Abstract
The children with Down syndrome (DS) are at increased risk of ear-nose-throat (ENT) disorders. International recommendations suggest early hearing screening and periodic specialist evaluation. Our goal was to characterize ENT disorders in children with DS, and propose recommendations for the Chilean population. Cross-sectional, descriptive study, of children with DS, between 6 months and 15 years of age. The data was obtained by a health interview to the parents and review of medical records. We analyzed 134 patients with an average age of 44.5 months. The 78.8% had ENT disorders, the most frequent ENT disorders was allergic rhinitis and otitis media with effusion. Hearing screening was abnormal in a quarter of the patients, 50% of children over 3 years of age had obstructive sleep apnea diagnosed by polysomnogram. Older children had a statistically higher frequency of ENT disorders. This series shows a high rate of ENT disorders in children with DS, which supports recommendations for hearing screening, high suspicion of obstructive sleep apnea and routine referral to an ENT specialist for prevention and aggressive therapy in order to reduce hearing loss and improve development of the child with DS.
References
Sep 1, 1996·Archives of Otolaryngology--head & Neck Surgery·I N JacobsN W Todd
Nov 9, 2001·International Journal of Pediatric Otorhinolaryngology·S R ShottD Heithaus
Jan 19, 2006·The Journal of Allergy and Clinical Immunology·Raymond G SlavinUNKNOWN Joint Council of Allergy, Asthma and Immunology
Apr 19, 2006·Archives of Otolaryngology--head & Neck Surgery·Sally R ShottRachel Akers
Jul 14, 2006·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Sally R Shott
Oct 3, 2007·Pediatrics·UNKNOWN American Academy of Pediatrics, Joint Committee on Infant Hearing
Oct 16, 2007·International Journal of Pediatric Otorhinolaryngology·Bradley McPhersonIris Hoi-Yee Ng
Jan 26, 2010·International Journal of Pediatric Otorhinolaryngology·Mona M SheteRobert A Schoumacher
Jun 15, 2011·Scottish Medical Journal·Emily BarrHaytham Kubba
Jul 27, 2011·Pediatrics·Marilyn J Bull, UNKNOWN Committee on Genetics
Oct 12, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Albert H ParkNancy Hohler
May 22, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Maria RamiaAlain Sabri
Jun 5, 2013·Revista médica de Chile·Macarena Lizama CCecilia Mellado S
Apr 8, 2014·International Journal of Pediatric Otorhinolaryngology·Christopher J ChinMurad Husein