Surgical treatment for sleep apnea: changes in craniofacial and pharyngeal airway morphology in a child with achondroplasia

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  • Sato Kieko
    Department of Pediatric Dentistry, Nihon University school of Dentistry Division of Oral and Craniomaxillofacial Research, Dental Research Center, Nihon University school of Dentistry
  • Niikuni Naoko
    Department of Pediatric Dentistry, Nihon University school of Dentistry Division of Oral and Craniomaxillofacial Research, Dental Research Center, Nihon University school of Dentistry
  • Nakajima Ichiro
    Department of Pediatric Dentistry, Nihon University school of Dentistry Division of Oral and Craniomaxillofacial Research, Dental Research Center, Nihon University school of Dentistry
  • Shirakawa Tetsuo
    Department of Pediatric Dentistry, Nihon University school of Dentistry Division of Oral and Craniomaxillofacial Research, Dental Research Center, Nihon University school of Dentistry
  • Sakata Hideaki
    Department of Otolaryngology, Saitama Children's Medical Center

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Abstract

Here, we report the case of a male child with achondroplasia who was diagnosed with obstructive sleep apnea and underwent adenoidectomy and tonsillectomy. By analyzing lateral cephalograms, we evaluated the craniofacial and pharyngeal airway morphology immediately before surgery (age, 5 years 6 months) and 1 year 2 months after surgery (age, 6 years 8 months). Adenoidectomy and tonsillectomy dilated the pharynx and improved the craniofacial and pharyngeal morphologies, apparently thus improving the sleep apnea. (J. Oral Sci. 49, 173-177, 2007)

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