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In-Office Tubes Procedure

 

 

 

We are proud to be the exclusive Peds ENT practice in NJ to offer in-office ear tube

placement using the Hummingbird Tympanostomy Tube System—a gentle,

modern option for children with chronic ear fluid and recurrent ear infections.

The Hummingbird system allows Dr. Respler to place ear tubes right in our office in just a few minutes. Most children are able to remain comfortably with their parent throughout the

visit, avoiding the stress and recovery

associated with hospital-based surgery.

This approach reflects our philosophy of conservative, child-centered pediatric ENT care—using the least invasive option whenever possible while still providing effective relief from persistent ear fluid and infections.

Key benefits include:

  • No general anesthesia

  • Quick in-office procedure

  • Children remain with their parent

  • Minimal downtime and rapid return to normal activities

If your child has been struggling with chronic ear fluid, hearing concerns, or recurrent ear infections, we would be happy to discuss whether in-office

ear tubes may be the right solution.

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Epistaxis

Epistaxis, the medical term for nosebleed, can be disruptive

and common in dry environments. Our diagnosis and treatment

of nosebleeds focuses on ruling out serious underlying

problems and tailoring a solution to the patient’s specific

needs, including hydration, lubrication of the nose and various

types of cauterization. 

                                                                                                                                                            Otitis Media

Ear infections, also known as Otitis Media, can be very painful! Eustachian Tube Dysfunction may  cause chronic ear fluid that can impact hearing and affect speech and learning development.   Our office is unique for offering customized surgical and non-surgical solutions to your child's chronic Otitis Media, Eustachian Tube Dysfunction and Conductive Hearing Loss

In-Office Tubes Procedure

 

 

 

We are proud to be the exclusive Peds ENT practice in NJ to offer in-office ear tube

placement using the Hummingbird Tympanostomy Tube System—a gentle,

modern option for children with chronic ear fluid and recurrent ear infections.

The Hummingbird system allows Dr. Respler to place ear tubes right in our office in just a few minutes. Most children are able to remain comfortably with their parent throughout the

visit, avoiding the stress and recovery

associated with hospital-based surgery.

This approach reflects our philosophy of conservative, child-centered pediatric ENT care—using the least invasive option whenever possible while still providing effective relief from persistent ear fluid and infections.

Key benefits include:

  • No general anesthesia

  • Quick in-office procedure

  • Children remain with their parent

  • Minimal downtime and rapid return to normal activities

If your child has been struggling with chronic ear fluid, hearing concerns, or recurrent ear infections, we would be happy to discuss whether in-office

ear tubes may be the right solution.

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The Peds ENT Science behind Nasal Sprays

Dr. Respler believes that many chronic ear, nose, and throat problems begin with one common issue: blockage and inflammation at the back of the nose. The ears naturally drain into the back of the throat through tiny passageways that depend on healthy nasal airflow and proper function of the adenoid tissue. When the nose becomes congested or the adenoids enlarge, this natural drainage system can break down allowing fluid to collect in the ears, increasing post-nasal drip that may contribute to enlarged tonsils, snoring, restless sleep, and sleep-disordered breathing. Rather than rushing to surgery or prescribing antibiotics, Dr. Respler’s philosophy is to first “clear the roadblock” at the back of the nose using carefully selected nasal spray regimens designed to reduce swelling, improve airflow, and restore healthy ear and throat function. More than half of our patients who consistently follow the nasal spray program experience significant improvement and are able to avoid surgery altogether.

Audiology and Hearing Loss

Since early detection of hearing loss is critical for speech and language development, we offer audiological testing in our hearing center conveniently located within our office.  Vicki, our licensed audiologist with over 30 years of experience, offers our patients kid-friendly diagnostic and middle ear evaluations as well as recommendation and fitting of affordable hearing aids. 

                                                                                Sinus Disease

Sinus disease can affect all ages, from infants to the elderly. Nasal congestion and drainage, bad breath, recurrent fevers, cough and facial pain or pressure may be symptoms of sinusitis. We provide a wide spectrum of surgical and non-surgical treatment for nasal and sinus disease and inflammation. Our approach is conservative, aimed at restoring normal sinus function. We employ the latest surgical technologies including endoscopic, CT-guided, sinus-balloon and stent technologies.

Tonsils and Adenoids

Enlarged tonsils and adenoids and other anatomical variations can cause obstructive breathing. Snoring, mouth breathing and restless sleep may have serious health consequences. We offer a variety of medical and surgical reatments for recurrent tonsillitis, snoring and sleep disturbances. Intracapsular partial tonsillectomy and coblation are customized surgical techniques that we use for preserving the tonsil capsule while minimizing post-operative difficulties for our patients.

Tongue and Lip Tie

Akyloglossia (tongue tie) is a congenital condition where a short, thick or tight frenulum does not allow full tongue mobility. A lip tie is a condition where a very tight labial frenulum keeps the upper lip attached to the gum line.

  

Often, these conditions are identified before the infant leaves the hospital due to feeding and thriving issues.  Difficult or painful breast-feeding and latching issues can be symptoms of significant tongue tie.  In older kids, tongue tie may affect eating, swallowing and speech.  Diagnosis of tongue tie, severity assessment and treatment is best performed by a Pediatric ENT.  

Mild tongue-tie may not require intervention, while more severe tongue tie in infants may require a short surgical procedure that can be performed in our office with topical anesthesia.  Dr. Respler is an expert at evaluating and treating tongue tie and has masterfully performed hundreds of frenulectomies.  He will determine if a procedure is necessary for your child, explaining all the options and correcting tongue tie,only if necessary.    

Don S. Respler, MD  
Gentle Peds ENT Care.  Trusted Expertise

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