关键词: Head and neck surgery Otolaryngology / ENT Paediatric Surgery Sleep disorders Sleep disorders (respiratory medicine)

Mesh : Child Humans Cysts / surgery Laryngeal Diseases / surgery Laryngoscopy Pharyngeal Diseases / surgery Sleep Apnea Syndromes

来  源:   DOI:10.1136/bcr-2023-258824   PDF(Pubmed)

Abstract:
Consensus-based recommendations are needed to better guide paediatric otolaryngologists in providing standardised care to children with sleep-disordered breathing (SDB). Here we present a unique case of vallecular cyst found during SDB workup in a patient in their middle childhood (6-12 years old). While the patient underwent successful cyst resection, he was noted to have a suspected recurrence 6 months later. Immediately prior to revision excision, repeat awake flexible fibre-optic laryngoscopy revealed complete resolution of the suspected recurrence. This case underscores the significance of performing a complete upper airway examination, including endoscopic examination, to identify structural and anatomical lesions in older children with SDB.
摘要:
需要基于共识的建议,以更好地指导儿科耳鼻喉科医师为睡眠呼吸障碍(SDB)儿童提供标准化护理。在这里,我们介绍了在儿童中期(6-12岁)的患者在SDB检查期间发现的一个独特案例。虽然患者接受了成功的囊肿切除术,6个月后,他被发现怀疑复发。在修订切除之前,重复清醒的柔性光纤喉镜检查显示可疑复发完全解决。该病例强调了进行完整上呼吸道检查的重要性,包括内窥镜检查,确定SDB大龄儿童的结构和解剖学病变。
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