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KMID : 0361020160590100742
Korean Journal of Otolaryngology - Head and Neck Surgery
2016 Volume.59 No. 10 p.742 ~ p.745
A Case of Respiratory Arrest after Tonsillectomy and Adenoidectomy Surgery in a Patient with Rubinstein-Taybi Syndrome
Kim Sung-Hee

Park Jin-Taek
Kim Min-Joo
Chung Yoo-Sam
Abstract
Rubinstein-Taybi syndrome (RTS) is a rare autosomal dominant disorder characterized by mental and growth retardation, craniofacial, vertebral, ocular and cardiac anomalies, gastro-esophageal reflux, and difficult airway management. Patients with this syndrome can also experience upper airway obstruction during sleep, which is caused by hypotonia and the abnormal anatomy of the oropharynx and airways, and become susceptible to obstructive sleep apnea. In our case, respiratory arrest developed in an RTS patient who had undergone Tonsillectomy and Adenoidectomy (T&A) surgery. It is the first report of respiratory arrest after T&A surgery in a young child with RTS.
KEYWORD
Adenoidectomy, Airway obstruction, Rubinstein-Taybi syndrome, Sleep apnea, Tonsillectomy
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