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Home > Journals > Minerva Pediatrica > Past Issues > Minerva Pediatrica 2010 December;62(6) > Minerva Pediatrica 2010 December;62(6):585-90



A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,532

Frequency: Bi-Monthly

ISSN 0026-4946

Online ISSN 1827-1715


Minerva Pediatrica 2010 December;62(6):585-90


Plastic and esthetic surgery on children with down’s syndrome: ethical and technical aspects

Abbate B.

Ospedale Pediatrico “Anna Meyer”, Azienda Ospedaliero Universitaria, Firenze, Italia

One of the most commonly shared characteristics of children with Down’s syndrome is the effect on facial features. The vast majority of children with Down’s syndrome have an epicanthal folds, a slanted palpebral fissures and a flattened nasal bridge. Another common feature is a protruding tongue with an open mouth. The surgeries can be categorized into two groups: techniques aimed at reducing the size of the tongue, and surgeries aimed at improving the appearance of the face, called “facial reconstruction”. Indications and limits of these categories are discussed separately. Moreover, the tongue reduction presents further anesthesiological problems. Parents should be not pressured into consenting to plastic surgery, and plastic surgery should never be considered a stand-alone therapy. Parents should get all information about the procedures, including risks, performed on their children to best make an informed decision, also in order to avoid unnecessary pain to the children and the adolescents with Down’s syndrome.

language: Italian


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