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Pediatric ENT Specialist in Singapore
If you are searching for a trusted pediatric ENT specialist or children’s ENT clinic in Singapore, this page describes the services offered by Dr Leslie Koh and outlines when a pediatric ENT evaluation may be appropriate.
This information is provided for general education only and does not substitute for a personal consultation.
Pediatric and Child ENT Care in Singapore
A pediatric and child ENT specialist manages ear, nose, and throat (ENT) conditions that occur in infants, children, and adolescents. This area of medicine is known as pediatric otolaryngology, and it addresses a wide range of symptoms that may affect a child’s breathing, hearing, speech, sleep, or general comfort.
Because children may have difficulty describing their symptoms clearly, or may not be able to express pain or discomfort at all, pediatric ENT conditions can sometimes go unrecognised without careful evaluation. Timely assessment by a pediatric specialist may help parents understand the underlying cause of their child’s symptoms and explore appropriate management options.
Common ENT Conditions in Children
Ear Conditions
External Ear Infections
External Ear Infections
Middle Ear Infections / Glue Ear
Middle Ear Infections / Glue Ear
Hearing Concerns or Suspected Hearing Loss
Hearing Concerns or Suspected Hearing Loss
Nose Conditions
Allergic Rhinitis in Children
Allergic Rhinitis in Children
Nose Bleeding (Epitaxis)
Nose Bleeding (Epitaxis)
Foreign Objects in the Nose
Foreign Objects in the Nose
Throat Conditions
Recurrent Tonsillitis
Recurrent Tonsillitis
Enlarged Tonsils and Adenoids
Enlarged Tonsils and Adenoids
Snoring and Sleep-Related Breathing Symptoms
Snoring and Sleep-Related Breathing Symptoms
Common Reasons for ENT Problems in Children
Children tend to experience ear, nose, and throat issues more frequently than adults due to several developmental and environmental factors.
These include:
• Immature Immune System
A child’s immune system is still developing, making them more susceptible to infections caused by viruses or bacteria. As a result, conditions such as colds, throat infections, and ear infections tend to occur more often during early childhood.
• Immature Eustachian Tube Function
The Eustachian tube, which connects the middle ear to the back of the nose, is shorter, narrower, and more horizontal in young children. This makes it more difficult for fluid to drain properly, increasing the likelihood of middle ear infections, middle ear effusion, and temporary hearing difficulties.
• Environmental Factors
Exposure to common environmental triggers may contribute to ENT symptoms.
These include:
- Airborne allergens such as dust mites or pollen
- Viral infections commonly spread in preschools or childcare settings
- Dry indoor environments or irritants like cigarette smoke
- Changes in air pressure during flights, which may affect ear comfort
Understanding these contributing factors may help parents recognise why ENT-related symptoms tend to occur more frequently in younger children.
Common Children’s ENT Investigations and Procedures
When visiting a children’s ENT clinic, parents often want to know what the consultation and assessment process involves. Investigations are planned carefully based on a child’s symptoms, age, and developmental stage, with attention given to comfort and clear communication throughout the visit.
The consultation usually begins with a discussion about your child’s symptoms, medical history, and any concerns observed at home or school. A gentle physical examination follows, using child-appropriate techniques to help minimise anxiety.
Clinical Examination
Clinical examination focuses on assessing the ears, nose, and throat to identify possible causes of symptoms such as hearing concerns, nasal blockage, or recurrent infections.
Otoscope Examination
An otoscope is used to examine the ear canal and eardrum. This helps assess ear infections, fluid behind the eardrum, or structural changes that may affect hearing.
Nasoendoscopy
A nasal endoscope may be used to examine the nasal passages and throat when indicated. This allows assessment of issues such as nasal obstruction, enlarged adenoids, or breathing-related concerns.
This approach allows us to avoid unnecessary procedures while still keeping a close watch on your child’s progress.
Hearing Tests
Hearing assessments are selected based on a child’s age, ability to cooperate, and clinical needs. These tests help evaluate hearing levels and middle or inner ear function.
Audiometry
Audiometry measures hearing ability across different sound frequencies and volumes. It is commonly used for older children who can respond reliably to sound cues.
Tympanometry
Tympanometry assesses middle ear function by measuring how the eardrum moves in response to pressure changes. It is often used to identify fluid in the middle ear or eustachian tube issues.
Play Audiometry
Play audiometry is designed for younger children and uses simple games to encourage participation during hearing assessment.
Otoacoustic Emission (OAE)
Otoacoustic Emission (OAE) testing evaluates inner ear function by measuring sound responses generated within the ear. This test is quick and does not require active participation from the child.
Auditory Brainstem Response (ABR)
Auditory Brainstem Response (ABR) testing assesses how sound signals travel from the ear to the brainstem. It may be recommended for infants or children who are unable to complete behavioural hearing tests.
