Obstructive sleep apnea in a case of ehlers-danlos syndrome

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Stephanie J Mitri ◽  
Alain M Sabri M-L ◽  
M Coussa-Koniski
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Ehlers Danlos Syndrome ◽  
Obstructive Sleep ◽  
Danlos Syndrome

scholarly journals Ehlers-Danlos Syndrome and Narcolepsy: An Incidental Relationship?

2019 ◽  
Vol 1 (3) ◽  
pp. 16-20
Author(s):  
Lindsay Miliken ◽  
Karim Sedky
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Literature Review ◽  
Excessive Daytime Sleepiness ◽  
Ehlers Danlos Syndrome ◽  
Obstructive Sleep ◽  
High Prevalence ◽  
Different Types ◽  
Sporadic Cases ◽  
Danlos Syndrome

Ehlers Danlos syndrome (EDS) is a collagenic disease that has often been associated with different types of sleep disorders ranging from insomnia to obstructive sleep apnea (OSA). EDS usually has associated fatigue and excessive daytime sleepiness (ES), thus narcolepsy should be excluded as a cause. Literature review suggests a high prevalence of hypersomnia disorders in this population. We present two sporadic cases presenting with typical symptoms of narcolepsy.

Obstructive sleep apnea in children and adolescents with Ehlers-Danlos syndrome

2017 ◽  
Author(s):  
Anna Stöberl ◽  
Thomas Gaisl ◽  
Noriane Sievi ◽  
Florian Singer ◽  
Alexander Moeller ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Children And Adolescents ◽  
Ehlers Danlos Syndrome ◽  
Obstructive Sleep ◽  
Danlos Syndrome

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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