Plastic surgical management of children with Down's syndrome: indications and results

Br J Plast Surg. 1982 Apr;35(2):195-200. doi: 10.1016/0007-1226(82)90163-1.


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

  • Adolescent
  • Child
  • Child, Preschool
  • Chin / surgery
  • Down Syndrome / surgery*
  • Ear, External / surgery
  • Female
  • Humans
  • Macroglossia / surgery
  • Male
  • Patient Acceptance of Health Care
  • Rhinoplasty
  • Surgery, Plastic*