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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Persistent pediatric obstructive sleep apnea and lingual tonsillectomy.
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Persistent pediatric obstructive sleep apnea and lingual tonsillectomy.

机译：持续性小儿阻塞性睡眠呼吸暂停和舌扁桃体切除术。

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OBJECTIVE: To describe a new method and the indications for lingual tonsillectomy with endoscopy and coblation, and to document its utility for treating children with persistent obstructive sleep apnea after previous tonsillectomy and adenoidectomy. STUDY DESIGN AND SETTING: Case series with chart review in a tertiary pediatric medical center. SUBJECTS AND METHODS: Twenty-six patients aged 3 to 20 met the inclusion criteria of polysomnography-proven persistent obstructive sleep apnea after tonsillectomy and adenoidectomy, as well as diagnosis of lingual tonsillar hypertrophy made by flexible fiberoptic sleep endoscopy. Endoscopic-assisted coblation lingual tonsillectomies were performed between June 2005 and January 2008. Preoperative and postoperative nocturnal polysomnogram data were paired and analyzed statistically. RESULTS: Statistically significant reductions in the respiratory distress index (RDI) were seen when preoperative and postoperative data were compared (mean, 14.7 vs 8.1). There were similar reductions in the number of obstructive apneas and hypopneas. The mean minimum O2 saturation did not change. Two patients in this series developed adhesions between the epiglottis and tongue base; there appeared to be no consequence for airway or feeding issues. CONCLUSION: Endoscopic-assisted coblation lingual tonsillectomy is an effective technique for the treatment of lingual tonsillar hypertrophy causing persistent obstructive sleep apnea in some children.
机译：目的：介绍一种新的方法和内镜和消融舌状扁桃体切除术的适应症，并证明其在先前扁桃体切除术和腺样体切除术治疗顽固性睡眠呼吸暂停患儿中的作用。研究设计与设置：三级儿科医疗中心的病例系列，并进行图表审查。研究对象和方法：26名3至20岁的患者符合经多导睡眠图检查证实的扁桃体切除术和腺样体切除术后持续性阻塞性睡眠呼吸暂停的入选标准，以及通过柔性纤维内窥镜检查诊断舌扁桃体肥大。于2005年6月至2008年1月进行内窥镜辅助消融舌扁桃体切除术。术前和术后夜间多导睡眠图数据已配对并进行统计学分析。结果：比较术前和术后数据，发现呼吸窘迫指数（RDI）有统计学意义的降低（平均值，分别为14.7和8.1）。阻塞性呼吸暂停和呼吸不足的数量也有类似的减少。平均最小氧气饱和度没有变化。该系列中的两名患者在会厌和舌根之间形成粘连。似乎对气道或进食问题没有影响。结论：内镜辅助消融舌扁桃体切除术是治疗一些儿童扁桃体肥大引起持续性阻塞性睡眠呼吸暂停的有效方法。

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