This approach allows us to avoid unnecessary procedures while still keeping a close watch on your child’s progress.
If sleep-related breathing concerns are present, further evaluation such as a pediatric sleep study may be discussed to gather additional information.
All investigations are recommended only when clinically appropriate and are explained clearly before proceeding. Findings are reviewed with parents in a straightforward manner, followed by a discussion of suitable next steps. These may include observation, medication, or further procedures, depending on what is medically appropriate for the child.
When Should You Consider Seeing a Pediatric ENT Specialist?
Children may experience ear, nose, or throat symptoms that resolve on their own. However, some signs may warrant an assessment by a pediatric ENT specialist, particularly when symptoms are persistent or affect daily activities such as sleep, hearing, or speech development.
Recurrent Ear Pain or Ear Discharge
Repeated ear pain or ongoing discharge may indicate underlying ear conditions that require further evaluation. Assessment helps clarify the cause and determine appropriate management.
Loud Snoring or Disturbed Sleep
Persistent snoring, mouth breathing, or disrupted sleep patterns may be linked to airway or nasal issues. An ENT review can help assess possible contributing factors affecting sleep quality.
Ongoing Nasal Congestion or Allergy-Related Symptoms
Chronic nasal blockage, frequent sneezing, or allergy-related symptoms that do not improve with routine care may benefit from further ENT evaluation.
Delayed Speech or Hearing Concerns
Speech delays or concerns about hearing responsiveness may be related to hearing or middle ear issues. Early assessment helps identify potential contributing factors.
Repeated Nosebleeds
Frequent nosebleeds, especially when they occur without obvious triggers, may require evaluation to assess nasal lining health or structural causes.
If you are unsure whether your child’s symptoms require specialist review, a consultation provides an opportunity to discuss concerns, clarify findings, and understand possible next steps in a supportive setting.
How Children’s ENT Conditions Are Treated: Medication, Monitoring or Surgery
At our children’s ENT clinic, treatment recommendations are based on the nature of your child’s symptoms, the underlying condition, and how
it may be impacting daily routines such as sleep, hearing, or school participation. Depending on the diagnosis, care may involve medication,
monitoring, or surgery.
Medication
In many cases, medication is the first step. This might include:
– Nasal sprays to ease congestion or inflammation
– Antihistamines for allergy-related symptoms
– Antibiotics when bacterial infections are confirmed
Medication is prescribed based on a clinical review and may help manage symptoms without the need for further intervention.
Monitoring
Some conditions do not require immediate treatment. For example, mild hearing loss from middle ear fluid may improve with time. In such cases, we may suggest regular check-ups to observe any changes before deciding on the next step.
This approach allows us to avoid unnecessary procedures while still keeping a close watch on your child’s progress.
Surgery
If symptoms are persistent, or if a condition is affecting your child’s sleep, hearing, or general wellbeing, surgery may be considered. Procedures performed by a pediatric ENT surgeon include:
– Tonsillectomy – when repeated infections or snoring are a concern
– Adenoidectomy – for nasal obstruction or ear issues linked to enlarged adenoids
– Grommet insertion – for chronic middle ear fluid causing hearing difficulties
Each decision is made in discussion with parents or caregivers, with a focus on what is medically appropriate and suitable for the child’s age and health condition.
Meet Dr Leslie Koh
Pediatric Otolaryngology, Pediatric ENT Surgeon
Dr Leslie Koh is a medical doctor whose clinical practice includes the assessment and management of ear, nose, and throat conditions in children. His work in pediatric otolaryngology involves evaluating symptoms that may affect breathing, hearing, speech, and sleep across different childhood stages.
As a pediatric ENT surgeon, Dr Koh sees children with a wide range of ENT concerns, from common childhood conditions to more complex presentations that require careful evaluation and follow-up.
Clinical Approach to Pediatric ENT Care
Dr Koh’s approach to pediatric consultations is centred on clear communication, gentle assessment, and age-appropriate care.
- A calm, child-friendly consultation environment to help reduce anxiety
- Careful listening to parents and children to understand symptoms clearly
- Age-appropriate ENT examinations tailored to a child’s comfort and developmental stage
- Clear explanation of findings and management options using straightforward language
- Respectful, no-pressure discussions to support informed decision-making by parents
Dr Koh’s background includes hospital-based ENT practice and ongoing professional development within Singapore’s medical community. His clinical work follows established standards of care for pediatric ENT evaluation and management, with referrals and investigations considered based on individual clinical needs.
Parents seeking a pediatric ear, nose, and throat specialist can expect consultations that prioritise clarity, comfort, and thoughtful discussion at each stage of care.
