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Development of Central Sleep Apnea After Sleep Surgery

Authors
 Jungghi Kim  ;  Jong-Gyun Ha  ;  Hyung-Ju Cho 
Citation
 Journal of Rhinology, Vol.29(1) : 56-58, 2022-03 
Journal Title
Journal of Rhinology
ISSN
 1229-1498 
Issue Date
2022-03
Keywords
Central sleep apnea ; Obstructive sleep apnea ; Surgery
Abstract
Central sleep apnea (CSA) is defined as an absence of breathing without respiratory drive during sleep. It can occur after treatment of obstructive sleep apnea (OSA), a phenomenon known as treatment-emergent central sleep apnea (TECSA). We present a case of a 23-year-old male who developed CSA after pharyngeal and nasal surgery for severe OSA. High loop gain and increased ventilations from frequent arousal are likely explanations for our patient’s central apnea, which resolved with positive airway pressure therapy that possibly alleviated residual airway obstruction and ventilatory instability. This case suggests that effectiveness of treatment for OSA should be based on careful long-term observation with multiple follow-up polysomnography tests, especially in patients at high risk of TECSA.
Files in This Item:
T202202629.pdf Download
DOI
10.18787/jr.2021.00386
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jungghi(김정기)
Cho, Hyung Ju(조형주) ORCID logo https://orcid.org/0000-0002-2851-3225
Ha, Jong Gyun(하종균) ORCID logo https://orcid.org/0000-0002-2712-1297
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189462
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