title: Current demand of paediatric otolaryngology input for children with Down's syndrome in a tertiary referral centre.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: ENT Department,Birmingham Children's Hospital,UK.
authors.forename: M
authors.initials: M
authors.lastname: Khalid-Raja
authors.affiliation: ENT Department,Birmingham Children's Hospital,UK.
authors.forename: K
authors.initials: K
authors.lastname: Tzifa
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004314:Down Syndrome / Q000150:complications*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010036:Otolaryngology / Q000706:statistics & numerical data*; D010038:Otorhinolaryngologic Diseases / Q000209:etiology*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D062606:Tertiary Care Centers / Q000706:statistics & numerical data
keywords: Down Syndrome; Obstructive Sleep Apnea; Otitis Media; Otolaryngology; Otorhinolaryngologic Surgical Procedures; Tonsillectomy