披裂軟骨切除術を要した両側声帯外転障害を有する睡眠時無呼吸症の１例

• 太田 史一

  東京慈恵会医科大学耳鼻咽喉科学教室

• 遠藤 誠

  太田総合病院耳鼻咽喉科

• 千葉 伸太郎

  太田総合病院耳鼻咽喉科

• 佐野 真一

  協愛医院

• 佐野 典子

  協愛医院

• 大櫛 哲史

  東京歯科大学市川総合病院耳鼻咽喉科

• 部坂 弘彦

  東京慈恵会医科大学耳鼻咽喉科学教室

• 森山 寛

  東京慈恵会医科大学耳鼻咽喉科学教室

書誌事項

タイトル別名

• OBSTRUCTIVE SLEEP APNEA DUE TO BILATERAL ABDUCTOR VOCAL CORD PARALYSIS, SUCCESSFULLY MANAGED BY ARYTENOIDECTOMY WITH A MICRODEBRIDER: A CASE REPORT

抄録

A 39-year-old man with obstructive sleep apnea due to bilateral abductor vocal cord paralysis is presented. He had impaired vocal fold abduction but had no neurological abnormality. During sleep high-pitched snoring and apnea were observed. Despite management of nasal continuous positive airway pressure therapy (nCPAP) with 14 cmH₂O pressure, severe esophageal negative pressure up to -50 cmH₂O remained. In order to reduce laryngeal obstruction, he underwent unilateral arytenoidectomy using microdebrider with direct laryngoscope. After arytenoidectomy, his nocturnal breathing improved markedly under nCPAP with 11 cmH₂O pressure and negative esophageal pressure was reduced to 20% of that previously. As this case indicates, careful examination of the upper aerodigestive tract is essential in treating obstructive sleep apnea

収録刊行物

• 耳鼻咽喉科展望

  耳鼻咽喉科展望 48 (1), 33-40, 2005

  耳鼻咽喉科展望会

キーワード

• 声帯外転障害
• 閉塞性睡眠時無呼吸症候群
• 声門開大術
• マイクロデブリッダー
• 経鼻的持続陽圧呼吸

詳細情報

• CRID: 1390282679929126656
• NII論文ID: 130003975351
• NII論文ID: 80017222894
• DOI: 10.11453/orltokyo1958.48.33
• ISSN: 18836429
• ISSN: 03869687
• Web Site: https://search.jamas.or.jp/link/ui/2005140976
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可