J Rhinol > Volume 24(1); 2017
Journal of Rhinology 2017;24(1):52-55.
Published online May 31, 2017.
DOI: https://doi.org/10.18787/jr.2017.24.1.52   
Two Cases of Pediatric Obstructive Hypoventilation Managed with Upper Airway Surgery
Tae Min Kim, Seung No Hong, Joon Hyuk Yoo, Seung Hoon Lee
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital, Ansan, Korea. shleeent@korea.ac.kr
Abstract
Sleep-disordered breathing in children can include habitual snoring, obstructive hypoventilation, upper airway resistance syndrome, and obstructive sleep apnea. Obstructive hypoventilation in children is characterized by CO₂ retention caused by prolonged partial upper airway obstruction during sleep. To date, there have been few studies regarding the clinical significance and management strategies in pediatric obstructive hypoventilation, although it is a unique feature of pediatric sleep-disordered breathing. In this report, we describe two cases of obstructive hypoventilation that demonstrated improvement following upper airway surgery. These results suggest that upper airway surgery could be an additional treatment modality in obstructive hypoventilation.
Key Words: Obstructive hypoventilation;Adenotonsillectomy;Sleep-disordered breathing


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