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The management of otolaryngological problems in the mucopolysaccharidoses: a retrospective review
M J Ruckenstein1, R E Macdonald, J T Clarke
1Department of Otolaryngology, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Insights
Mucopolysaccharidoses (MPS) are rare genetic disorders impacting children, frequently affecting hearing and breathing. Early otolaryngologic intervention is crucial for managing auditory and respiratory issues in MPS patients.
Area of Science:
- Genetics
- Pediatrics
- Otolaryngology
Background:
- Mucopolysaccharidoses (MPS) are rare, inherited metabolic disorders affecting children.
- These conditions often involve the auditory system and upper airways, necessitating otolaryngologic care.
Observation:
- A 10-year retrospective review analyzed the management of MPS patients.
- Auditory and upper respiratory pathologies were specifically examined.
Findings:
- Persistent serous otitis media and sensorineural hearing loss are common in MPS.
- Upper respiratory obstruction, leading to sleep apnea, is a frequent complication.
Implications:
- Otolaryngologists play a vital role in managing MPS patients.
- Specific interventions are recommended for otolaryngologic care in children with MPS.
Abstract:
The mucopolysaccharidoses are rare, genetically transmitted metabolic disorders that affect children early in life. These potentially life-threatening diseases almost invariably involve the auditory apparatus and the upper respiratory tract. Thus, the otolaryngologist is frequently involved in the care of these patients. This paper presents a 10-year retrospective review of the management of these patients at the Hospital for Sick Children. Data concerning auditory and upper respiratory pathology are presented. Results indicate that persistent serous otitis, sensorineural hearing loss, and upper respiratory obstruction leading to sleep apnea, are frequent findings in these patients. Specific recommendations are made with regard to appropriate otolaryngologic intervention in children affected with these diseases.
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