ENT PROBLEMS IN DOWN SYNDROME

• GENERAL

1. Frequent upper respiratory tract infection
2. Atlantoaxial instability
3. Sialorrhoea
4. Thyroid disease

• THE AIRWAY

1. Airway obstruction
2. Narrow subglottis and trachea
3. Mid facial hypoplasia
4. Hypotonic pharyngeal airway
5. MAcroglossia

• Ear disorders:

1. Deafness
2. Frequent AOM & OME
3. Small pinna and EAC
4. Premature cochlear ossification
5. Facial nerve dehiscence common
6. Ossicular fixation
7. Mondini malformation more common