药物诱导的睡眠内镜在患有喉的婴儿中的发现
Adrian Williamson1, Erica H McArdle1, Hussein Jaffal1
1Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, WV, USA.
International journal of pediatric otorhinolaryngology
|November 18, 2023
概括
药物诱导的睡眠内镜 (DISE) 在婴儿的喉 (LM) 有助于识别舌头底部阻塞,这可能解释了手术后持续阻塞性睡眠呼吸暂停 (OSA). 这有助于评估LM的严重程度和计划治疗.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 儿科呼吸道疾病 儿科呼吸道疾病
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 常见于患有喉炎 (LM) 的婴儿.
- 经常报告SGP后持久的OSA.
- 药物诱导睡眠内镜 (DISE) 在评估LM的婴儿中的作用需要进一步描述.
研究的目的:
- 描述药物诱导睡眠内镜 (DISE) 在被诊断为喉 (LM) 的婴儿中的发现.
- 在LM的婴儿中识别额外的气道阻塞部位.
- 为了将DISE发现与持续的OSA后超位整形术 (SGP) 相对应.
主要方法:
- 对婴儿 (≤12.5个月) 进行回顾性评估,这些婴儿接受了DISE和直接喉镜/支气管镜 (DLB) 治疗.
- 数据包括临床表现,吞/睡眠研究以及医疗/外科病史.
- 分析了DISE和DLB的发现.
主要成果:
- 包括35名婴儿;74.3%的人有阻塞性睡眠呼吸障碍 (oSDB) 或OSA.
- DISE显示89%的LM和34%的舌头底部阻塞.
- 在40%的患者中,DLB发现了二次性气道异常,包括喉裂和下喉狭窄症.
结论:
- DISE对于识别LM的婴儿舌头底部阻塞有价值.
- 玻璃死可能会导致SGP后持续的OSA.
- DISE补充了醒着的喉镜,用于评估LM的严重程度.
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