Ankyloglossia in Children, a Cause of Obstructive Sleep Apnoea: Case Report of Paediatric Ankyloglossia and Sleep Apnoea: DISE Resolves the Mystery

被引:1
作者
Valderrama-Penagos, Johanna Ximena [1 ]
Rodriguez Alcala, Laura [1 ]
Plaza, Guillermo [2 ]
Baptista, Peter [3 ]
Garcia Iriarte, Maria Teresa [4 ]
Correa, Eduardo J. [5 ]
O'Connor-Reina, Carlos [1 ]
机构
[1] Hosp Quiron Salud Marbella, Dept Otorhinolaryngol, Ave Severo Ochoa 22, Marbella 29603, Spain
[2] Univ Rey Juan Carlos I, Hosp Fuenlabrada, Dept Otorhinolaryngol, Madrid 28032, Spain
[3] Clin Univ Navarra, Dept Obstet & Gynecol, Pamplona 31008, Spain
[4] Hosp Univ Virgen de Valme, Dept Otorhinolaryngol, Seville 41014, Spain
[5] Hosp La Linea, Dept Otorhinolaryngol, La Linea De La Concepcion 11300, Spain
来源
CHILDREN-BASEL | 2024年 / 11卷 / 02期
关键词
ankyloglossia; drug-induced sleep endoscopy; frenulectomy; sleep apnoea; MYOFUNCTIONAL THERAPY; SURGERY; NASAL;
D O I
10.3390/children11020218
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Tongue mobility is an obstructive sleep apnoea (OSA) marker and myofunctional therapy (MFT) target. For this reason, all paediatric patients with sleep-disordered breathing should require a combined functional assessment from an ear, nose, and throat (ENT) specialist and a phonoaudiologist to confirm or rule out the presence of ankyloglossia. To our knowledge, this is the first case of a 13-year-old girl diagnosed with severe OSA and a significant decrease of 94% in her apnoea index (AI), requiring frenotomy with an immediate postoperative change in the tongue position. A drug-induced sleep endoscopy (DISE) was performed before and immediately postfrenotomy, and the anatomical changes provoked by this surgery during sleep were confirmed for the first time.
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页数:7
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