title: Resolution of airflow obstruction on polysomnography after laryngotracheal reconstruction with anterior tracheal wall suspension in a patient with DiGeorge Syndrome.
abstract: DiGeorge Syndrome (DGS) may be associated with airway abnormalities including laryngomalacia and suprastomal collapse of the trachea (SCT), which may lead to sleep disordered breathing (SDB). We present a 4-year-old boy with DGS, SCT, and SDB by polysomnography (PSG) while the tracheostomy tube was capped. The patient underwent anterior tracheal wall suspension (ATWS) with concurrent tracheostomy decannulation. Following the repair, the patient experienced improved airway patency visually and by PSG with resolution of obstructive sleep apnea and hypoventilation. ATWS is an effective method to repair SCT in selected patients and may lead to early decannulation and improvement of SDB.
authors.affiliation: Department of Pediatrics, University of Texas Health Science Center, Houston, TX, USA; Memorial Hermann Memorial City Hospital, Pediatric Sleep Center, Houston, TX, USA. Electronic address: cindy.jon@uth.tmc.edu.
authors.forename: Cindy
authors.initials: C
authors.lastname: Jon
authors.affiliation: Memorial Hermann Memorial City Hospital, Pediatric Sleep Center, Houston, TX, USA. Electronic address: sarah.mitchell@memorialhermann.org.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Mitchell
authors.affiliation: Department of Pediatrics, University of Texas Health Science Center, Houston, TX, USA. Electronic address: ricardo.a.mosquera@uth.tmc.edu.
authors.forename: Ricardo A
authors.initials: RA
authors.lastname: Mosquera
authors.affiliation: Department of Pediatrics, University of Texas Health Science Center, Houston, TX, USA. Electronic address: james.m.stark@uth.tmc.edu.
authors.forename: James M
authors.initials: JM
authors.lastname: Stark
authors.affiliation: Department of Otorhinolaryngology-Head & Neck Surgery, University of Texas Health Science Center, Houston, TX, USA. Electronic address: sancak.yuksel@uth.tmc.edu.
authors.forename: Sancak
authors.initials: S
authors.lastname: Yuksel
mesh_terms: D002675:Child, Preschool; D020878:Device Removal; D004062:DiGeorge Syndrome / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D017286:Polysomnography; D019651:Plastic Surgery Procedures / Q000379:methods*; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000601:surgery; D014132:Trachea / Q000601:surgery*; D014139:Tracheostomy
keywords: Anterior cricoid suspension; Anterior tracheal wall suspension; DiGeorge Syndrome; Obstructive sleep apnea; Sleep disordered breathing