설편도 비대를 동반한 폐쇄성 수면무호흡 환아의 치료 1예
A Case of Treatment in Obstructive Sleep Apnea Syndrome in Children with Lingual Tonsillar Hypertrophy
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Lingual tonsillar hypertrophy can result in obstructive sleep apnea, chronic infection, and rarely, dysphagia, chronic cough, and globus sensation. In children with obstructive sleep apnea who do not respond to medical therapy, adenotonsillectomy is the main surgical option and reduction of lingual tonsils can be supplemented. Lingual tonsillectomy may be a difficult and excessively morbid procedure in the sleep apnea population because of difficult exposure, slow dissection, poor visualization, difficult hemostasis, airway edema and postoperative pain. This case report describes successful treatment of children with severe obstructive sleep apnea by lingual tonsillectomy for those who already have had adenotonsillectomy. (Korean J Otorhinolaryngol- Head Neck Surg 2008;51:562-5)
Abstract
Lingual tonsillar hypertrophy can result in obstructive sleep apnea, chronic infection, and rarely, dysphagia, chronic cough, and globus sensation. In children with obstructive sleep apnea who do not respond to medical therapy, adenotonsillectomy is the main surgical option and reduction of lingual tonsils can be supplemented. Lingual tonsillectomy may be a difficult and excessively morbid procedure in the sleep apnea population because of difficult exposure, slow dissection, poor visualization, difficult hemostasis, airway edema and postoperative pain. This case report describes successful treatment of children with severe obstructive sleep apnea by lingual tonsillectomy for those who already have had adenotonsillectomy. (Korean J Otorhinolaryngol- Head Neck Surg 2008;51:562-5)
참고문헌 (13)
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