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Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series

OBJECTIVE: To describe a series of pediatric cases of obstructive sleep apnea (OSA) with paradoxical vocal cord movement noted on drug-induced sleep endoscopy (DISE). MATERIALS AND METHODS: Case series and chart review of children who had undergone DISE for OSA that showed PVCM. RESULTS: Three cases...

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Autores principales: Newby, Maxwell, Callaham, Sarah, Carr, Michele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403927/
https://www.ncbi.nlm.nih.gov/pubmed/32802541
http://dx.doi.org/10.1155/2020/7380802
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author Newby, Maxwell
Callaham, Sarah
Carr, Michele
author_facet Newby, Maxwell
Callaham, Sarah
Carr, Michele
author_sort Newby, Maxwell
collection PubMed
description OBJECTIVE: To describe a series of pediatric cases of obstructive sleep apnea (OSA) with paradoxical vocal cord movement noted on drug-induced sleep endoscopy (DISE). MATERIALS AND METHODS: Case series and chart review of children who had undergone DISE for OSA that showed PVCM. RESULTS: Three cases where paradoxical vocal cord motion (PVCM) was noted during DISE are described. Two had an enlarged adenoid, and one had no other site of obstruction. Two were treated with adenoidectomy and antireflux medications. One received proton pump inhibitors alone. In all 3 cases, OSA symptoms resolved. CONCLUSION: This case series of documented obstructive sleep apnea related to paradoxical vocal cord movement suggests that this entity occurs during sleep with airway obstruction. Further clarification of etiology of PVCM during OSA and its management is needed.
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spelling pubmed-74039272020-08-14 Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series Newby, Maxwell Callaham, Sarah Carr, Michele Case Rep Pediatr Case Series OBJECTIVE: To describe a series of pediatric cases of obstructive sleep apnea (OSA) with paradoxical vocal cord movement noted on drug-induced sleep endoscopy (DISE). MATERIALS AND METHODS: Case series and chart review of children who had undergone DISE for OSA that showed PVCM. RESULTS: Three cases where paradoxical vocal cord motion (PVCM) was noted during DISE are described. Two had an enlarged adenoid, and one had no other site of obstruction. Two were treated with adenoidectomy and antireflux medications. One received proton pump inhibitors alone. In all 3 cases, OSA symptoms resolved. CONCLUSION: This case series of documented obstructive sleep apnea related to paradoxical vocal cord movement suggests that this entity occurs during sleep with airway obstruction. Further clarification of etiology of PVCM during OSA and its management is needed. Hindawi 2020-07-27 /pmc/articles/PMC7403927/ /pubmed/32802541 http://dx.doi.org/10.1155/2020/7380802 Text en Copyright © 2020 Maxwell Newby et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Newby, Maxwell
Callaham, Sarah
Carr, Michele
Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series
title Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series
title_full Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series
title_fullStr Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series
title_full_unstemmed Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series
title_short Obstructive Sleep Apnea with Paradoxical Vocal Cord Movement in Children during Sleep Endoscopy: Case Series
title_sort obstructive sleep apnea with paradoxical vocal cord movement in children during sleep endoscopy: case series
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403927/
https://www.ncbi.nlm.nih.gov/pubmed/32802541
http://dx.doi.org/10.1155/2020/7380802
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