PDF(Pubmed)
Abstract：
In growing children, temporomandibular joint (TMJ) ankylosis and septic arthritis are uncommon. Retrognathia and micrognathia affect airway patency and can cause obstructive sleep apnea (OSA). No unified diagnostic criteria have been established for the management of this pathology. We describe the first case of treatment for pediatric TMJ ankylosis and severe OSA due to neonatal group B streptococcal septic TMJ arthritis. Untreated pathological changes in the TMJ will eventually lead to ankylosis. Among children, this will include facial growth disturbances leading to mandibular retrognathia, reduction in the oropharyngeal spaces, and OSA. Our patient had severe OSA with an apnea-hypopnea index of 24.9 events/h and oxygen saturation nadir of 73% as measured by polysomnography. She was treated successfully according to Andrade protocol. This is the first report of pediatric OSA due to TMJ ankylosis following neonatal group B streptococcal septic arthritis.
Pesis M, Goldbart A, Givol N. Surgical correction of neonatal obstructive sleep apnea due to a temporomandibular joint ankylosis. J Clin Sleep Med. 2024;20(1):173-179.
Pesis M, Goldbart A, Givol N. Surgical correction of neonatal obstructive sleep apnea due to a temporomandibular joint ankylosis. J Clin Sleep Med. 2024;20(1):173-179.
摘要：
在成长中的孩子，颞下颌关节（TMJ）强直和化脓性关节炎并不常见。下颌后畸形和小颌畸形会影响气道通畅，并可能导致阻塞性睡眠呼吸暂停（OSA）。尚未为这种病理的管理建立统一的诊断标准。我们描述了由于新生儿B组链球菌（GBS）化脓性TMJ关节炎引起的小儿TMJ强直和严重OSA的首例治疗病例。未经治疗的TMJ病理变化最终会导致强直。在儿童中，这将包括面部生长障碍，导致下颌后视，口咽空间减少，OSA。我们的患者患有严重的OSA，通过多导睡眠图测量，呼吸暂停低通气指数为24.9事件/h，氧饱和度最低点为73％。她根据安德拉德方案成功治疗。这是新生儿GBS化脓性关节炎后TMJ强直引起的小儿OSA的第一份报告。
