Ear, Nose and Throat doctor) at Nemours Children’s Clinic, Jacksonville, you can expect exceptional care. Named among the “Best Doctors in America”, our physicians provide comprehensive pediatric otolaryngology, head and neck, and facial plastic surgical care for children.

A Center of Excellence for Otolaryngology in the Southeast

Our Division of Pediatric Otolaryngology-Head and Neck Surgery and Communication Sciences is a recognized leader in providing state-of-the-art ENT programs:

  • cochlear implantation and auditory rehabilitation
  • craniofacial plastic surgery, including cleft lip and cleft palate repair, rhinoplasty (nose) and otoplasty (ear)
  • rhinology and sinus disease center
  • balance and vestibular disorders lab
  • audiology
  • speech and language therapy

Pioneering Specialized ENT Care for Children

Every Nemours pediatric otolaryngologist has extensive training and experience in treating wide range of ENT conditions in children and performing common procedures such as ear tubes surgery and tonsillectomies. Our highly skilled ENT surgeons also have areas of specialization and perform complex procedures that are unique in the area and country.

Highlights include:
  • National recognition for a new life-saving surgical procedure for children born with an abnormally small jaw, a condition called Pierre Robin Sequence (PRS)
  • First balloon sinuplasty procedure (a newer technology to treat sinus disease) in a child in Florida
  • Groundbreaking procedure to remove salivary stones in children using minimally invasive technique

Partnering With You to Help Your Child

We believe strongly in educating families and want you to know that you are an important part of your child’s care team. We welcome your active involvement in the decision-making process. We also strive to make things as easy and convenient as possible for you and your child. Because our Ear, Nose and Throat doctors, audiologists, and speech therapists are all under one roof, your child can often have multiple appointments scheduled in one day. You can also schedule appointments at Nemours Children’s Clinic, South or Nemours Children’s Clinic, Orange Park.


Our ENT Programs and Services

 
Cochlear Implant Program

A cochlear implant is a surgically implanted device for children with severe to profound hearing impairment who receive reduced benefit from hearing aids. Our Cochlear Implant and Auditory Rehabilitation program is recognized nationally as a leading program for pediatric implantation and provides ongoing therapy and long term support to children and families, both before and after cochlear implant surgery. We also collaborate in the community with the Clark school for the hearing impaired.

Learn More About Our Cochlear Implant & Auditory Rehabilitation Program »

 
Implantable (surgically-placed) Bone Conduction Hearing Devices

We offer two implantable hearing devices for children, age 5 years and older, with conductive or mixed hearing loss. These devices can also benefit children with single sided deafness — and both devices can be worn in a softband prior to age 5 years or if implantation is not desired.

BAHA (Bone Anchored Hearing Aid)

The BAHA is a surgically implanted system that works through direct bone conduction. The system works by enhancing natural bone transmission as a pathway for sound to travel directly to the inner ear, bypassing the outer and middle ear. The implant is placed during a short surgical procedure, which over time integrates with the skull bone usually 3-6 months, depending on the age of the child. Once integrated, the processor is worn on the external abutment and transmits sound vibrations via the abutment to the implant. The implant vibrates, sending vibrations within the skull and inner ear. Hair cells within the inner ear stimulate nerve fibers, allowing hearing to occur.

Sophono Bone Conduction Hearing System

The Sophono is an innovative, new abutment-free device. This system eliminates the need for a protruding abutment by utilizing a magnetic titanium implant, which securely holds the external processor in place through intact skin and hair via an external spacer magnet. The Sophono is implanted in a short, single stage procedure. The processor can be fitted for the patient in about 4 weeks after surgery or once the incision has healed. Like the BAHA, direct stimulation to the cochlea via vibrations allows for hearing to occur.

 
Neuro-Otologic Program for Balance (Vestibular) Disorders

Neuro-Otology focuses on the neurological (related to the body’s nervous system) aspects of the auditory (hearing) and vestibular (balance) systems. Working with the pediatric neurosurgery division at Wolfson Children’s Hospital, we are one of only a few centers in the nation with expertise in treating children with balance problems (dizziness, falling or the sensation of falling, disorientation, or nausea). Nemours Children’s Clinic, Jacksonville houses the only balance facility dedicated to children in the region and our state-of-the-art and child-friendly equipment helps pinpoint both the cause and the most effective treatment for balance problems in children. Our Balance Lab is also a leading center for research in vestibular diseases in children.

