Dr. med. Reinhard Kürsten
Ear, Nose and Throat Consultant
I have no wish to be in competition with pediatricians. Instead I want to apply my knowledge and experience as an ENT specialist to treat ENT ailments. I am very happy to work together with your own trusted pediatrician.

Infections

Eight to ten infections a year are normal for nursery school children. Antibiotics are rarely necessary.

Ear ache
Often ear ache is not caused by an inflammation of the middle ear but by a restriction of air to the middle ear. If this is left untreated it can lead to a build-up of liquid behind the eardrum and to a loss of hearing.

Even if the earache has resulted in an inflammation of the middle ear, treatment with antibiotics is not always necessary. In the first hours the use of anti-inflammatory and painkilling medication is sufficient.

Sore Throats
In cases of pharyngitis (inflammation of the throat) or tonsillitis, you should come to the office for a quick strep-test. The strep-test immediately shows whether antibiotic treatment is necessary or not.

Hearing

Baby Hearing Test
Normal hearing ability is an absolute must for the language development of your child. It is crucial to identify hearing problems early on in order to successfully correct them. The Baby Hearing Test is painless and fast. It is best conducted on a sleeping child within the first month of life and can be done in a matter of seconds. The results are then recorded in the Mother-Child-Pass.

Does my child have problems with hearing or just with paying attention?
Nursery-age children often experience loss of hearing caused by buildup of fluid behind the eardrum (through a restriction of air to the middle ear). Untreated, this can lead to problems with language development, behavioral difficulties and eventually damage to the middle ear. A simple examination of the ear with a microscope and a Tympanometry (painless, fast test of the movement of the eardrum and the pressure in the middle ear) can establish if there is a serious problem with air restriction. In accordance with the age and maturity of the child, a precise hearing test with earphones can be conducted. Another option is the Baby Hearing Test, where the cooperation of the child is not necessary. Most of the time the problem is easily solved, sometimes a small operation is necessary.

Operation

My child should have an operation. Is this really necessary?
Tonsils and adenoids are part of the immune system.

The adenoids are found in the space behind the nose (at the beginning of the Eustachian tube which provides air to the middle ear). If the adenoids are too big then your child cannot breathe properly through the nose. Very often enlarged adenoids block the Eustachian tube and therefore cause ear problems.

After a detailed anamnesis and examination, a diagnosis will be made as to whether an operation is required. During a detailed advisory meeting, I address the concerns of parents which can usually be resolved satisfactorily.

Should there be fluid in the middle ear at the time of the operation, it will be easily removed by a tiny incision of the ear drum (myringotomy). The hearing improves immediately and the eardrum usually closes within a week. Please make sure, that no water gets into the ear during that 1-week period. It is rarely necessary to place tubes (grommets) because removal of the adenoids usually resolves the ventilation problem.

Should enlarged tonsils cause breathing problems at night (sometimes with apnoea), reduction of tonsillar tissue (tonsilotomy) is usually sufficient to solve the problem. Tonsilotomy has less bleeding risk compared to complete removal of the tonsils which is rarely necessary.

Opernring 4/2/6
A-1010 Wien
Telephone: +43 1 5126011
Telefax: +43 1 51260114
E-Mail: info@kuersten.at
Office Opening Hours:

Mo - Tu 2 pm to 6pm
We9 am to 12 noon
Th2 pm to 6pm
Fr11 am to 3pm

     We do not offer walk in appointments.
LOCATION
Standing on Ringstraße facing the Opera you will find my office on the left hand side.



Imprint | © Dr.med. Kürsten 2015