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Updated: Jun 29, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Analysis of 141 cases with benign upper airway occupying in infant]
Xin Wen1, Aiping Huang1, Aiying Zhang1
1Department of Otolaryngology,Hebei Children' s Hospital,Shijiazhuang,050031,China.
Insights
Benign upper airway masses in infants are most commonly cysts. Endoscopic low-temperature plasma resection is the primary treatment, with timely puncture therapy offering a safe alternative for critical cases.
Area of Science:
- Pediatric Otolaryngology
- Neonatal Airway Management
- Congenital Airway Abnormalities
Background:
- Infants can present with benign upper airway space-occupying lesions.
- These lesions can cause significant respiratory distress, including dyspnea and laryngeal wheezing.
Abstract:
Objective:To analyze and summarize the clinical characteristics, diagnosis, treatment and prognosis of benign upper airway space occupancy in infants. Methods:The clinical data of 141 cases with begin upper airway space from January 2012 to January 2022 were analyzed. Among them, 101 were male and 68 were female, the age is 0-3 years old. In which there were 24 newborns. The clinical characteristics, auxiliary examination and treatment results were summarized and analyzed. Results:The main clinical manifestations of 141 infants were dyspnea and/or laryngeal wheezing, including 116 cases of congenital cyst of tongue, 15 cases of hair polyps, 4 cases of nasopharyngeal second pharyngeal fissure cysts, 2 cases of congenital laryngeal cysts, 2 cases of pharyngeal bronchial cyst, 1 case of nasopharyngeal teratoma and 1 case of myofibroma. All the infants had completed the corresponding examination and treatment. The diagnosis was clear, and there was no missed diagnosis or misdiagnosis. Among them, 19 infants with congenital cyst of tongue were given cyst puncture to relieve dyspnea. 2 cases of congenital cyst of tongue recurred half a year after operaion, and then they underwent reoperation. The prognosis of the remaining infants were good. Conclusion:The most common occupying of benign upper airway space occupancy is cyst, and low-temperature plasma resection under endoscope is the main treatment method. Timely puncture therapy is also a safe and effective treatment for infants who are dyspnea and life threatening.
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