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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Occult supraglottic lymphatic malformation presenting as obstructive sleep apnea

James Chan1, Abbas Younes, Peter J Koltai

  • 1Department of Otolaryngology and Communicative Disorders, The Cleveland Clinic Foundation, A71, 9500 Euclid Avenue, Cleveland, OH 44195, USA. chanj@ccf.org

International Journal of Pediatric Otorhinolaryngology
|March 14, 2003
PubMed

Insights

Pediatric obstructive sleep apnea can stem from rare supraglottic lymphatic malformations. Early diagnosis via laryngeal exam is crucial for effective management, avoiding tracheotomy.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Medical Genetics

Background:

  • Sleep disordered breathing and obstructive sleep apnea (OSA) are prevalent in children, often linked to adenotonsillar hypertrophy.
  • Oropharyngeal obstruction is the typical cause of pediatric OSA.

Observation:

  • A case study of a child presenting with adenoidal hypertrophy and OSA.
  • An unusual finding of an occult supraglottic lymphatic malformation (LM) was identified as the underlying cause.
  • The diagnosis was established through fiberoptic laryngeal examination.

Findings:

  • Occult supraglottic LMs are a rare etiology of pediatric OSA.
  • These malformations can be challenging to diagnose and manage due to airway compromise.
  • Successful management involved endoscopy and carbon-dioxide laser treatment, avoiding tracheotomy.

Implications:

  • Highlights the importance of thorough laryngeal examination in diagnosing pediatric OSA.
  • Suggests minimally invasive techniques for managing supraglottic LMs.
  • Emphasizes the potential for recurrence and the need for vigilant follow-up.

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