Obstructive sleep apnea due to extrathoracic tracheomalacia.
We report obstructive sleep apnea in a 3-year-old boy with tracheomalacia secondary to tracheotomy that resolved after placement of a metallic stent in the region of tracheomalacia. The tracheal location of obstruction during sleep in this case contrasts with the usual location in the pharynx or, less often, the larynx. This case also demonstrates the utility of polysomnography in managing decannulation of tracheostomies.
Pediatric Respiratory and Sleep Medicine, Children's Hospital at Montefiore, Bronx, NY 10467, USA. hmuzumda@montefiore.org
Hiren
H
Muzumdar
K
K
Nandalike
J
J
Bent
Raanan
R
Arens
D001999:Bronchoscopy / Q000379:methods; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017286:Polysomnography; D018570:Risk Assessment; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000209:etiology; D015607:Stents; D055090:Tracheomalacia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D014140:Tracheotomy / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome