PDF(Pubmed)
Abstract：
Abnormalities of vocal cord motion in children with obstructive sleep apnea (OSA) who undergo drug-induced sleep endoscopy (DISE) are not frequently described. A 17-year-old female with a history of asthma, reflux, and bipolar disorder had a history of poor sleep. Polysomnography (PSG) showed apnea-hypopnea index (AHI) of 13.9/hr, obstructive AHI 10.3/hr, and oxygen saturation nadir 87%. Physical exam showed BMI 34 and 3+ tonsils. She underwent DISE with propofol infusion, which showed partial obstruction at the palatine and lingual tonsil levels, a posteriorly displaced epiglottis along with immobility of the left vocal cord. Tonsillectomy was performed as planned. At her post-op visit, laryngoscopy showed normal vocal cord motion bilaterally. Post-operative PSG was improved.
摘要：
未经常描述接受药物诱发的睡眠内窥镜检查（DISE）的阻塞性睡眠呼吸暂停（OSA）儿童的声带运动异常。一名17岁女性有哮喘病史,反流,双相情感障碍有睡眠不良史。多导睡眠图（PSG）显示呼吸暂停低通气指数（AHI）为13.9/hr，阻塞AHI10.3/hr,氧饱和度最低点87%.体格检查显示BMI为34和3+扁桃体。她接受了异丙酚输注DISE，显示腭和舌扁桃体水平部分梗阻，向后移位的会厌，左声带不活动。扁桃体切除术按计划进行。在她的术后访问中，喉镜显示双侧声带运动正常。术后PSG改善。
