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舌下神经刺激治疗埃勒斯-当洛斯综合征患者的阻塞性睡眠呼吸暂停。

Treatment of obstructive sleep apnea with hypoglossal nerve stimulation in a patient with Ehlers-Danlos syndrome.

机构信息

Department of Otolaryngology, University of South Florida, Tampa, Florida.

Ear, Nose, and Throat Associates, Clearwater, Florida.

出版信息

J Clin Sleep Med. 2023 Mar 1;19(3):631-632. doi: 10.5664/jcsm.10368.

Abstract

UNLABELLED

Ehlers-Danlos syndrome is a group of hereditary connective tissue disorders caused by defects in collagen synthesis and structure that manifests as tissue fragility, hypermobility, and vascular abnormalities. Patients with Ehlers-Danlos syndrome are at a high risk of developing obstructive sleep apnea due to increased tissue laxity in the upper airway, in addition to nasal-maxillary cartilaginous defects, scoliosis, or other abnormalities. Here we present the case of a patient with Ehlers-Danlos syndrome who underwent successful treatment of obstructive sleep apnea using hypoglossal nerve stimulation after continuous positive airway pressure therapy failure, demonstrating that this can be a useful treatment modality in this population.

CITATION

Miller SM, Miller MB. Treatment of obstructive sleep apnea with hypoglossal nerve stimulation in a patient with Ehlers-Danlos syndrome. . 2023;19(3):631-632.

摘要

背景

埃勒斯-当洛斯综合征是一组遗传性结缔组织疾病,由胶原合成和结构缺陷引起,表现为组织脆弱、过度活动和血管异常。由于上气道组织松弛增加,以及鼻上颌软骨缺陷、脊柱侧凸或其他异常,埃勒斯-当洛斯综合征患者发生阻塞性睡眠呼吸暂停的风险较高。这里我们报告了 1 例埃勒斯-当洛斯综合征患者,在持续气道正压通气治疗失败后,使用舌下神经刺激成功治疗了阻塞性睡眠呼吸暂停,表明这在该人群中是一种有用的治疗方法。

文献来源

Miller SM, Miller MB. Treatment of obstructive sleep apnea with hypoglossal nerve stimulation in a patient with Ehlers-Danlos syndrome.. 2023;19(3):631-632.

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本文引用的文献

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Obstructive sleep apnea in a case of ehlers-danlos syndrome.埃勒斯-当洛综合征一例中的阻塞性睡眠呼吸暂停
Respir Med Case Rep. 2022 Feb 18;36:101602. doi: 10.1016/j.rmcr.2022.101602. eCollection 2022.
3
Upper Airway Stimulation for Obstructive Sleep Apnea: 5-Year Outcomes.上气道刺激治疗阻塞性睡眠呼吸暂停:5 年随访结果。
Otolaryngol Head Neck Surg. 2018 Jul;159(1):194-202. doi: 10.1177/0194599818762383. Epub 2018 Mar 27.

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