Abstract/References

A neonatal case of an elongated soft palate

Kana Ito, Toshihiko Nakamura, Daisuke Hatanaka, Hisaya Hasegawa

Author information
  • Kana Ito

    Department of Neonatology, Japanese Red Cross Musashino Hospital
    Department of Pediatrics, National Defense Medical College Hospital

  • Toshihiko Nakamura

    Department of Neonatology, Japanese Red Cross Musashino Hospital

  • Daisuke Hatanaka

    Department of Neonatology, Japanese Red Cross Musashino Hospital

  • Hisaya Hasegawa

    Department of Neonatology, Tokyo Women’s Medical University, Adachi Medical Center

Abstract

The development of stridor and periodic desaturation in a 2-day-old neonate born at term lead to the suspicion of upper airway obstruction. The patient underwent flexible fiberoptic laryngo-tracheo-bronchoscopy and was diagnosed as having an elongated soft palate and secondary mild pharyngomalacia. Early intervention with high PEEP therapy using nasal CPAP led to improvement in the patient condition.

The cintent of reseach paper

References

1. Hara Y, Teshima K, Seki M, Asano K, Yamaya Y. Pharyngeal contraction secondary to its collapse in dogs with brachycephalic airway syndrome. J Vet Med Sci, 82:64-67, 2020.


2. Manfredi L, Marlin S, Fauroux B, Garabedian N, Couloigner V, Leboulanger N. Pycnodysostosis presenting as atypical stridor. Eur Ann Otorhinolaryngol Head Neck Dis, 133:87-90, 2016.


3. Wasa M, Hasegawa H, Yamada Y, Mizogami M, Kitamura R. Pharyngomalacia diagnosed by laryngo-tracheo-bronchoscopy in the neonatal intensive care unit. Pediatr Int, 63:1478-1482, 2021.


4. Shott SR, Cunningham MJ. Apnea and the elongated uvula. Int J Pediatr Otorhinolaryngol, 24:183-189, 1992.


5. Yoshimura G, Ikumoto H, Nishihori Y, Suga K, Uchiyama T, Matsuzaka K. A case of an elongated uvula associated with abnormal sensation during mastication and swallowing. Jpn J Oral Maxillofac Surg, 54:386-388, 2008.


6. Sheen D, Abdulateef S. Uvulopalatopharyngoplasty. Oral Maxillofacial Surg Clin N Am, 33:295-303, 2021.


7. Zwacka G, Scholle S, Kemper G, Rieger B. Nasal CPAP therapy for infants with congenital stridor. Sleep Breath, 2(4):85-97, 1997.

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