A case report on obstructive sleep apnea in a pediatric patient with achondroplasia
Acta Medica Philippina
;
: 69-75, 2023.
Artículo
en Inglés
| WPRIM
| ID: wpr-984475
ABSTRACT
@#A 22-month-old male diagnosed with achondroplasia was referred for difficulty in sleeping and was diagnosed to have severe obstructive sleep apnea (OSA) on polysomnography (PSG) (AHI 50.1). This patient had macrocephaly, midface hypoplasia, flat nasal bridge, relative macroglossia and enlarged palatine and adenoid tonsils. The patient underwent bilateral tonsillectomy with adenoidectomy without complication. Six months post-op, repeat polysomnography revealed a still severe (AHI 15.7) OSA with preferential recovery of REM and N3 sleep. Further outpatient follow-up and management is warranted. OSA despite being common in this subset of patients remains overlooked and not prioritized because of the multitude of coexisting concerns. Management of OSA in children with achondroplasia shows improved sleep structure and is helpful for further growth and development.
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Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Acondroplasia
/
Tonsilectomía
Idioma:
Inglés
Revista:
Acta Medica Philippina
Año:
2023
Tipo del documento:
Artículo
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