Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-10T08:07:39.842Z Has data issue: false hasContentIssue false
  • English
  • Français

Uvulopalatopharyngoplasty in a child with obstructive sleep apnea

A case report

Published online by Cambridge University Press:  29 June 2007

Mufid H. Abdu  and
Joseph G. Feghali
Mufid H. Abdu
Affiliation:
Department of Otolaryngology, American University of Beirut, Beirut, Lebanon.
Joseph G. Feghali*
Affiliation:
Department of Otolaryngology, American University of Beirut, Beirut, Lebanon.
*
J. G. Feghali, M.D., American University of Beirut, Medical Center, P.O.Box 113-6044, Beirut, Lebanon.
Get access Rights & Permissions [Opens in a new window]

Abstract

Abstract Uvulopalotopharyngoplasty (UPPP) has been recently popularized for the treatment of snoring and sleep apnea syndrome (SAS). All reported cases so far have been adults and the use of this procedure in the pediatric age group has not as yet been reported. Obstructive sleep apnea in children has been classically treated previously either medically or by adeno-tonsillectomy. The case of a three year old child with obstructive sleep apnea secondary to a large uvula and a redundant soft palate is reported. The child was successfully treated by UPPP, and remained free of symptoms for a follow-up period of one year.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 6 , June 1988 , pp. 546 - 548
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Borowiecki, B., Pollak, C. P., Weitzman, E. D., Rakoff, S. and Imperato, J. (1978) Fibro-optic study of pharyngeal airway during sleep in patients with hypersomnia obstructive sleep apnea syndrome. Laryngoscope, 88: 1310–13.CrossRefGoogle ScholarPubMed
Borowiecki, B. and Sassin, J. F. (1983) Surgical treatment of sleep apnea. Archives of Otolaryngology, 109: 508–512.CrossRefGoogle ScholarPubMed
Conway, W., Fujita, S., Zorick, F., Roth, T., Hartse, K. and Piccione, P. (1980) UPPP in treatment of upper airway sleep apnea. American Review of Respiratory diseases, 121 (Suppl): 121.Google Scholar
Frank, Y., Kravath, R. E., Pollack, C. P. and Weitzman, E. D. (1983) Obstructive sleep apnea and its therapy: Clinical and polysomnographic manifestations. Pediatrics, 71: 737–742.CrossRefGoogle ScholarPubMed
Fujita, S., Conway, W., Zorick, F. and Roth, T. (1981) Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: Uvulopalatopharyngoplasty. Otolaryngology Head and Neck Surgery, 89: 923–934.CrossRefGoogle Scholar
Fujita, S., Conway, W. A., Zorick, F. J., Sicklesteel, J. M., Roehrs, T. A., Wittig, R. M. and Roth, T. (1985) Evaluation of the effectiveness of uvulopalatopharyngoplasty. Laryngoscope, 95: 70–74.Google ScholarPubMed
Guilleminault, C., Hill, M. W., Simmons, F. B. and Dement, W. C. (1978) Obstructive sleep apnea: Electromyographic and fiberoptic studies. Experimental Neurology, 62: 48–67.CrossRefGoogle ScholarPubMed
Guilleminault, C., Koroblin, R. and Winkle, R. (1981) A review of 50 children with obstructive sleep apnea syndrome. Lung, 159: 275–287.CrossRefGoogle ScholarPubMed
Hernandez, S. F. (1982) Palatopharyngoplasty for the obstructive sleep apnea syndrome: Technique and preliminary report of results in 10 patients. American Journal of Otolaryngology, 3: 229–234.CrossRefGoogle Scholar
Ikematsu, T. (1964) Study of snoring. 4th report: Therapy. Journal of Japanese otology rhinology and laryngology 64: 434–435.Google Scholar
Katsantonis, G. P., Friedman, W. H., Krebs, F. J. and Walsh, J. K. (1986) Nasopharyngeal complications following uvulopalatopharyngoplasty. Presented at the 89th Annual meeting of the American Laryngological, Rhinological and Otological Society.Google Scholar
National Center for Health Statistics: NCHS Growth charts (1976) Monthly vital statistics report 25: No. 3, Supp (HRA) 76–1120.Google Scholar
Olsen, K. D., Suh, K. W. and Staats, B. A. (1981) Surgically correctable causes of sleep apnea syndrome. Otolaryngology Head and Neck Surgery, 89: 726–731.CrossRefGoogle ScholarPubMed
Rice, D. (1986) /Snoring. The Otolaryngologic Clinics of North America, 19 (1): 135–140.Google ScholarPubMed
Samelson, C. F. (1984) Sequelae and complications of palatopharyngoplasty: Impact on vocal trill. Sleep, 7: 83–84.CrossRefGoogle ScholarPubMed
Simmons, F. B. and Hill, M. W. (1974) Hypersomnia caused by upper airway obstruction: a new syndrome in Otolaryngology. Annals of Otology, Rhinology and Laryngology, 83: 670–673.CrossRefGoogle ScholarPubMed
Simmons, F. B., Guilleminault, C., Dement, W. C., Tilkian, A. G. and Hill, M. (1977) Surgical management of airway obstruction during sleep. Laryngoscope, 87: 326–338.CrossRefGoogle ScholarPubMed
Simmons, F. B., Guilleminault, C. and Silverstri, R. (1983) Snoring, and some obstructive sleep apnea, can be cured by oropharyngeal surgery: Palatopharyngoplasty. Archives of Otolaryngology, 109: 503–507.CrossRefGoogle Scholar
Waldhom, R. E. (1985) Sleep apnea syndrome. American Family Physician, 32: 149–166.Google Scholar