Children (Feb 2024)

Ankyloglossia in Children, a Cause of Obstructive Sleep Apnoea: Case Report of Paediatric Ankyloglossia and Sleep Apnoea: DISE Resolves the Mystery

  • Johanna Ximena Valderrama-Penagos,
  • Laura Rodríguez Alcalá,
  • Guillermo Plaza,
  • Peter Baptista,
  • Maria Teresa Garcia Iriarte,
  • Eduardo J. Correa,
  • Carlos O’Connor-Reina

DOI
https://doi.org/10.3390/children11020218
Journal volume & issue
Vol. 11, no. 2
p. 218

Abstract

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Tongue mobility is an obstructive sleep apnoea (OSA) marker and myofunctional therapy (MFT) target. For this reason, all paediatric patients with sleep-disordered breathing should require a combined functional assessment from an ear, nose, and throat (ENT) specialist and a phonoaudiologist to confirm or rule out the presence of ankyloglossia. To our knowledge, this is the first case of a 13-year-old girl diagnosed with severe OSA and a significant decrease of 94% in her apnoea index (AI), requiring frenotomy with an immediate postoperative change in the tongue position. A drug-induced sleep endoscopy (DISE) was performed before and immediately postfrenotomy, and the anatomical changes provoked by this surgery during sleep were confirmed for the first time.

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