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Relief of Upper Airway Obstruction Using a Cervical Splint for Young Patients with Cerebral Palsy

Authors
 Hyoju Son  ;  Soohyeon Kim  ;  Jaeho Lee  ;  Chungmin Kang  ;  Seunghye Kim 
Citation
 Journal of Clinical Pediatric Dentistry, Vol.42(4) : 295-298, 2018 
Journal Title
 Journal of Clinical Pediatric Dentistry 
ISSN
 1053-4628 
Issue Date
2018
Keywords
cerebral palsy ; cervical splint ; gurgling sound ; upper airway obstruction
Abstract
13-year old boy with spastic quadriplegia cerebral palsy visited dental clinic with chief complaints of mouth breathing and malocclusion. His mouth was constantly open at the resting position, with his mandible and tongue displaced downward. He breathed through his mouth, making a constant gurgling sound, a sign of upper airway obstruction. To enhance his mandible position, vertical chin cap was first considered, but it was not sufficient to reduce the gurgling sound or ease breathing. Then, cervical splint was considered, which effectively decreased the gurgling sound by repositioning his mandible to the anterior-superior position. Oxygen saturation was increased when the cervical splint was used. Cervical splint can effectively assist breathing in patients with cerebral palsy, but it should be carefully applied as long-term use can result in unexpected complications. Under instruction by a physician regarding proper usage, a cervical splint can be applied to assist breathing in patients with cerebral palsy.
Full Text
http://jocpd.org/doi/10.17796/1053-4628-42.4.10
DOI
10.17796/1053-4628-42.4.10
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pharmacology (약리학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Pediatric Dentistry (소아치과학교실) > 1. Journal Papers
Yonsei Authors
강정민(Kang, Chung Min) ORCID logo https://orcid.org/0000-0001-7813-3741
이제호(Lee, Jae Ho) ORCID logo https://orcid.org/0000-0002-1556-3485
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163141
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