Obstructive sleep apnea caused by hemarthrosis-induced micrognathia.
A 42-year-old male hemophiliac with micrognathia caused by temperomandibular hemarthrosis was studied for obstructive sleep apnea and successfully treated without the use of a tracheostomy. Prevention of nocturnal hypoxemia by nasopharyngeal intubation was found to relieve daytime hypersomnolence while he was awaiting corrective jaw surgery. The association of obstructive sleep apnea with micrognathia secondary to hemophilia has not previously been reported to our knowledge.
D000328:Adult; D006395:Hemarthrosis / Q000150:complications*; D006801:Humans; D008297:Male; D008844:Micrognathism / Q000150:complications* / Q000601:surgery; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000628:therapy; D013705:Temporomandibular Joint Disorders / Q000150:complications* / Q000601:surgery