Otolaryngologic manifestations of Down syndrome
Otolaryngologic manifestations of Down syndrome
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DOI：
10.1016/s0030-6665(05)70281-4
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发表时间：
2000-12-01
影响因子：
1.7
通讯作者：
Williams-Smith, L
中科院分区：
文献类型：
--
作者：
Kanamori, G;Witter, M;Williams-Smith, L
唐氏综合征涉及先天性结构异常和后天条件下的耳鼻喉科特征。上呼吸道问题包括鼻咽直径减小、腭后间隙变窄和张力减退，所有这些都导致睡眠呼吸暂停的高发病率。先天性或后天性声门下狭窄和寰枢椎不稳可能存在，可能使全身麻醉复杂化。唐氏综合征患儿的传导性和感音神经性听力损失也明显较高。本文回顾了相关文献，并概述了一个实用的方法，耳鼻喉科医生的管理，这些儿童。
Down syndrome involves otolaryngologic features that derive from congenital structural anomalies and acquired conditions. Upper airway problems include a decreased nasopharyngeal diameter, a narrowed retropalatal space, and hypotonia, all of which contribute to a high incidence of sleep apnea. Congenital or acquired subglottic stenosis and atlantoaxial instability may be present, potentially complicating general anesthesia. Conductive and sensorineural hearing loss is also significantly higher among children with Down syndrome. This article reviews the relevant literature and outlines a practical approach to the otolaryngologist's management of these children.