Cleveland Clinic Children's Pediatric Center for Airway, Voice and Swallowing Disorders (PCAVS) is an aerodigestive program offering integrated team assessment and care from multiple medical and surgical specialists for infants, children, and adolescents.

Patients with complex medical conditions of the upper and lower airway and respiratory system, esophageal disorders, and swallowing and digestive issues are the focus of this team approach. We see patients with complex congenital or acquired aerodigestive disorders, including but not limited to those with tracheostomies.

Patients can often be seen at a single location during one half-day visit and we are a state of the art facility equipped to treat a wide range of conditions both medically and surgically.

A sequence of visits is tailored for each child, who typically spends 30 minutes with each specialist. The team later holds a debriefing to discuss findings, progress and the treatment plan.

During the clinic, in-office diagnostic procedures and periodic endoscopic airway assessments can be performed. If additional problems are discovered, they can be addressed at the same visit. Should surgical intervention be required, we often combine a multi-team approach to perform several procedures simultaneously thus limiting exposure to anesthesia.

What We Treat

What We Treat

Aerodigestive conditions — from neurologic and sleep disorders to feeding problems and complications from tracheotomy — our experts provide comprehensive care that addresses your child’s unique needs.

Learn more about some of the complex aerodigestive disorders we treat, including:

Our Team

Our Team

Pediatric Otolaryngology

The pediatric otolaryngology providers on the PCAVS team are responsible for:

  • Evaluating the upper airway and trachea to see what medical or surgical interventions can best improve upper airway obstruction.
  • Addressing conditions such as drooling.
  • Working towards tracheostomy decannulation, if possible.

In addition, they strongly encouraged that all children — especially those with special needs —have their hearing evaluated and optimized.


Swathi Appachi, MD
Swathi Appachi, MD
Pediatric Otolaryngologist, Assistant Professor
Rachel Georgopoulos, MD
Rachel Georgopoulos, MD
Pediatric Otolaryngologist; Director, Thyroid Head and neck Oncology and Pediatric Endocrine Center (Thyroid HOPE)
Brandon Hopkins, MD
Brandon Hopkins, MD
Section Head and Asst. Professor, Pediatric Otolaryngology; Surgical Director, Pediatric Center for Airway, Voice and Swallowing Disorders (PCAVS)
Megan Myers, CNP
Megan Myers, CNP
Certified Nurse Practitioner

Pulmonary Medicine

Physicians and nurse practitioners from the Center for Pediatric Pulmonary Medicine specialize in the evaluation, management, and coordination of care for respiratory issues. This may include:

  • Ventilatory support and supplemental oxygen.
  • Airway clearance therapies.
  • Sleep-related breathing disorders care.
  • Diagnostic procedures — including imaging studies, blood work, allergy skin testing/screening, spirometry (pulmonary function tests), and exercise testing.
  • Diagnostic flexible bronchoscopy to evaluate airways and to obtain respiratory secretions samples (bronchoalveolar lavage) under sedation.


Pediatric Gastroenterology

Pediatric Gastroenterology (GI) providers work closely with the dietitian to follow your child's growth and feeding. They will address issues with swallowing, reflux, abdominal pain, constipation, and other GI concerns. In addition, they participate in joint operative evaluations when GI endoscopy is needed.


Colleen McNatt, CNP
Colleen McNatt, CNP
Certified Nurse Practitioner

Physical Medicine and Rehabilitation (PM&R)

The role of our pediatric physiatrists is to ensure that:

  • Development and physical functioning are progressing optimally.
  • Neuromuscular complications, such as spasticity, scoliosis and joint contractures, are monitored and treated appropriately.



The pediatric registered dietitian on the PCAVS team focuses on the nutritional needs of the patient. This includes:

  • Assessing the nutritional needs of the patient.
  • Creating specialized, nutrition care plans to support growth and development throughout childhood.
  • Ensuring adequate nutrition as the child ages through collaboration with the multi-disciplinary team on feeding options and transition.

Diana Schnee, MS, RD, CSP
Registered Dietitian

Speech-Language Pathology

Our Speech-Language Pathologist on the PCAVS team assesses the patient and makes recommendations for feeding, swallowing voice (including the use of a Passy Muir Speaking Valve), and speech and language development. 

Amy Calhoun-Rosneck
Clinical Speech-Language Pathologist

Pediatric Palliative Care

The Pediatric Palliative Care team assesses the “big picture” — looking at your child’s needs, caregivers’ recommendations, and resources available at home.  The team made up of nurse practitioners, a nurse coordinator, and a physician, collaborates with all PCAVS providers and parents to ensure that the patient’s best interests and the parents’ goals are addressed.


Case Management/Social Work

The pediatric social worker on the PCAVS team is there to support the patient’s entire family. Support is offered for the family using a holistic approach to care. Ways that the social worker can provide assistance include:

  • Clinical and emotional support.
  • Referrals for community resources.
  • Help with an application for financial assistance.
  • Support with navigating the school system.

Christine Arnica
Case Management Social Worker


The PCAVS administrator helps coordinate appointments and triages phone calls to meet the appropriate clinical needs of our patients.

Coordinators and Clinical Support

These team members facilitate communication between the multidisciplinary teams to simplify access to information and to avoid duplication of services and unnecessary costs. They also work to improve the quality of life for our pediatric patients and their family members by providing the education and resources necessary for optimizing physical and emotional health.


Care Coordinators:

  • Diane Cowles, RN
  • Anne Banas, CNP


Pediatric Center for Airway, Voice and Swallowing Disorders (PCAVS)

After you call to arrange an initial appointment with our PCAVS team, one of our providers will reach out to you to perform a pre-visit intake. Please make arrangements to have copies of prior imaging, imaging reports, operative notes, laboratory studies, pathology reports, audiograms, and consult notes available that you would like us to review prior to your appointment.





Your generous support for Pediatric Otolaryngology will help fund the future care of children via:

  • Pediatric Otolaryngology Specialty Program Support
  • Research Projects
  • Resident Education and Educational Travel Grants for Trainees

Make a gift to help fund Pediatric Otolaryngology Research and Development

Thank you for your support!