Jeong Se-Hyun, Man Sung Chung, Lim Sang Chul, Yang Hyung Chae
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea.
J Clin Sleep Med. 2020 Sep 15;16(9):1607-1610. doi: 10.5664/jcsm.8640.
Continuous positive airway pressure treatment aggravates airway obstruction in patients with epiglottis collapse. In these patients, partial epiglottectomy can resolve epiglottis collapse by partial excision of the obstructed epiglottis. However, patients with epiglottic collapse usually have simultaneous obstructions on multiple levels, such as the soft palate, base of the tongue, etc. Therefore, sleep apnea cannot be controlled merely by resolving epiglottis collapse. The use of additional continuous positive airway pressure treatment after partial epiglottectomy is considered essential. However, no studies have yet evaluated the effect of partial epiglottectomy on continuous positive airway pressure treatment. In this study, we report on 2 patients with obstructive sleep apnea who underwent partial epiglottectomy. These 2 patients used autotitrating positive airway pressure treatment pre- and postoperatively. The present case report will provide insight into the effects of partial epiglottectomy on the use of positive-pressure devices.
持续气道正压通气治疗会加重会厌塌陷患者的气道阻塞。对于这些患者，部分会厌切除术可通过部分切除阻塞性会厌来解决会厌塌陷问题。然而，会厌塌陷患者通常同时存在多个层面的阻塞，如软腭、舌根等。因此，仅通过解决会厌塌陷无法控制睡眠呼吸暂停。部分会厌切除术后使用额外的持续气道正压通气治疗被认为是必不可少的。然而，尚无研究评估部分会厌切除术对持续气道正压通气治疗的效果。在本研究中，我们报告了2例接受部分会厌切除术的阻塞性睡眠呼吸暂停患者。这2例患者在术前和术后均使用了自动调压气道正压通气治疗。本病例报告将为部分会厌切除术对正压设备使用的影响提供见解。
