睡眠内镜检查中儿童阻塞性睡眠呼吸暂停合并矛盾性声带运动：病例系列
Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series.
作者信息
Newby Maxwell, Callaham Sarah, Carr Michele
机构信息
Department of Otolaryngology, West Virginia University, Morgantown, USA.
West Virginia University School of Medicine, Morgantown, USA.
出版信息
Case Rep Pediatr. 2020 Jul 27;2020:7380802. doi: 10.1155/2020/7380802. eCollection 2020.
OBJECTIVE
To describe a series of pediatric cases of obstructive sleep apnea (OSA) with paradoxical vocal cord movement noted on drug-induced sleep endoscopy (DISE).
MATERIALS AND METHODS
Case series and chart review of children who had undergone DISE for OSA that showed PVCM.
RESULTS
Three cases where paradoxical vocal cord motion (PVCM) was noted during DISE are described. Two had an enlarged adenoid, and one had no other site of obstruction. Two were treated with adenoidectomy and antireflux medications. One received proton pump inhibitors alone. In all 3 cases, OSA symptoms resolved.
CONCLUSION
This case series of documented obstructive sleep apnea related to paradoxical vocal cord movement suggests that this entity occurs during sleep with airway obstruction. Further clarification of etiology of PVCM during OSA and its management is needed.
目的
描述一系列在药物诱导睡眠内镜检查（DISE）中发现有矛盾性声带运动的小儿阻塞性睡眠呼吸暂停（OSA）病例。
材料与方法
对因OSA接受DISE检查且显示有PVCM的儿童进行病例系列研究和病历回顾。
结果
描述了3例在DISE期间发现矛盾性声带运动（PVCM）的病例。2例有腺样体肥大，1例无其他阻塞部位。2例接受了腺样体切除术和抗反流药物治疗。1例仅接受质子泵抑制剂治疗。所有3例的OSA症状均得到缓解。
结论
这个记录在案的与矛盾性声带运动相关的阻塞性睡眠呼吸暂停病例系列表明，这种情况发生在睡眠期间伴有气道阻塞。需要进一步阐明OSA期间PVCM的病因及其治疗方法。
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