Diagnosing Airway, Voice and Swallowing Disorders in Children
Many things can affect your child’s airway (trachea), throat (pharynx), food tube (esophagus), voice box (larynx) and vocal cords. We diagnose and treat all types of complex airway problems including dysphagia (trouble swallowing), chronic aspiration, airway obstruction, pediatric tracheostomy management, structural problems and related feeding issues, vocal cord paralysis and more.
Pre-virtual visit
To make your child’s appointment with us as efficient as possible, we recommend having a virtual visit first. We’ll collect important health information, update medical records and gather any questions or concerns you may have about your child. We’ll share this information with our team members prior to your in-person appointment.
What to expect at your child’s first appointment
Our team-based approach to care is an efficient way for your child to see all of the specialists on their team in one convenient, half-day (3 to 4 hours) appointment. During this time, you and your child will meet with each of their providers. To make things as easy and convenient as possible, each specialist will come to you, so you don’t have to move from room to room.
In addition to evaluating your child, their providers may ask you questions, too, so we can better understand your child’s condition. They may ask:
- When did you first notice your child was having problems?
- What kinds of symptoms does your child have?
- How are these symptoms affecting their life?
- Has your child already been diagnosed with any health conditions?
Once your child has met with each provider, their team will get together to go over what they learned in their visits with your child and their conversations with you. Then, they’ll begin to put together a personalized treatment plan. This comprehensive method of care makes sure your child gets care that matches their needs exactly.
Testing for airway, voice and swallowing disorders in children
Your child’s pediatric care team will also do some tests. We may do imaging tests like X-rays, ultrasounds, MRIs or CT scans. Your child may also need some minimally invasive tests like:
Meet Our Pediatric Airway, Voice and Swallowing Disorders Team
Cleveland Clinic Children’s approaches treatment with team-based care. This means your child will have a dedicated group of providers from different specialities thoughtfully chosen and personalized to their needs. This team might include:
Care coordinators
Our compassionate care coordinators are also important members of your team. Often your first point of contact, it’s their goal to make things go as smoothly and easily as possible for you and your child while you’re here. As their name suggests, they help coordinate your child’s care at Cleveland Clinic Children’s. They work with each of your child’s providers to gather information so it’s easier for you to navigate. They help coordinate appointments with multiple providers. They help you avoid duplicate services and unnecessary charges. They answer questions, help you understand your child’s condition and treatments and provide educational materials and resources if needed. You can talk to a care coordinator by calling 216.445.7572.
You may work with our clinical program coordinator Anne Banas, CNP and Diane Cowles, RN.
Locations
Our healthcare providers see patients in Northeast Ohio.
Treating Airway, Voice and Swallowing Disorders in Children
Your child’s pediatric care team works together to build a highly tailored treatment plan. This plan is based on the kind of airway, voice or swallowing disorder your child has and their specific needs.
Medical management
We specialize in managing a range of conditions that impact breathing, digestion, and overall health, including:
- Chronic lung disease and ineffective airway clearance: We use targeted therapies, airway clearance techniques and medications to reduce infections and improve breathing.
- Drooling and swallowing disorders (dysphagia): Our team evaluates and treats excessive drooling and swallowing difficulties, with a combination of therapy, medications and procedures, when needed.
- Gastroesophageal reflux disease (GERD) and constipation: We provide medical and dietary strategies to manage reflux and constipation, reducing discomfort and improving digestion.
- Physical development concerns: Our specialists evaluate and support growth, nutrition, and overall physical development to make children meet their full potential.
Surgery
Some conditions may need surgery to widen a narrowed or closed-off airway or swallowing tube (esophagus). These include:
- Airway stenosis
- Ongoing dependence on a ventilator
- Tracheostomy dependence
- Complex swallowing problems
Some children are born with these conditions (congenital), while others develop them after birth. These conditions can happen if a child is born too early (premature), had a difficult birth, uses a breathing tube (intubation) for a long time or has a prolonged stay in the neonatal ICU.
We do not recommend surgery lightly. Your child’s care team will carefully consider their diagnosis before recommending a procedure. This team-based approach ensures your child has comprehensive, coordinated and personalized care from the all the providers they need.
Whenever possible, we use minimally invasive procedures including:
- Esophageal dilation
- Supraglottoplasty
- Surgeries to decrease drooling
- Vocal cord injections
- Other procedures to treat voice box problems
There are also times when an open surgery is the best option. This may include airway reconstructions and other procedures to help optimize a child’s airway. But no matter the type of surgery your child needs, you can rest assured knowing they’re in the most capable hands.
Taking the Next Step
When your child wheezes, doesn’t speak loudly or won’t eat because it’s too hard to swallow, you may feel helpless. And that’s when you need experts on your team. Cleveland Clinic Children’s has caring providers specializing in airway, voice and swallowing disorders in children. From the moment you reach out to us, we’ll work with you to schedule an evaluation. We’ll coordinate appointments for you — and stay by your child’s side through every step of treatment.

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