Ankyloglossia in Children, a Cause of Obstructive Sleep Apnoea: Case Report of Paediatric Ankyloglossia and Sleep Apnoea: DISE Resolves the Mystery.
Johanna Ximena Valderrama-PenagosLaura Rodriguez AlcalaGuillermo PlazaPeter BaptistaMaria Teresa Garcia IriarteEduardo J CorreaCarlos O'Connor ReinaPublished in: Children (Basel, Switzerland) (2024)
Tongue mobility is an obstructive sleep apnoea (OSA) marker and myofunctional therapy (MFT) target. For this reason, all paediatric patients with sleep-disordered breathing should require a combined functional assessment from an ear, nose, and throat (ENT) specialist and a phonoaudiologist to confirm or rule out the presence of ankyloglossia. To our knowledge, this is the first case of a 13-year-old girl diagnosed with severe OSA and a significant decrease of 94% in her apnoea index (AI), requiring frenotomy with an immediate postoperative change in the tongue position. A drug-induced sleep endoscopy (DISE) was performed before and immediately postfrenotomy, and the anatomical changes provoked by this surgery during sleep were confirmed for the first time.
Keyphrases
- positive airway pressure
- drug induced
- sleep quality
- obstructive sleep apnea
- physical activity
- liver injury
- case report
- emergency department
- intensive care unit
- sleep apnea
- young adults
- patients undergoing
- stem cells
- artificial intelligence
- early onset
- acute coronary syndrome
- coronary artery disease
- mesenchymal stem cells
- adverse drug