10/18/2026
We honored this mom's wishes, and I'd do it again.
When her daughter came to us in 2021, she had grade IV tonsils, fluid in her ears, and a narrow, high palate. We recommended she see an ENT about the tonsils. Mom wasn't ready for surgery. We told her we didn't recommend waiting, and then we respected her decision.
So we started slow expansion, with myo sessions along the way. Expansion makes room for the tongue, and myo teaches the tongue to rest up on the palate where it belongs. Together they support better breathing, better sleep, and better overall health.
But her tonsils were still crowding the back of her throat. Her tongue kept dropping low and forward to keep air moving. They stayed in for four more years and finally came out in 2025.
Slide 6 is her palate today. It's still narrow and vaulted, and she's still having symptoms.
Parents get the final say. I'm not going to argue with a mom in my office. But the kid doesn't get a vote, and she's the one who lives with the outcome. Somebody has to speak up for her, clearly and more than once. That's our job too.
If your kid snores, breathes through their mouth, or has big tonsils, ask about the airway early. Expansion, myo, and the ENT all have a part to play.
Questions about your kid's tonsils or airway? Drop them in the comments and I'll answer.
Photos shared with family consent.