The interface of paediatric ENT and autism spectrum disorder: a complex conundrum for otolaryngologists

Abstract

Introduction: Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition incorporating complex physical and neurological symptoms including complex sensory symptoms. This review explores the interface between ASD and Paediatric ENT.Methods: Using the PRISMA guideline, a robust literature search and review was conducted by two researchers. 34 papers were filtered into the final review.Results: Published literature clearly demonstrates potential for ASD to present in the form of auditory and other sensory symptoms, to ENT surgeons and audiologists who may not fully appreciate this complex condition. Despite this well-documented link, auditory symptoms, auditory processing disorders (APDs) and hearing loss within ASD remain poorly understood. Conclusion:Improved recognition and understanding of ASD by Otolaryngologists, could enable more effective diagnostic and management strategies for autistic children who present with auditory and other sensory symptoms. In light of the current 'autism epidemic,' there is an urgent need for further research on this theme.