Multidisciplinary Evaluation

ADAM’s monthly clinic features simultaneous evaluations by specialists in pediatric otolaryngology, pulmonology, gastroenterology, and speech-language pathology. Unlike other aerodigestive program models, this approach involves a concurrent, multidisciplinary evaluation, allowing all four specialties to assess the patient together in one comprehensive visit. This enables immediate, integrated care plans and enhances diagnostic accuracy and treatment quality.

Same-Day Assessments

ADAM offers same-day assessments for airway and swallowing functions. When clinically indicated, patients can undergo flexible fiberoptic laryngoscopy, pulmonary function testing and clinical swallowing assessments (such as Flexible Endoscopic Evaluation of Swallow—FEES) during their visit. This expedites diagnosis and treatment, providing timely insights for patient care.

Expedited Scheduling for Combined Procedures

For comprehensive evaluation and treatment, many children require multiple endoscopic procedures under anesthesia. ADAM efficiently combines and coordinates these procedures to avoid multiple exposures to anesthesia, thereby reducing risks and enhancing the overall patient experience.

Expertise Highlights

The ADAM team is comprised of specialists with extensive expertise in managing a wide range of aerodigestive conditions, ensuring the highest standard of care for every patient. Clinical expertise includes, but is not limited to:

• Aspiration-related lung disease
• Bronchiectasis
• Bronchomalacia
• Bronchopulmonary dysplasia
• Chronic cough and lung disease
• Chronic or recurrent pneumonia
• Complete tracheal rings
• Congenital airway problems
• Difficult to treat asthma
• Eosinophilic esophagitis
• Esophageal stricture
• Feeding/swallowing difficulties and oral aversion
• Gastroesophageal reflux
• Laryngeal cleft and stenosis
• Laryngomalacia
• Obstructive sleep apnea
• Persistent wheezing
• Subglottic web and stenosis
• Tracheal stenosis
• Tracheoesophageal fistula/esophageal atresia
• Tracheomalacia
• Tracheostomy dependence
• Vocal cord dysfunction or paralysis

The Aerodigestive Program at Montefiore represents a paradigm shift in pediatric aerodigestive care, offering integrated, multidisciplinary approaches for optimal outcomes. For more information or to refer a patient, please visit cham.org/ADAM