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Pediatric Aerodigestive Clinic

The Pediatric Aerodigestive Clinic (PAC) at the Children’s Hospital of Michigan sees children with a variety of airway, breathing and swallowing disorders, sleep apnea and related problems such as malnutrition and gastroesophageal reflux.

The clinic is held the first Thursday of each month at the Children's Hospital of Michigan ENT Clinic, 3rd Floor Carls Bldg. Detroit, MI 48201.

Examples of aerodigestive conditions

  • Aspiration
  • Chronic Cough
  • Chronic lung disease
  • Developmental delays
  • Feeding problems
  • Gastroesophageal reflux
  • Global central nervous system impairment
  • Eosinophilic esophagitis
  • Esophageal dysmotility
  • Esophageal stricture
  • Failure to thrive
  • Laryngomalacia
  • Laryngeal cleft
  • Noisy breathing
  • Recurrent chest infections
  • Sleep disordered breathing
  • Stenosis (airway, subglottic, posterior glottic, supraglottic, tracheal)
  • Tracheoesophageal fistula
  • Tracheomalacia/bronchomalacia

What you can expect during your consultation

Pediatric specialists from the Aerodigestive Clinic at the Children’s Hospital of Michigan will meet with the child and family so that a complete evaluation is performed. Clinicians may include pediatric specialists from the divisions of Ear, Nose and Throat (Otolaryngology); Gastroenterology; Pulmonology, Craniofacial and Maxillofacial Surgery; Sleep; Speech Therapy; and Pediatric Surgery. Patients may require in office or operative procedures to determine an appropriate diagnosis and treatment plan.

Treatment Options

As a team, pediatric specialists will look at all of the child's current medications and treatments and come up with a plan to minimize the number and extent of procedures required. The treatment plan may include changing the child's feeding regimen, adjusting medications, adding additional home therapies as well as surgical options. Each plan is tailored to the individual child and family.

Contact Information

For further information on the Pediatric Aerodigestive Clinic or to set up an appointment call (313) 745-9126 or email Xhoana Kociaj, NP at

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