Obstructive sleep apnea in a growing patient

J Craniofac Surg. 1999 Sep;10(5):430-4. doi: 10.1097/00001665-199909000-00008.

Abstract

Sleep apnea syndrome (SAS) is a complex respiratory disorder that is very difficult to diagnose and to treat surgically as well as medically. SAS can affect growing patients as well as adults. SAS shows a central, an obstructive, and a mixed form. Diagnosis is based on clinical examination of the patient and instrumental examinations such as teleradiography, nuclear magnetic resonance imaging (NMR), three-dimensional computed tomography, polysomnography, rhinomanometry, and spirometry. The patient presented has an obstructive form of SAS in addition to Crouzon's disease. He underwent a Le Fort III osteotomy to obtain an advancement of the orbitomaxillary complex, allowing an increase in volume of posterior airway space at the level of the hypopharynx.

Publication types

  • Case Reports

MeSH terms

  • Craniofacial Dysostosis / complications
  • Follow-Up Studies
  • Humans
  • Hypopharynx / physiopathology
  • Infant
  • Male
  • Maxillofacial Development
  • Osteotomy, Le Fort
  • Polysomnography
  • Sleep Apnea, Obstructive / etiology
  • Sleep Apnea, Obstructive / surgery*