Otologic disorders in Turner syndrome
1Service d'ORL pédiatrique, hôpital Robert-Debré, Paris, université Diderot Paris 7, AP-HP, 48, boulevard Sérurier, 75019 Paris, France.
Insights
Patients with Turner syndrome (TS) experience frequent ear problems, including hearing loss and recurrent ear infections. Early and ongoing Ear, Nose, and Throat (ENT) care is essential for managing these pediatric otologic disorders in TS patients.
Area of Science:
- Otolaryngology
- Genetics
- Pediatrics
Background:
- Turner syndrome (TS) is associated with craniofacial abnormalities affecting Eustachian tube and velar function.
- These anatomical differences increase the risk of acute otitis media in pediatric patients with TS.
Purpose of the Study:
- To document the spectrum of pediatric otologic disorders in patients with Turner syndrome.
- To analyze these disorders at their initial Ear, Nose, and Throat (ENT) consultation.
Main Methods:
- Retrospective review of ENT consultation data for pediatric TS patients (2005-2015).
- Evaluated otoscopy, hearing thresholds, and history of otitis media or ENT surgery.
- Compared data across different TS karyotypes (e.g., 45,X, mosaic, isochromosome).
Main Results:
- Ninety TS patients (mean age 11.9 years) were analyzed.
- High prevalence of tympanic abnormalities (29%), hearing loss (21%), and recurrent acute otitis media (24%).
- Common ENT surgeries included adenoidectomy (18%) and T-tube insertion (24%).
Conclusions:
- Pediatric patients with Turner syndrome exhibit a high incidence of otologic conditions.
- Continuous and vigilant ENT monitoring is crucial for this population.
Introduction:
Patients with Turner syndrome (TS) have craniofacial malformations, such as Eustachian tube hypoplasia and dysfunction and velar dysfunction, which foster acute otitis media. The aim of this study was to inventory pediatric otologic disorders in patients with TS at their first ENT consultation in our center.
Patients And Methods:
We reviewed the ENT consultation data of pediatric TS patients followed in our center between 2005 and 2015: otoscopy, hearing threshold, and history of acute otitis media or ENT surgery. Data were compared according to karyotype: X monosomy (45,X), mosaic (45,X/46,XX), isochromosome (46,Xi [Xq]), X ring chromosome X (XrX), with Y material, and "other".
Results:
Ninety patients, with mean age 11.9years (±4.8years) at first ENT consultation, were included: 29% showed tympanic abnormality on otoscopy, 21% had hearing loss, 24% had history of recurrent acute otitis media; 18% had undergone adenoidectomy, 24% T-tube insertion, and 5.6% tympanoplasty. No particular karyotype was associated with higher risk of hearing loss or acute otitis media.
Conclusion:
Patients with TS showed high prevalence of pediatric otologic disorders; they therefore require close and prolonged ENT follow-up.
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