Surgical management in a severe OSA patient diagnosed with Stickler syndrome

Autor: Oh Eun Kwon, Sung Wan Kim, So Young Jeon, Jin Young Min, Jin Woo Jang, Sang Yoon Kang
Rok vydání: 2021
Předmět:
Adult
Male
Pediatrics
medicine.medical_specialty
Velopharyngeal Insufficiency
Hearing Loss
Sensorineural
medicine.medical_treatment
Population
Excessive daytime sleepiness
Polysomnography
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Velopharyngeal insufficiency
Humans
Medicine
Stickler syndrome
Continuous positive airway pressure
Connective Tissue Diseases
030223 otorhinolaryngology
education
Sleep Apnea
Obstructive
education.field_of_study
Continuous Positive Airway Pressure
medicine.diagnostic_test
business.industry
Arthritis
Retinal Detachment
General Medicine
medicine.disease
nervous system diseases
respiratory tract diseases
Cleft Palate
Obstructive sleep apnea
medicine.anatomical_structure
Otorhinolaryngology
030220 oncology & carcinogenesis
Surgery
Hard palate
medicine.symptom
business
Zdroj: Auris Nasus Larynx. 48:1031-1034
ISSN: 0385-8146
Popis: Stickler syndrome is a genetic disorder of connective tissue. One of the major symptoms associated with this disorder is an oro-facial malformation, which may cause a submucous cleft or a complete cleft of the hard palate. A 32-year-old man diagnosed with Stickler syndrome and a submucosal cleft palate (SMCP) visited our hospital with a chief complaint of excessive daytime sleepiness. The patient was diagnosed with severe obstructive sleep apnea (OSA), and administration of a polysomnography test revealed an apnea-hypopnea index (AHI) of 30.9 events/hour (h). Auto-titrating continuous positive airway pressure was initiated to control the OSA symptoms and subsequently the patient showed some improvement. However, due to continuous velopharyngeal insufficiency symptoms, intravelar veloplasty was performed. Three months after surgery, the AHI had decreased to 12.4 events/h. Recent studies have described a greater risk for OSA in individuals with cleft palate, than in the general population. The present case demonstrates surgical success in a patient with OSA and SMCP, suggesting that palatal surgery may be considered an optional surgical treatment for OSA patients with SMCP.
Databáze: OpenAIRE
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