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Anales de Otorrinolaringología Mexicana

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2025, Number 2

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Otorrinolaringología 2025; 70 (2)

Audiovestibular, language and phoniatric disorders in 22q11.2 microdeletion

Barradas HMI, Lino GAL
Full text How to cite this article

Language: Spanish
References: 16
Page: 108-118
PDF size: 355.78 Kb.


Key words:

22q11.2 deletion syndrome, DiGeorge syndrome, Velocardiofacial syndrome, Hearing loss, Cleft palate, Velopharyngeal insufficiency.

ABSTRACT

Background: 22q11.2 deletion syndrome is a genetic disorder caused by a hemizygous microdeletion of the long arm of chromosome 22; its worldwide prevalence is 1 in every 2000 to 4000 live births. According to the literature, these patients may present, among other alterations: cardiac malformations, facial dysmorphism, developmental delay, intellectual disability, learning problems, velopharyngeal insufficiency, recurrent otitis, hearing loss and orthopedic abnormalities, so the treatment is usually multidisciplinary according to the clinical manifestations.
Clinical case: A female patient, in which bilateral superficial hearing loss curves with a conductive pattern in the left ear, inadequate pressure management in both ears, left vestibular hypofunction, velopharyngeal insufficiency, delayed language development, and a learning disorder were found.
Conclusions: Early and timely detection of this syndrome, as well as of the different alterations or disorders and the appropriate specialized multidisciplinary management, contribute to a better quality of life and reduce the impact of the different disabilities that may occur.


REFERENCES

  1. Mayo Clinic. DiGeorge syndrome (22q11.2 deletion syndrome) 2024.

  2. National Center for Advancing Translational Sciences. 2q11.2 deletion síndrome 2024.

  3. Acosta-Aragón MA, Torres-Hernández D, Fletcher-Toledo T. Síndrome de DiGeorge/velocardiofacial: reportede un caso. Med Lab 2020; 24 (1): 69-76.

  4. Cirillo A, Lioncino M, Maratea A, Passariello A, et al. Clinical manifestations of 22q11.2 deletion syndrome.Heart Fail Clin 2022; 18: 155-64. https://doi.org.10.1016/j.hfc.2021.07.009

  5. Obregón MG. 22q11.2 deletion syndrome/Di George/VCF syndrome. RECyT 2024; 40: 11-12.

  6. Karbarz M. Consequences of 22q11.2 Microdeletion on the genome, individual and population levels. Genes(Basel) 2020; 11: 1-17. https://doi.org.10.3390/genes11090977

  7. Verheij E, Elden L, Crowley TB, Pameijer FA, et al. Anatomic malformations of the middle and inner earin 22q11.2 deletion syndrome: Case series and literature review. AJNR Am J Neuroradiol 2018; 39: 928-34.https://doi.org/10.3174/ajnr.A5588

  8. Suzuki N, Kanzaki S, Suzuki T, Ogawa K, Yamagishi H. Clinical features of 22q11.2 deletion syndromerelated to hearing and communication. Acta Otolaryngol 2020; 140: 736-40. https://doi.org.10.1080/00016489.2020.1769862

  9. Szumutku F, Kádár K, Kovács ÁF, Lengyel Aet al. A 22q11.2-microdeletiós szindróma klinikaijellemzői [Clinical aspects of 22q11.2 microdeletion syndrome]. Orv Hetil 2022; 163: 21-30. https://doi.org/10.1556/650.2022.32299

  10. Stanford Medicine. 22q11.2 Deletion syndrome in children. 2024.

  11. Verheij E, Kist AL, Mink van der Molen AB, et al. Otologic and audiologic findings in 22q11.2 deletion syndrome.Eur Arch Otorhinolaryngol 2017; 274: 765-71. https://doi.org.10.1007/s00405-016-4365-y

  12. Fuller C, Brown K, Speed O, Gardner J, et al. Impact of surgery for velopharyngeal insufficiency on eustachiantube function in children: Pharyngeal flap versus sphincter pharyngoplasty. Cleft Palate Craniofac J2021; 58: 1473-81. https://doi.org.10.1177/1055665621991740

  13. Orphanet. El síndrome de deleción 22q11.2. www.orpha.net/data/patho/Han/Int/es/SindromeDelecion22q11.2_Es_es_HAN_ORPHA567.PDF

  14. Arganbright J, Crowley TB, Tracy M, Noel-MacDonnell J, et al. Hearing loss in children with 22q11.2 deletionsyndrome. Laryngoscope 2025;135 (2): 929-934. https://doi.org.10.1002/lary.31777

  15. Wu SS, Mahomva C, Sawaf T, Reinshagen KL, et al. Association of ear anomalies and hearing loss amongchildren with 22q11.2 deletion syndrome. Otolaryngol Head Neck Surg 2023; 168: 856-61. https://doi.org.10.1177/01945998221094219

  16. Alberdi Páramo I, Ladrón Jiménez A, Gutiérrez Fernández N, Pérez Moreno R. Síndrome de deleción 22q11.2y su asociación con trastornos psiquiátricos. A propósito de un caso. Rev Psiq Infant Juvenil 2018; 1: 43-7.https://doi.org/10.31766/revpsij.v35n1a5




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C?MO CITAR (Vancouver)

Otorrinolaringología. 2025;70