Obstructive sleep apnea in a growing patient.
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.
DePonte
F
F
University of Rome La Sapienza, Department of Maxillo-Facial Surgery, Italy.
Sassano
P
P
Gennaro
P
P
Pascali
M
M
Marchetti
E
E
D003394:Craniofacial Dysostosis / Q000150:complications; D005500:Follow-Up Studies; D006801:Humans; D007013:Hypopharynx / Q000503:physiopathology; D007223:Infant; D008297:Male; D008445:Maxillofacial Development; D019340:Osteotomy, Le Fort; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000601:surgery*