Learn More About Our Balance Disorders Program »

 
Facial anomalies, Skull base and Facial Plastics program

Facial Anomalies (irregular or abnormal growth of head and facial bones) are congenital, meaning present at birth, and include conditions such as cleft lip and/or cleft palate. Our program is taking a critical role in the treatment of children with craniofacial disorders, offering leading edge treatment and surgical procedures never before offered in area.

These include a very successful “distraction” program for children with Pierre Robin sequence (PRS). PRS is a rare, life-threatening condition that causes the tongue to fall back into the throat, making it difficult for babies to breathe and swallow. Children with this condition often need a breathing and feeding tube until age 5, but our surgical team performs a state-of-art procedure that helps grow new bone in the jaw and treats the disorder by helping to expand the airway without the need for breathing or feeding tubes.

We also offer advanced treatment, unique in Northeast Florida, for children with vascular anomalies (blood vessels that have developed abnormally).

Learn More About Our Cleft and Craniofacial Anomalies Program »

 
Airway Center for Voice and Swallowing Disorders

Our Airway Center provides specialized care for children with voice and swallowing disorders, including advanced endoscopic airway procedures which use a thin, flexible viewing instrument (endoscope) to provide an inside view of the airway. State-of-the-art voice and swallowing equipment allow our doctors and speech pathologists to evaluate and treat children with range voice and swallowing disorders, such as Velopharyngeal insufficiency (VPI). VPI occurs when the soft palate muscle in roof of the mouth (velopharyngeal sphincter) fails to close off airflow during speech, allowing air to escape through the nose instead of the mouth. This can cause a resonance disorder or “nasal” speech. In our VPI clinic, our ENT team will diagnose the type and cause of your child’s problem and recommend treatment that may include speech therapy, surgical correction or both.

 
Center for Rhinology and Sinus Disease

Our ENT specialists provide the newest techniques available in treating nasal (rhinology) and sinus problems in children. These techniques including the latest endoscopic surgical procedures which use a thin, flexible viewing instrument (endoscope) to provide an inside view of the nose and sinuses. Our center was the first in Florida to use a new balloon sinuplasty procedure to treat sinus disease in children. Because nasal and sinus problems are common in children with cystic fibrosis (CF), we’ve also become a leading treatment center in Northeast Florida and Southeast Georgia area for children with CF.


Working as a Team to Care For Your Child

Whether your child’s ENT problem is straightforward (such as a chronic ear infection) or much more complicated (such as deafness), we practice medicine in a way that brings together skills and talent from different areas of expertise.

 
Your Child’s ENT Team Members

Members from different specialties collaborate to create solutions to treat and meet your child’s needs. Health professionals who may be involved include:

  • surgeons
  • audiologists
  • speech and language pathologists
  • behavioral health experts
  • deaf educators
  • neurologists (doctors who treat problems of the nervous system)
 
Types of ENT Conditions We Treat

Our doctors and teams provide advanced ENT care that takes your whole child and not just the condition into account. We address areas and conditions that include:

  • Rhinology (nose and sinuses): sinus and nasal diseases
  • Facial plastic surgery: including rhinoplasty (nose surgery) and otoplasty (ear surgery) growths, lesions and tumors of the head, face and neck, including thyroid tumors salivary gland diseases   
  • Laryngology: treatment of diseases and disorders that affect the larynx (voice box)
    • airway problems and diseases
    • foreign body aspiration: inhaling food or objects into the airway or lungs
    • voice disorders
    • drooling and aspiration
    • seizure disorder: treated with vagal nerve stimulators implants designed to prevent seizures by sending regular, mild pulses of electrical energy to the brain via the vagus nerve in the neck
  • Otology and neurotology: hearing and balance disorders and diseases of the ear
  • General pediatric otolaryngology  
    • recurrent ear infections
    • adenotonsillar disease/strep throat
    • adenoidal enlargement or disease
    • tonsil enlargement/infection
    • foreign bodies of the ears or nose 

    We also work together to address ENT-related concerns associated with complex conditions such as Down syndrome, cerebral palsy, cleft lip and palate, and skeletal dysplasia.


Teaming up with Wolfson Children's Hospital and Your Child's Doctor

A unique relationship with Wolfson Children’s Hospital in Jacksonville, allows our Nemours ENT specialists to provide pediatric ENT consultations in the emergency department for acute problems or injuries, and in the hospital or outpatient surgery center for other ENT cases that require surgery and anesthesia.

During any procedure that requires anesthesia, rest assured that our Nemours pediatric anesthesiologists are right there to talk with you and to make decisions on the best types of anesthesia medicine to make sure your child is comfortable.

Our award-winning electronic medical records and digital photography also make it easy for us to share test results and treatment plans with your child’s primary care doctor, as well as with other Nemours specialists.