Pediatric Aerodigestive Disorders
At NYU Langone’s Hassenfeld Children’s Hospital, we understand that it takes a team to treat children who have complex or rare aerodigestive disorders that affect breathing, speaking, and swallowing.
That’s why we have brought together experts in otolaryngology (ear, nose, and throat disorders), gastroenterology, and pulmonology at our Pediatric Gastroesophageal, Upper Airway, and Respiratory Diseases Center, known as the GUARD Center.
As part of our approach, we consider the needs of both your child and your family throughout the treatment process. Our team partners with you to get a clear understanding of your child’s medical condition and how best to treat it.
Conditions We Treat
Children coping with a variety of medical challenges may be candidates for treatment at the GUARD Center. These conditions include:
- Congenital airway problems
- Respiratory and gastroesophageal disorders in children with neurological problems
- Breathing noises
- Recurrent croup
- Chronic cough
- Gastro-esophageal reflux disease (GERD) and its complications
- Feeding intolerance
- Congenital disorders of the esophagus
- Infantile and pediatric stridor
- Voice-related problems
Diagnosis & Treatment
Our doctors understand that a child should not have any more tests and anesthesia than are absolutely necessary. Using an efficient team approach and a unified patient record, we provide comprehensive, individualized care while reducing the need for repeat tests and procedures.
We use the most advanced techniques to make an accurate diagnosis and select the best treatment for your child, including:
- Laryngoscopy and Bronchoscopy –Techniques for visualizing the upper and lower airways of the child with the use of modern fiberoptic cameras.
- Pediatric Imaging – This includes three-dimensional chest CT scans, MRI, and virtual bronchoscopy.
- Swallowing Evaluation – An experienced team of speech and swallowing specialists perform clinical assessments and studies with swallowing of barium dye to determine the cause of swallowing problems.
- Esophageal Monitoring – A minimally invasive technique to detect gastroesophageal reflux disease (GERD) and assess the role of reflux in a particular condition.
- Pulmonary Function Testing – In a state-of-the-art laboratory, we perform endoscopic-assisted and exercise-induced lung function tests in children with respiratory diseases.
- Digital Endoscopic Video – A technique to assess upper airway and voice disorders.
- Triple Endoscopy – A test performed in the operating room under general anesthesia by a pediatric ear, nose, and throat (ENT) surgeon, a pediatric pulmonologist, and a pediatric gastroenterologist.
- Sleep Disorders Testing – An inpatient sleep study, known as polysomnography, performed for children with obstructed breathing to determine the best possible treatment of noisy breathing, snoring, or sleep apnea.
After all diagnostic procedures and testing are finished, our experts come together to decide on a comprehensive plan of care, which includes sharing diagnostic reports, images, and recommendations with both the family and the referring pediatrician.
Depending on your child’s needs, our experts may collaborate with pediatric surgeons and a variety of specialists from Hassenfeld Children’s Hospital who have expertise in sleep, speech, and genetic disorders.
For children who need surgery, we offer a range of options such as laser surgery, cartilage and mucosal grafting, and minimally invasive endoscopic surgery.
- Mikhail Kazachkov, MD - Clinical Professor, Pediatric Pulmonology
- Scott Rickert, MD - Assistant Professor, Pediatric Otolaryngology
- Kathryn Fitzgerald, CPNP