Drug Induced Sleep Endoscopy in a Child with Poland's Syndrome: A Clinical Challenge

Area of Science:

• Pediatric Surgery
• Sleep Medicine
• Genetics

Background:

• Poland syndrome is a rare congenital condition affecting thoracic musculoskeletal development and limb anomalies.
• Sleep-disordered breathing is a significant concern in children with Poland syndrome.
• Drug-induced sleep endoscopy (DISE) is a standard diagnostic tool for identifying airway obstruction in sleep apnea.

Purpose of the Study:

• To describe the first reported case of a child with Poland syndrome undergoing DISE.
• To discuss the surgical and anesthetic considerations and outcomes in this unique patient population.
• To contribute to the limited literature on managing sleep-disordered breathing in Poland syndrome.

Main Methods:

• A case report of a pediatric patient with Poland syndrome and sleep-disordered breathing.
• The patient underwent drug-induced sleep endoscopy (DISE) to identify dynamic airway obstruction.
• Surgical and anesthetic management strategies were employed and documented.

Main Results:

• Successful identification of obstruction sites via DISE in a child with Poland syndrome.
• The patient tolerated both anesthetic induction and the DISE procedure.
• The case demonstrates the feasibility of DISE-guided intervention in this complex patient.

Conclusions:

• Drug-induced sleep endoscopy is a viable diagnostic tool for sleep-disordered breathing in children with Poland syndrome.
• Careful anesthetic and surgical planning are crucial for managing these patients.
• This case expands the understanding of DISE application in rare congenital anomalies.