Palatine Tonsil Stenting of the Airway as Determined by Drug-Induced Sleep Endoscopy.

ABSTRACT:

Objective

To demonstrate lateral pharyngeal wall collapse and increased apnea-hypopnea index in a child posttonsillectomy.

Background

Some children have worsening of their sleep symptoms after tonsillectomy for obstructive sleep apnea. This case report demonstrates an open airway on drug-induced sleep endoscopy (DISE) in a child with tonsillar hypertrophy followed by more pronounced airway obstruction related to lateral pharyngeal wall collapse after tonsillectomy.

Case presentation

A 7-year-old boy presented with obstructive sleep apnea and underwent workup with DISE. Following adenotonsillectomy and subsequent lingual tonsillectomy with epiglottopexy, the patient's sleep apnea symptoms and polysomnogram results worsened. Subsequent DISE showed a more narrowed oropha

SUBMITTER: Zalzal HG 

PROVIDER: S-EPMC6311753 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature