Tracheostomy in children with nemaline core myopathy.
Two children with nemaline core myopathy (NM) who required tracheostomy are reported. One had a severe neonatal form requiring tracheostomy in the neonatal period for continuous mechanical ventilation. The other had a milder form with obstructive sleep apnoea, who underwent tracheostomy at age 22 months after adenoidectomy and a trial of nocturnal nasal continuous positive airway pressure ventilation. These cases highlight the clinical heterogeneity of the condition and the important role of the otolaryngologist in its management.
Cook
Benjamin J
BJ
Department of Otolaryngology, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, Vic. 3052, Australia.
Berkowitz
Robert G
RG
D006801:Humans; D007223:Infant; D008297:Male; D017696:Myopathies, Nemaline / Q000150:complications*; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*; D014139:Tracheostomy