Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
Successful treatment of a child with Schwartz-Jampel syndrome using rapid maxillary expansion and CPAP.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Peanchitlertkajorn Supakit, Assawakawintip Thanate, Pibulniyom Mevadee, Srisan Panida, Pungchanchaikul Patimaporn, Jaroenying Rasintra
Аннотация
STUDY OBJECTIVES: We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism.
METHODS: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h.
RESULTS: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased.
CONCLUSIONS: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.
METHODS: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h.
RESULTS: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased.
CONCLUSIONS: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.