Concealed Affair Of Allergic Rhinitis And Somnambulism Through A Middle Man

Obstructive Sleep Apnoea is common in children as well. It is strongly associated with parasomnias, including sleep terror, sleep walking etc. In this case report, we are discussing about a boy who was referred to us for the evaluation and management of sleep walking. Enlarged adenoid and tonsil, secondary to allergic disease was found to be causing Obstructive Sleep Apnoea in him, causing a trigger for the sleep walking. Here we are highlighting the importance of controlling the allergic disease in such children, which can even result in the avoidance of invasive surgical interventions like adeno-tonsillectomy.

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Tailoring surgical interventions to treat obstructive sleep apnoea: one size does not fit all

Breathe ◽

10.1183/20734735.020118 ◽

2018 ◽

Vol 14 (3) ◽

pp. e84-e93 ◽

Cited By ~ 4

Author(s):

Priya Sethukumar ◽

Bhik Kotecha

Keyword(s):

Obstructive Sleep Apnoea ◽

Evidence Base ◽

Sleep Apnoea ◽

Good Effect ◽

Surgical Approaches ◽

List Type ◽

Drug Induced ◽

Surgical Interventions ◽

Obstructive Sleep ◽

New Treatments

While continuous positive airway pressure (CPAP) remains the gold standard treatment of choice in patients with moderate or severe obstructive sleep apnoea (OSA), surgery has been established as a means to improve compliance and facilitate the use of CPAP, both of which are potential pitfalls in the efficacy of this treatment modality. In a minority of cases, with obvious oropharyngeal anatomical obstruction, corrective surgery may completely alleviate the need for CPAP treatment. In this review, we summarise clinical assessment, surgical options, discuss potential new treatments, and outline the importance of investigating and addressing the multiple anatomical levels that can contribute to OSA. Research into effectiveness of these procedures is rapidly accumulating, and surgery can be an effective treatment. However, given the myriad of options available and multiple levels of anatomical pathology that can present, it is imperative that correctly selected patients are matched with the most appropriate treatment for the best outcomes.Key pointsOSA is an increasingly prevalent disorder which has significant systemic effects if left untreated.Anatomical abnormalities can be corrected surgically to good effect with a growing and robust evidence base.Drug-induced sleep endoscopy is a key tool in the otolaryngologist's armamentarium to tailor specific surgery to address specific anatomical concerns, and to facilitate appropriate patient selection.Multilevel surgical approaches are often indicated instead of a “one size fits all” model.Educational aimsTo discuss how to assess patients presenting with OSA in clinic, from an otorhinolaryngology perspective.To discuss the indications for intervention.To provide an overview of nonsurgical interventions for treating OSA, with evidence.To discuss the different surgical modalities available for treatment of OSA, with evidence.

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A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2018.18.03.019 ◽

2018 ◽

Vol 18 (3) ◽

pp. 379 ◽

Cited By ~ 1

Author(s):

Issa K. Al-Nuumani ◽

Abdulaziz Bakathir ◽

Ahmed Al-Hashmi ◽

Mohammed Al-Abri ◽

Hussein Al-Kindi ◽

...

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Obstructive Sleep Apnoea ◽

Mouth Opening ◽

Sleep Apnoea ◽

Temporomandibular Joint Disorders ◽

University Hospital ◽

Tmj Ankylosis ◽

Obstructive Sleep ◽

Mandibular Retrognathia

The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman.

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Rhinological interventions for obstructive sleep apnoea – a systematic review and descriptive meta-analysis

The Journal of Laryngology & Otology ◽

10.1017/s0022215119000240 ◽

2019 ◽

Vol 133 (03) ◽

pp. 168-176 ◽

Cited By ~ 4

Author(s):

S Sharma ◽

J C R Wormald ◽

J M Fishman ◽

P Andrews ◽

B T Kotecha

Keyword(s):

Systematic Review ◽

Obstructive Sleep Apnoea ◽

Surgical Intervention ◽

Meta Analysis ◽

Upper Airway ◽

Sleep Apnoea ◽

Current Evidence ◽

Nasal Surgery ◽

Surgical Interventions ◽

Obstructive Sleep

AbstractObjectivesObstructive sleep apnoea is a common chronic sleep disorder characterised by collapse of the upper airway during sleep. The nasal airway forms a significant part of the upper airway and any obstruction is thought to have an impact on obstructive sleep apnoea. A systematic review was performed to determine the role of rhinological surgical interventions in the management of obstructive sleep apnoea.MethodsA systematic review of current literature was undertaken; studies were included if they involved comparison of a non-surgical and/or non-rhinological surgical intervention with a rhinological surgical intervention for treatment of obstructive sleep apnoea.ResultsSixteen studies met the selection criteria. The pooled data suggest that there are reductions in the apnoea/hypopnea index and respiratory disturbance index following nasal surgery. However, the current body of studies is too heterogeneous for statistically significant meta-analysis to be conducted.ConclusionNasal surgery may have limited benefit for a subset of patients based on current evidence.

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