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[Children severe OSAHS with pectus excavatum: a case report]

Wei Ma, Jinfeng Wang, Yuping Xie

    Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
    |July 8, 2016
    PubMed

    Insights

    Severe pediatric obstructive sleep apnea (OSAHS) can cause chest deformities like funnel chest. Prompt diagnosis with polysomnography and tonsillectomy can resolve these serious symptoms in children.

    Area of Science:

    • Pediatric Pulmonology
    • Sleep Medicine
    • Thoracic Surgery

    Background:

    • Obstructive sleep apnea-hypopnea syndrome (OSAHS) in children is primarily caused by tonsil and adenoid hypertrophy.
    • Severe OSAHS is increasingly recognized as a contributor to thoracic deformities, though this association is infrequently reported.

    Observation:

    • A case of pediatric OSAHS with severe sternal depression during sleep is presented, lasting for 2 days.
    • The child exhibited chronic snoring for over 4 years.
    • Clinical examination confirmed tonsil and adenoid hypertrophy, and polysomnography diagnosed OSAHS.

    Findings:

    • Tonsillectomy led to rapid resolution of OSAHS symptoms and sternal depression.
    • The study identifies OSAHS as a primary cause of funnel chest in pediatric patients.
    • The rarity of this condition may lead to misdiagnosis or delayed diagnosis.

    Implications:

    • Early polysomnography screening is recommended for children with funnel chest and upper airway stenosis.
    • Recognizing the link between OSAHS and thoracic deformities can improve diagnostic accuracy and patient outcomes.
    • This case highlights the importance of considering sleep-disordered breathing in the etiology of pediatric chest wall abnormalities.

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