Today, a Pediatric ENT's day often involves the "big three" procedures that improve quality of life for millions:

History of pediatric otolaryngology in North America - ScienceDirect

Historically, generalists treated childhood ENT issues. However, several breakthroughs in the 20th century created a need for dedicated specialists:

The "story" of Pediatric Ear, Nose, and Throat (ENT) medicine is a transformation from treating common childhood "growing pains" like ear infections into a highly specialized field that saves lives through complex airway and reconstructive surgeries. The Evolution of the Specialty

In 1978, the first formal pediatric otolaryngology fellowship started in Pittsburgh, leading to the creation of the American Society of Pediatric Otolaryngology (ASPO) in the early 1980s. Common Chapters: Recurring Struggles