The Pediatric Otolaryngology/Head and Neck Surgery Division of the Department of Otolaryngology at OHSU is dedicated to the excellence in care of children with otorhinolaryngologic disorders. Our physicians provide expert diagnosis and surgical and/or medical treatment to children and adolescents with such disorders. Our physicians are dedicated, board-certified otolaryngologists with extra training in the care of pediatric patients with disorders in the head and neck region.

Our physicians practice at Doernbecher Children's Hospital, the first full-service children's hospital in the Pacific Northwest. We practice with the most highly trained pediatric anesthesiologists, nurses and other providers in the region. Together we focus our expertise and technology to the unique needs of children and families. Pediatric patients require a different approach to their disease processes than do adult patients. While they can sometimes have similar diseases as adults, children present differently and require a different approach. Pediatric patients are not simply "small adults" and we provide a comprehensive approach to their problems and diseases.

Our scope of practice includes:

• Middle ear conditions, such as chronic otitis media, cholesteatoma, cunductive hearing loss
• Evaluation and management of hearing loss, including traditional hearing evaluation and implantable hearing devices
• Congenital malformations of the ear, such as microtia and aural atresia
• Tonsils and adenoid disorders, including obstructive sleep apnea syndrome (Pediatric Sleep Medicine Clinic)
• Evaluation and treatment of sinus disease in children, including endoscopic sinus surgery
• Environmental allergies as related to sinus and ear disease
• Treatment of patients with cleft lip and palate, and related speech disorders
• Velopharyngeal insufficiency - hypernasality or airleak with speech
• Evaluation and treatment of voice disorders
• Surgical management of airway disorders, such as laryngomalacia, tracheomalacia, subglottic stenosis, papillomas, vocal cord paralysis, vocal nodules
• Head and neck growths or masses (benign or malignant growths)
• Hemangiomas, vascular malformations, and lymphatic malformations (cystic hygromas)
• OK-432 sclerotherapy
• Integrated care of the medically complex pediatric patient with other pediatric subspecialty services (e.g., cystic fibrosis, hematologic disorders, Down syndrome, pediatric cardiac disease, etc.)
• Swallowing disorders
• Evaluation and treatment of the otolaryngology manifestations of gastroesophageal reflux
• disease in the infant and child
• Removal of aerodigestive tract foreign bodies

Our faculty is also devoted to research that will further the science of pediatric otolaryngology and, as such, will help us treat our patient with the most up-to-date techniques, medicine and information.

Physicians and Faculty
Mark A. Richardson, M.D.
Henry A. Milczuk, M.D.
Carol MacArthur, M.D.
Cindi Farnstrom, C.P.N.P.