Nocturnal mouthpiece ventilation and medical hypnosis to treat severe obstructive sleep apnea in a child with cherubism

Sonia Khirani; Natacha Kadlub; Vincent Delord; Arnaud Picard; Brigitte Fauroux

doi:10.1002/ppul.22686

Nocturnal mouthpiece ventilation and medical hypnosis to treat severe obstructive sleep apnea in a child with cherubism

Pediatr Pulmonol. 2013 Sep;48(9):927-9. doi: 10.1002/ppul.22686. Epub 2012 Nov 5.

Authors

Sonia Khirani¹, Natacha Kadlub, Vincent Delord, Arnaud Picard, Brigitte Fauroux

Affiliation

¹ Inserm U 955 Pierre et Marie Curie-Paris 6 University, Paris, France.

PMID: 23129383
DOI: 10.1002/ppul.22686

Abstract

A 4-year old boy presented severe obstructive sleep apnoea due to complete nasal obstruction secondary to cherubism. Because of anticipatory anxiety due to numerous surgical interventions, medical hypnosis was proposed to facilitate non-invasive continuous positive pressure ventilation (CPAP) acceptance. CPAP by means of an oral interface was completely accepted after three hypnosis sessions and resulted in the correction of his obstructive sleep apnea (OSA) syndrome. This report highlights the benefit of medical hypnosis in facilitating CPAP acceptance as well as the efficacy of mouthpiece ventilation in a severe form of cherubism with complete nasal obstruction.

Keywords: CPAP; anticipatory anxiety; medical hypnosis; oral mask.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Airway Obstruction / etiology
Airway Obstruction / therapy*
Cherubism / complications*
Child, Preschool
Continuous Positive Airway Pressure / instrumentation*
Continuous Positive Airway Pressure / methods*
Humans
Hypnosis / methods*
Male
Sleep Apnea, Obstructive / etiology
Sleep Apnea, Obstructive / therapy*
Treatment Outcome