ABSTRACT
Patients with Down syndrome often present with a complicated history of otologic disease,
hearing loss, slow speech and language development, and cognitive delay. As audiologists,
we are called upon to coordinate audiological care in the context of a team that includes
healthcare and educational professionals. Our recommendations need to acknowledge
and reflect the uniqueness of this population among the many populations that we serve.
This article reviews several unique features characteristic of this population including:
(1) the complexity of the middle ear disease that often is chronic and intractable,
(2) the strategies for effective testing and common findings across the lifespan,
(3) interpretation of objective measures in light of the syndrome, and (4) the unique
aging process that is characteristic to Down syndrome.
KEYWORDS
Down syndrome - developmental disability - pediatric audiology