Unilateral Vocal Cord Paresis During Sleep Endoscopy

Abnormalities of vocal cord motion in children with obstructive sleep apnea (OSA) who undergo drug-induced sleep endoscopy (DISE) are not frequently described. A 17-year-old female with a history of asthma, reflux, and bipolar disorder had a history of poor sleep. Polysomnography (PSG) showed apnea-...

Descripción completa

Detalles Bibliográficos
Autores principales: Viola, Francesca C, Favre, Nicole M, Kabalan, Matthew, Carr, Michele M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Otolaryngology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214922/
https://www.ncbi.nlm.nih.gov/pubmed/34168924
http://dx.doi.org/10.7759/cureus.15157
_version_ 1783710151465762816
author Viola, Francesca C
Favre, Nicole M
Kabalan, Matthew
Carr, Michele M
author_facet Viola, Francesca C
Favre, Nicole M
Kabalan, Matthew
Carr, Michele M
author_sort Viola, Francesca C
collection PubMed
description Abnormalities of vocal cord motion in children with obstructive sleep apnea (OSA) who undergo drug-induced sleep endoscopy (DISE) are not frequently described. A 17-year-old female with a history of asthma, reflux, and bipolar disorder had a history of poor sleep. Polysomnography (PSG) showed apnea-hypopnea index (AHI) of 13.9/hr, obstructive AHI 10.3/hr, and oxygen saturation nadir 87%. Physical exam showed BMI 34 and 3+ tonsils. She underwent DISE with propofol infusion, which showed partial obstruction at the palatine and lingual tonsil levels, a posteriorly displaced epiglottis along with immobility of the left vocal cord. Tonsillectomy was performed as planned. At her post-op visit, laryngoscopy showed normal vocal cord motion bilaterally. Post-operative PSG was improved.
format Online
Article
Text
id pubmed-8214922
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-82149222021-06-23 Unilateral Vocal Cord Paresis During Sleep Endoscopy Viola, Francesca C Favre, Nicole M Kabalan, Matthew Carr, Michele M Cureus Otolaryngology Abnormalities of vocal cord motion in children with obstructive sleep apnea (OSA) who undergo drug-induced sleep endoscopy (DISE) are not frequently described. A 17-year-old female with a history of asthma, reflux, and bipolar disorder had a history of poor sleep. Polysomnography (PSG) showed apnea-hypopnea index (AHI) of 13.9/hr, obstructive AHI 10.3/hr, and oxygen saturation nadir 87%. Physical exam showed BMI 34 and 3+ tonsils. She underwent DISE with propofol infusion, which showed partial obstruction at the palatine and lingual tonsil levels, a posteriorly displaced epiglottis along with immobility of the left vocal cord. Tonsillectomy was performed as planned. At her post-op visit, laryngoscopy showed normal vocal cord motion bilaterally. Post-operative PSG was improved. Cureus 2021-05-21 /pmc/articles/PMC8214922/ /pubmed/34168924 http://dx.doi.org/10.7759/cureus.15157 Text en Copyright © 2021, Viola et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
Viola, Francesca C
Favre, Nicole M
Kabalan, Matthew
Carr, Michele M
Unilateral Vocal Cord Paresis During Sleep Endoscopy
title Unilateral Vocal Cord Paresis During Sleep Endoscopy
title_full Unilateral Vocal Cord Paresis During Sleep Endoscopy
title_fullStr Unilateral Vocal Cord Paresis During Sleep Endoscopy
title_full_unstemmed Unilateral Vocal Cord Paresis During Sleep Endoscopy
title_short Unilateral Vocal Cord Paresis During Sleep Endoscopy
title_sort unilateral vocal cord paresis during sleep endoscopy
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214922/
https://www.ncbi.nlm.nih.gov/pubmed/34168924
http://dx.doi.org/10.7759/cureus.15157
work_keys_str_mv AT violafrancescac unilateralvocalcordparesisduringsleependoscopy
AT favrenicolem unilateralvocalcordparesisduringsleependoscopy
AT kabalanmatthew unilateralvocalcordparesisduringsleependoscopy
AT carrmichelem unilateralvocalcordparesisduringsleependoscopy

Ejemplares similares