会厌闭锁在儿童阻塞性睡眠呼吸暂停中的作用

Q3 Medicine

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI:10.1016/j.otot.2023.09.011

Adam R. Szymanowski MD, Mary Frances Musso DO

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引用次数: 0

摘要

会厌闭锁是一种罕见的，但有效的程序，小儿患者的阻塞性睡眠呼吸暂停。术前确定舌底会厌的后伸和塌陷是很重要的。术前多导睡眠图、软性纤维喉镜检查和有时药物诱发睡眠内窥镜检查是检查的关键组成部分，因为许多受益于会咽闭锁术的患者已经失败了原发性腺扁桃体切除术。手术包括舌底和会厌舌面脱粘膜，并将这两个结构彼此固定。病人能很好地忍受手术，通常第二天就能出院回家。

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The role of epiglottopexy for pediatric OSA

Epiglottopexy is an uncommon, but effective procedure for pediatric patients with obstructive sleep apnea. It is important to establish retroflexion and collapse of the epiglottis at the base of tongue prior to surgery. Preoperative polysomnogram, flexible fiberoptic laryngoscopy, and sometimes drug induced sleep endoscopy are critical components of the workup as many patients who benefit from epiglottopexy have already failed primary adenotonsillectomy. The surgery involves demucosalizing the base of tongue and lingual surface of the epiglottis and securing the 2 structures to one another. Patients tolerate the procedure well and can often be discharged home the following day.

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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.