title: Plastic surgical management of children with Down's syndrome: indications and results.
abstract: The face of a child with Down's syndrome is stigmatised by the large tongue, open mouth, saddle nose and epicanthal folds. Operative reduction of macroglossia facilitates nose-breathing, comprehensible speech and eating. Raising the nasal bridge with Cialit-preserved homograft cartilage obliterates the epicanthal folds and conceals the oblique slant of the eyelids. The child should be operated on from the third year onwards.
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002680:Chin / Q000601:surgery; D004314:Down Syndrome / Q000601:surgery*; D004431:Ear, External / Q000601:surgery; D005260:Female; D006801:Humans; D008260:Macroglossia / Q000601:surgery; D008297:Male; D010342:Patient Acceptance of Health Care; D012225:Rhinoplasty; D013518:Surgery, Plastic