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KMID : 0361020220650080457
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 8 p.457 ~ p.460
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A Case of Tonsillectomy and Adenoidectomy in Child With Down Syndrome With Obstructive Sleep Apnea
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Yun Chang-Bin
Hyun Ki-Jong
Kim Hyun-Zu
Kim Young-Hyo
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Abstract
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Children with obstructive sleep apnea (OSA) show symptoms such as snoring, sleep apnea,and oral breathing. The diagnosis of the disease can be made through polysomnography andas the most common causes are tonsillar and adenoid hypertrophy, tonsillectomy and adenoidectomy(T et A) are considered as initial treatment. OSA is an increasingly recognized problemin children with Down syndrome, who are more prone to facial hypoplasia, hypoplasia ofthe mandible, and have a large tongue. In OSA Down syndrome patients, T et A can be performedif tonsillar hypertrophy is present. However, because these patients have underlyingdiseases (atlatoaxial unstability, airway problem, heart problem, endocrine problem), generalanesthesia may be difficult and cervical extension may be limited during the operation. Wedescribe a case of 10-year-old child with Down syndrome and OSA, who underwent T et Aunder general anesthesia through multidisciplinary care.
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KEYWORD
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Down syndrome, Obstructive sleep apnea, Tonsillectomy
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