Surgical treatment for pediatric sleep apnea syndrome complicated with Prader-Willi syndrome

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  • Sato Kiminobu
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Umeno Hirohito
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine

Bibliographic Information

Other Title
  • Prader-Willi症候群に合併した小児睡眠時無呼吸に対する手術治療
  • Prader-Willi ショウコウグン ニ ガッペイ シタ ショウニ スイミンジ ムコキュウ ニ タイスル シュジュツ チリョウ

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Abstract

Sleep apnea syndrome often becomes a clinical problem in children suffering from Prader-Willi syndrome. Continuous positive airway pressure therapy is one of the effective therapeutic strategies for pediatric sleep apnea syndrome complicated with Prader–Willi syndrome. However, there have been few reports on the efficacy of surgical treatment. Two cases of pediatric sleep apnea syndrome complicated with Prader-Willi syndrome treated with surgery （tonsillectomy and adenoidectomy） were evaluated on polysomnography. The apnea hypopnea index improved in both cases. On the other hand, the clinical efficacy of surgical treatment differed between the two cases. Evaluation of the upper airway tract and polysomnography are necessary for pediatric sleep apnea syndrome complicated with Prader-Willi syndrome. Since the clinical symptoms of Prader-Willi syndrome change with age, re-examination of the polysomnography and therapeutic strategy combined surgery, as well as continuous positive airway pressure therapy are necessary based on the clinical symptoms.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 35 (1), 69-75, 2022

    Japan Society of Stomato-pharyngology

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