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Autism spectrum disorder 101: A primer for pediatric otolaryngologists
Sneh Biyani1, Patrick S Morgan2, Karin Hotchkiss3
1Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
Insights
This guide offers strategies for managing children with autism spectrum disorder (ASD) in otolaryngology. It emphasizes special considerations for outpatient and surgical settings to improve care for these patients.
Area of Science:
- Otolaryngology
- Developmental Pediatrics
- Neuroscience
Background:
- Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication deficits and repetitive behaviors.
- The prevalence of ASD is increasing, necessitating specialized knowledge for healthcare providers.
- Otolaryngologists require an understanding of ASD to ensure safe and effective patient management.
Purpose of the Study:
- To provide a comprehensive guide for managing children with autism spectrum disorder (ASD) in otolaryngology practice.
- To highlight special considerations for outpatient and peri-operative settings.
- To enhance the patient-provider relationship and improve care quality for ASD patients.
Main Methods:
- Comprehensive literature review.
- Analysis of personal experiences in a tertiary children's hospital.
- Development of management strategies tailored for ASD patients.
Main Results:
- Special considerations in outpatient visits can improve the clinical experience for ASD patients.
- Peri-operative strategies, including communication devices and pre-medication, can facilitate surgical management.
- Enhanced patient-provider relationships are achievable through tailored approaches.
Conclusions:
- Otolaryngologists must understand ASD to provide optimal care.
- Implementing specific strategies can significantly improve the management of children with ASD in otolaryngology.
- This guide aims to equip practitioners with the knowledge to deliver high-quality care to ASD patients.
Abstract:
Based on a comprehensive review of the literature as well as personal experiences at a tertiary children's hospital, we present an encompassing guide of the management of children with autism spectrum disorder (ASD) in the otolaryngology practice. ASD is a disorder involving persistent deficits in social communication and interaction across multiple contexts with restricted and repetitive patterns of behavior, which presents early in age and causes significant impairment in function. With the increasing prevalence of autism, the otolaryngologist's understanding of the disease and how it affects the management of patients is of paramount importance in order to provide a safe medical and surgical environment. Special considerations in the outpatient visit and peri-operative setting in the management of ASD patients can enhance the patient-provider relationship and improve the quality of care delivered. We discuss several strategies, such as utilization of communication devices and use of pre-medication prior to surgery, to facilitate the clinical experience.
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