Rhinology Q8

A 15-year-old female presents to ENT clinic with recurrent ear infections. On inspection, she has an oval shaped face, epicanthal folds and a single palmar crease. Her past medical history includes hypothyroidism, type 2 diabetes mellitus, structural heart disease and moderate learning disability.

Given the underlying congenital syndrome, which of the following ENT manifestations would you expect in this patient?

  • A) Micrognathia
  • B) Cleft lip/palate
  • C) Large ears
  • D) Choanal atresia
  • E) Flat nasal bridge