小儿阻塞性睡眠呼吸暂停解剖

Q3 Medicine

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI:10.1016/j.otot.2023.09.002

Nicole Molin MD , Glenn Isaacson MD, FAAP

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引用次数: 0

摘要

小儿阻塞性睡眠呼吸暂停最常由腺扁桃体肥大引起，腺扁桃体切除术仍然是治疗的主要方法之一。对于腺扁桃体切除术后出现持续性阻塞性睡眠呼吸暂停的患者，或者对于腺样体和扁桃体不会导致气道阻塞的患者，个体化治疗应以确定阻塞部位为中心。梗阻可发生在上呼吸道的任何地方，通常是多层的。这些部位包括鼻腔、鼻咽部、耳膜、口咽部、舌根和/或声门上。这种解剖学知识是必不可少的。

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Anatomy of pediatric obstructive sleep apnea

Pediatric obstructive sleep apnea is most commonly caused by adenotonsillar hypertrophy, for which adenotonsillectomy remains one of the mainstays of treatment. For patients with persistent obstructive sleep apnea following adenotonsillectomy, or for patients in whom the adenoid and tonsils are not contributing to airway obstruction, individualized treatment is centered around identifying the site of obstruction. Obstruction can occur anywhere along the upper airway and is often multilevel. These sites can include the nasal cavity, nasopharynx, velum, oropharynx, tongue base, and/or supraglottis. Knowledge of this anatomy is essential.

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来源期刊

Operative Techniques in Otolaryngology - Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.70

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.