A 5-year-old female with a history of 22.q11 deletion syndrome, VPI, OSA, and submucous cleft palate presents to clinic with concerns about her ears. She has conductive hearing loss related to a left sided tympanic membrane perforation. She recently has started kindergarten and is being teased by her classmates about the appearance of her ears. Her mother would like to know if there is anything you can do to address this.
Her medical history is significant for a mild immunodeficiency related to her 22.q11 deletion syndrome and postaxial polydactyly. Her surgical history includes Furlow palatoplasty and tympanostomy tubes for recurrent otitis media. She has no known cardiac disease. She has no allergies and does not take any medications.
Authors: Dr. Kishan Thadikonda, Dr. Catharine Garland
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