Refractory Obstructive Sleep Apnea in a Patient with Diffuse Idiopathic Skeletal Hyperostosis
المؤلفون المشاركون
Camacho, Macario
Chang, Edward T.
Darakjian, Ara
Darakjian, Ani B.
المصدر
Case Reports in Otolaryngology
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-11-09
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Diffuse Idiopathic Skeletal Hyperostosis (DISH) can cause ossification of ligaments and may affect the spine.
We report a case of obstructive sleep apnea in a patient with significant upper airway narrowing secondary to cervical DISH.
This patient had an initial apnea-hypopnea index (AHI) of 145 events/hour and was treated with uvulopalatopharyngoplasty, genial tubercle advancement, hyoid suspension, septoplasty, inferior turbinoplasties, and radiofrequency ablations to the tongue base which reduced his AHI to 40 events/hour.
He redeveloped symptoms, was started on positive airway pressure (PAP) therapy, and later underwent a maxillomandibular advancement which improved his AHI to 16.3 events/hour.
A few years later his AHI was 100.4 events/hour.
His disease has gradually progressed over time and he was restarted on PAP therapy.
Despite PAP titration, years of using PAP therapy, and being 100 percent compliant for the past three months (average daily use of 7.6 hours/night), he has an AHI of 5.1 events/hour and has persistent hypersomnia with an Epworth Sleep Scale questionnaire score of 18/24.
At this time he is pending further hypersomnia work-up.
DISH patients require prolonged follow-up to monitor the progression of disease, and they may require unconventional measures for adequate treatment of obstructive sleep apnea.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Darakjian, Ara& Darakjian, Ani B.& Chang, Edward T.& Camacho, Macario. 2016. Refractory Obstructive Sleep Apnea in a Patient with Diffuse Idiopathic Skeletal Hyperostosis. Case Reports in Otolaryngology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1102290
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Darakjian, Ara…[et al.]. Refractory Obstructive Sleep Apnea in a Patient with Diffuse Idiopathic Skeletal Hyperostosis. Case Reports in Otolaryngology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1102290
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Darakjian, Ara& Darakjian, Ani B.& Chang, Edward T.& Camacho, Macario. Refractory Obstructive Sleep Apnea in a Patient with Diffuse Idiopathic Skeletal Hyperostosis. Case Reports in Otolaryngology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1102290
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1102290
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر