The indications and the plan of plastic operations in children with Down's syndrome.

During the past ten years (1984-1993), 52 children with Down's syndrome aged 3-16 years were treated surgically at the Department of Plastic Surgery at the Medical University of Lódz. The authors present the indications and the treatment plan in selected patients, the optimal timing of surgical treatment, the choice of surgical methods for the correction of facial deformity and for the limpness of tongue depending on its form and intensity. Elimination of mongoloid features of the face (tongue, lower lip, eyelids, nose) has a positive influence on rehabilitation of children with Down's syndrome. This procedure was used in Poland for the first time.