The Nose throat and Ear diseases of the child taking into account specificities anatomo-clinical require special attention to adequate support. This study was designed to highlight the different aspects of the ENT disorders of the child in our unit. We identified 819 chil-dren aged 0-15 years with ENT diseases be-tween January and December 2014 in the ENT unit of the Health reference center of district IV Bamako. There was a predomi-nance of the male 464 (56.65%). Conditions were especially concerned the age group from 0 to 2 years 364 (44.44%). The most common ENT diseases seen where otitis media 33.21%, followed by nasopharyngi-tis 14.16% and impacted wax 10.13%. The main ENT emergencies were 96 patients and focused mainly on the foreign bodies 35.41% and trauma 28.12%. This study allowed us to determine the main ENT disorders of the child in our unit and pro-pose relevant recommendations for a healthy promotion of Paediatric Otolaryngology in Mali.