Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Ankyloglossia in children, a cause of obstructive sleep apnoea: Case report Paediatric Ankyloglossia and sleep apnoea. Dise resolves the mystery.

Version 1 : Received: 26 December 2023 / Approved: 27 December 2023 / Online: 27 December 2023 (10:14:31 CET)

A peer-reviewed article of this Preprint also exists.

Valderrama-Penagos, J.X.; Rodríguez Alcalá, L.; Plaza, G.; Baptista, P.; Garcia Iriarte, M.T.; Correa, E.J.; O’Connor-Reina, C. Ankyloglossia in Children, a Cause of Obstructive Sleep Apnoea: Case Report of Paediatric Ankyloglossia and Sleep Apnoea: DISE Resolves the Mystery. Children 2024, 11, 218. Valderrama-Penagos, J.X.; Rodríguez Alcalá, L.; Plaza, G.; Baptista, P.; Garcia Iriarte, M.T.; Correa, E.J.; O’Connor-Reina, C. Ankyloglossia in Children, a Cause of Obstructive Sleep Apnoea: Case Report of Paediatric Ankyloglossia and Sleep Apnoea: DISE Resolves the Mystery. Children 2024, 11, 218.

Abstract

Tongue mobility is an obstructive sleep apnoea (OSA) marker and myofunctional therapy (MFT) target. For this reason, all 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 tongue-tie. 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 immediate postoperative change in the tongue position. A drug-induced sleep en-doscopy (DISE) was performed before and immediately post-frenotomy, and the anatomical changes provoked by this surgery during sleep were confirmed for the first time.

Keywords

Ankyloglossia,Drug induced sleep endoscopy, frenulectomy, sleep apnoea

Subject

Medicine and Pharmacology, Other

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