Not impressed. She saw her ENT for the first time. So good news, bad news. Her ear canals are wider than most kids with DS which is good. It means she is unlikely to have hearing issues and unlikely to have fluid issues or ear infections. Her tonsils and adenoids and nasal passage ways are very small though which is why she always has sounded stuffed up and always will sound stuffed. It is extremely likely that she will need to have both her tonsils and adenoids removed by her 2nd birthday. They like to do them both together around 2 but if there are issues that hurt her breathing they do one around 1 and one around 2.