FAQs about Pediatric ENT in Singapore
When Should I Take My Baby or Toddler to a Pediatric ENT Specialist?
Babies and toddlers may be referred for a pediatric ENT review if symptoms such as frequent ear infections, persistent nasal blockage, noisy breathing, feeding difficulties, or hearing concerns are observed. A consultation helps clarify whether these symptoms are part of normal development or require further assessment by a pediatric ENT specialist.
Can I Use MediSave for My Child’s ENT Treatment?
In Singapore, MediSave may be used for certain ENT-related procedures when they meet eligibility criteria set by the Ministry of Health. Coverage depends on the specific procedure performed and prevailing regulations. Parents are advised to check in advance whether MediSave usage applies to their child’s condition.
Is My Child’s Pediatric ENT Consultation Covered Under Billing and Insurance Arrangements?
Coverage for pediatric ENT consultations varies depending on individual insurance plans and policy terms. Some plans may include specialist consultations, diagnostic tests, or procedures, while others may require referrals or have specific limits. For clarity on billing and insurance, parents are encouraged to review their policy details or check with their insurer before the appointment.
When to see a pediatric ENT for common nose issues in children?
Children may benefit from a pediatric ENT review if they have persistent runny or blocked noses, facial pressure, recurrent sinus symptoms, or frequent nosebleeds. Assessment helps determine whether allergies, infections, or structural factors are contributing to ongoing nasal concerns.
When should you be concerned about neck lumps in children?
Neck masses or lumps in a child can be anxiety provoking. Often, these are lymph nodes helping a child fight an infection. Some masses may call for further evaluation with a pediatric ENT specialist, especially if they fit the following criteria:
– Any neck mass that is progressively growing
– Growths associated with skin discoloration
– Congenital neck masses (present from birth)
Early assessment helps determine whether monitoring or removal is needed. A clinical examination and imaging may be recommended to guide the next steps.
At what age should a child see an ENT doctor?
There is no specific age requirement. Children can be referred for an ENT assessment at any age, from infancy through to adolescence, depending on the nature of the concern. Some children may need to see a specialist early in life due to conditions like frequent ear infections, noisy breathing, or feeding difficulties. Others may be referred later for issues such as speech delays, snoring, or persistent nasal congestion. If your child is experiencing recurring symptoms involving the ears, nose, or throat that do not improve with general medical care, it may be appropriate to seek a review with a pediatric ENT doctor for further evaluation and management.
What Should You Expect At Your Child's First ENT Appointment?
We understand that the treating of children stretches far beyond the treatment of symptoms and conditions. Examining a small child can be an intimidating experience and the family has likely been through some emotional stress getting to the point of seeing a specialist.The first appointment will have a heavy focus on addressing your questions and concerns and working together to determine the proper plan of action. Your pediatric ENT specialist will review your child’s medical history, any health problems, and all details surrounding the reason for the visit. Depending on your particular situation, investigations such as imaging or allergy testing may help determine the source of the problem. After examination, treatment options will be discussed with you, for your child.
Why Consult An ENT Pediatric Specialist?
Children experience very similar ENT issues as adults do but the symptoms do not always look and/or your child may not know how to communicate non visible symptoms to you. Ear, nose, and throat (ENT) complications are one of the leading causes for trips to the pediatrician each year. Ear infections alone account for up to 30 million pediatrician visits annually, worldwide . The ear, nose, and throat regions are not fully developed until around age 6, and hence do not always function properly. Until your child’s sinus drainage systems fully develop, it is easy for bacteria to accumulate, get stuck and cause infections.
Why Choose Us As Your ENT Pediatric Specialist?
Electing your specialist who will care for your child can be nerve-racking. You are entrusting your child’s health and well-being to a professional who must be an expert but also remain sensitive to your child’s needs.
As part of the Children’s ENT Centre, we have considerable experience in managing ENT Pediatric conditions. How are we different?
WE LOVE KIDS.
When you interact with us, you can really see how much we care about children and their health. From our kid-friendly office, to the way we talk to kids, and share information with parents, our approach assures you that you’ve made the right choice.
WE MAKE THINGS EASY.
Getting the health information you need, finding time to get to an appointment, and confusion with insurance coverage – we know all these things can be difficult for parents. We make it as easy as possible, with easy appointments, convenient locations, and a billing office that works with you to iron out insurance problems. We also dispense most medications in our clinic so you save time and don’t have to wait in the pharmacy.
WE HELP KIDS AND PARENTS FEEL COMFORTABLE.
The simple act of kneeling down and making eye contact – our doctors know how to put children and kids at ease right away during every appointment. Contact us for an appointment today!
Disclaimer
This page is intended for general informational and educational purposes only. It does not constitute medical advice, diagnosis, or treatment. For personal medical advice, please consult a qualified healthcare professional.