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Ankyloglossia in Children, a Cause of Obstructive Sleep Apnoea: Case Report of Paediatric Ankyloglossia and Sleep Apnoea: DISE Resolves the Mystery

Authors :
Johanna Ximena Valderrama-Penagos
Laura Rodríguez Alcalá
Guillermo Plaza
Peter Baptista
Maria Teresa Garcia Iriarte
Eduardo J. Correa
Carlos O’Connor-Reina
Source :
Children, Vol 11, Iss 2, p 218 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Tongue mobility is an obstructive sleep apnoea (OSA) marker and myofunctional therapy (MFT) target. For this reason, all paediatric patients with sleep-disordered breathing should require a combined functional assessment from an ear, nose, and throat (ENT) specialist and a phonoaudiologist to confirm or rule out the presence of ankyloglossia. To our knowledge, this is the first case of a 13-year-old girl diagnosed with severe OSA and a significant decrease of 94% in her apnoea index (AI), requiring frenotomy with an immediate postoperative change in the tongue position. A drug-induced sleep endoscopy (DISE) was performed before and immediately postfrenotomy, and the anatomical changes provoked by this surgery during sleep were confirmed for the first time.

Details

Language :
English
ISSN :
22279067
Volume :
11
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Children
Publication Type :
Academic Journal
Accession number :
edsdoj.89c682f0126548ed8486fe96f05ce8d5
Document Type :
article
Full Text :
https://doi.org/10.3390/children11020218