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Current demand of paediatric otolaryngology input for children with Down's syndrome in a tertiary referral centre

Published online by Cambridge University Press:  06 October 2016

M Khalid-Raja  and
K Tzifa
M Khalid-Raja*
Affiliation:
ENT Department, Birmingham Children's Hospital, UK
K Tzifa
Affiliation:
ENT Department, Birmingham Children's Hospital, UK
*
Address for correspondence: Dr Mamoona Khalid-Raja, ENT Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK E-mail: Mamoona.Khalid-Raja@heartofengland.nhs.uk
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Abstract

Objective:

This study aimed to evaluate the activity of paediatric otolaryngology services required for children with Down's syndrome in a tertiary referral centre.

Methods:

A review of the paediatric otolaryngology input for children with Down's syndrome was performed; data were obtained from the coding department for a two-year period and compared with other surgical specialties.

Results:

Between June 2011 and May 2013, 106 otolaryngology procedures were performed on children with Down's syndrome. This compared to 87 cardiac and 81 general paediatrics cases. The most common pathologies in children with Down's syndrome were obstructive sleep apnoea, otitis media, hearing loss and cardiac disease. The most common otolaryngology procedures performed were adenoidectomy, tonsillectomy, grommet insertion and bone-anchored hearing aid implant surgery.

Conclusion:

ENT manifestations of Down's syndrome are common. Greater provisions need to be made to streamline the otolaryngology services for children and improve transition of care to adult services.

Keywords

Down SyndromeOtolaryngologyObstructive Sleep ApneaTonsillectomyOtitis MediaOtorhinolaryngologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 11 , November 2016 , pp. 995 - 1000
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Chin, CJ, Khami, MM, Husein, M. A general review of the otolaryngological manifestations of Down syndrome. Int J Pediatr Otorhinolaryngol 2014;78:899–904 Google Scholar
2 McDowell, KM, Craven, DI. Pulmonary complications of Down syndrome during childhood. J Pediatr 2011;158:319–25Google Scholar
3 Down's Syndrome Association. In: http://www.downs-syndrome.org.uk [22 August 2016]Google Scholar
4 Bittles, AH, Glasson, EJ. Clinical, social, and ethical implications of changing life expectancy in Down syndrome. Dev Med Child Neurol 2004;46:282–6Google Scholar
5 Lin, SC, Davey, MJ, Horne, RS, Nixon, GM. Screening for obstructive sleep apnoea in children with Down syndrome. J Pediatr 2014;165:117–22Google Scholar
6 Bull, MJ, Committee on Genetics. Health supervision for children with Down syndrome. Pediatrics 2011;128:393–406 Google Scholar
7 Goffinski, A, Stanley, MA, Shepherd, N, Duvall, N, Jenkinson, SB, Davis, C et al. Obstructive sleep apnoea in young infants with Down syndrome evaluated in a Down syndrome speciality clinic. Am J Med Genet A 2015;167A:324–30CrossRefGoogle Scholar
8 Steward, DJ. Anesthesia considerations in children with Down syndrome. J Crit Care 2006;25:136–41Google Scholar
9 Hans, PS, Belloso, A, Sheehan, PZ. Parental satisfaction with health services provided to children with Down syndrome in north-west England: an ENT perspective. J Laryngol Otol 2007;121:382–6Google Scholar
10 Marcus, CL, Keens, TG, Bautista, DB, von Pechmann, WS, Ward, SL. Obstructive sleep apnoea in children with Down syndrome. Pediatrics 1991;88:132–9Google Scholar
11 Wolkove, N, Baltzan, M, Kamel, H, Dabrusin, R, Palayew, M. Long-term compliance with continuous positive airway pressure in patients with obstructive sleep apnea. Can Respir J 2008;15:365–9Google Scholar
12 Shete, MM, Stocks, RM, Sebelik, ME, Schoumacher, RA. Effects of adeno-tonsillectomy on polysomnography patterns in Down syndrome children with obstructive sleep apnea: a comparative study with children without Down syndrome. Int J Pediatr Otorhinolaryngol 2010;74:241–4CrossRefGoogle ScholarPubMed
13 Leonardis, RL, Robison, JG, Otteson, TD. Evaluating the management of obstructive sleep apnoea in neonates and infants. JAMA Otolaryngol Head Neck Surg 2013;139:139–46CrossRefGoogle ScholarPubMed
14 Royal College of Paediatrics and Child Health. Working Party on Sleep Physiology and Respiratory Control Disorders in Childhood: Standards for Services for Children with Disorders of Sleep Physiology, Report, September 2009. In: http://www.rcpch.ac.uk/sites/default/files/asset_library/Research/Clinical%20Effectiveness/Endorsed%20guidelines/Sleep%20Physiology%20Disorders%20(RCPCH)/Report%20TextC.pdf [22 August 2016]Google Scholar
15 McDermott, AL, Williams, J, Kuo, MJ, Reid, AP, Proops, DW. The role of bone anchored hearing aids in children with Down syndrome. Int J Pediatr Otorhinolaryngol 2008;72:751–7Google Scholar
16 Sheehan, PZ, Hans, PS. UK and Ireland experience of bone anchored hearing aids (BAHA) in individuals with Down syndrome. Int J Pediatr Otorhinolaryngol 2006;70:981–6Google Scholar
17 Dahle, AH, McCollister, FP. Hearing loss and otologic disorders in children with Down syndrome. Am J Ment Defic 1986;90:636–42Google Scholar
18 Buchanan, LH. Early onset of presbyacusis in Down syndrome. Scand Audiol 1990;19:103–10CrossRefGoogle ScholarPubMed
19 Malik, V, Verma, RU, Joshi, V, Sheehan, PZ. An evidence-based approach to the 12-min consultation for a child with Down's syndrome. Clin Otolaryngol 2012;37:291–6Google Scholar
20 Shott, SR. Down syndrome: common otolaryngologic manifestations. Am J Med Genet Part C Semin Med Genet 2006;142C:131–40CrossRefGoogle ScholarPubMed
21 Frazier, JB, Friedman, B. Swallow function in children with Down syndrome: a retrospective study. Dev Med Child Neurol 1996;38:695–703 Google Scholar
22 O'Neill, AC, Richter, GT. Pharyngeal dysphagia in children with Down syndrome. Otolaryngol Head Neck Surg 2013;149:146–50Google Scholar
23 Stoel-Gammon, C. Phonological development in Down syndrome. Ment Retard Dev Disabil Res Rev 1997;3:300–6Google Scholar
24 NICE. Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures. In: https://www.nice.org.uk/guidance/cg64 [22 August 2016]Google Scholar
25 Borland, LM, Colligan, J, Brandon, BW. Frequency of anaesthetic-related complications in children with Down syndrome under general anaesthesia for noncardiac procedures. Paediatr Anaesth 2004;14:733–8Google Scholar
26 Glasson, EJ, Dye, DE, Bittles, AH. The triple challenges associated with age-related comorbidities in Down syndrome. J Intellect Disabil Res 2014;58:393–8Google Scholar
27 Scal, P. Transition for youth with chronic conditions: primary care physicians’ approaches. Pediatrics 2002;110:1315–21Google Scholar
28 Sawyer, SM, Blair, S, Bowes, G. Chronic illness in adolescents: transfer or transition to adult services? J Paediatr Child Health 1997;33:88–90 CrossRefGoogle ScholarPubMed
29 Jensen, KM, Davis, MM. Health care in adults with Down syndrome: a longitudinal cohort study. J Intellect Disabil Res 2013;57:947–58Google Scholar