Pediatric Ear, Nose, & Throat

Our Pediatric Center

Pediatric ENT Photo

Doctors Derek Lam, Carol MacArthur, Henry Milczuk, Lourdes Quintanilla-Dieck, Christopher Hargunani, Grace Tan, Madeleine Drusin, and Nurse Practitioner Monica Deshpande provide care for all types of ear, nose, and throat problems that affect children. With the help of our friendly staff, we strive to provide compassionate, family-centered, and timely care for our patients. Because our training is focused on pediatric care, we only take care of children 0-18 years (and their families). Our primary clinic is at OHSU-Doernbecher Children's Hospital in Portland (Physicians Pavilion, 3147 SW Sam Jackson Park Road, Suite 250, 97239).

Dr. MacArthur specializes in patients with hemangiomas and vascular birthmarks. Dr. Milczuk specializes in patients with speech and voice problems. Dr. Lam has research interests in sleep disorders and sleep apnea and also in airway reconstruction. Dr. Quintanilla specializes in patients with thyroid problems, neck masses and speech problems. Dr. Hargunani and Dr. Tan specialize in cochlear implantation for children. Dr. Drusin specializes in cochlear implants and also has joined the hemangioma and vascular birthmark clinic. Monica supports our patients with breathing problems that require tracheostomy. However, we all share an interest in seeing all children who may have ear, nose, throat, head and neck problems. We frequently attend regional and national meetings in our specialty, which allows us to bring the latest and best practices to our patients in Portland and Oregon. We have the following multi-specialty clinics: Hemangioma and Vascular Birthmarks, Congenital Hearing Loss, DCH Aerodigestive Clinic, Voice ClinicCleft and Craniofacial Clinic, and Pediatric Thyroid Nodule Clinic

Several of our Pediatric Otolaryngologists have been named as one of Portland's Best Doctors for the past several years. 

Together, we focus our expertise and technology to the unique needs of children and families. Children require a different approach to their medical care than do adults. While children and adults can sometimes have similar diseases, children require a different approach because they are not simply "small adults". We work as a team to provide excellent and directed care for the problems and diseases of children.

Some of the conditions our Pediatric Otolaryngologists treat are:

  • Middle ear conditions, such as chronic (repeated) ear infections
  • Evaluation and management of hearing loss, including traditional hearing evaluation and implantable hearing devices such as Cochlear Implants
  • Congenital malformations of the ear, such as prominent ears in infancy, microtia and aural atresia
  • Tonsils and adenoid disorders, including obstructive sleep apnea syndrome
  • Evaluation and treatment of sinus disease in children
  • Environmental allergies that affect the sinus or 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, cancer, or masses (benign or cancerous)
  • Hemangiomas, vascular malformations, and lymphatic malformations (cystic hygromas)
  • A team approach to the care of the medically complex children, working with other doctors or specialists, to treat conditions such as cystic fibrosis, hematologic disorders, Down syndrome, pediatric cardiac disease, etc.
  • Swallowing disorders
  • Evaluation and treatment of the ear, nose, or throat conditions caused by or a result of gastroesophageal reflux
  • Disease in the infant and child
  • Removal of foreign bodies from the ear, nose, or throat


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

How to Make an Appointment

Please contact our office regarding scheduling appointments. Prior to scheduling an appointment, our providers often need to review chart notes related to the reason you want to be seen in order to coordinate any additional tests they may need in order to make the most of your visit.  In some cases, we will require a referral from your primary care physician.  We would be happy to discuss this with you to ensure we have all we need to expedite the scheduling process.  Please contact us by phone or email to begin the process. 

Phone: Pediatric Otolaryngology Clinic  503 494-5350

Our doctors and nurse practitioner see patients in the Physician's Pavilion and Doernbecher Children's Hospital in the main OHSU campus.

We work with providers in OHSU Otolaryngology and with doctors in Doernbecher Children's Hospital to provide you and your child with the best team for your child's condition. We are dedicated to providing the best care possible for your whole family, while caring for your child.

Doernbecher Children's Hospital Logo