Development of Central Sleep Apnea After Sleep Surgery
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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Rhinologic Society
2022-03-01
|
| Series: | Journal of Rhinology |
| Subjects: | |
| Online Access: | http://j-rhinology.org/upload/pdf/jr-2021-00386.pdf |
| _version_ | 1798006194302877696 |
|---|---|
| author | Jungghi Kim Jong-Gyun Ha Hyung-Ju Cho |
| author_facet | Jungghi Kim Jong-Gyun Ha Hyung-Ju Cho |
| author_sort | Jungghi Kim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T12:51:02Z |
| format | Article |
| id | doaj.art-c2f83f42c80d43d68da6b48183f5ed07 |
| institution | Directory Open Access Journal |
| issn | 2384-4361 |
| language | English |
| last_indexed | 2024-04-11T12:51:02Z |
| publishDate | 2022-03-01 |
| publisher | Korean Rhinologic Society |
| record_format | Article |
| series | Journal of Rhinology |
| spelling | doaj.art-c2f83f42c80d43d68da6b48183f5ed072022-12-22T04:23:12ZengKorean Rhinologic SocietyJournal of Rhinology2384-43612022-03-01291565810.18787/jr.2021.00386745Development of Central Sleep Apnea After Sleep SurgeryJungghi Kim0Jong-Gyun Ha1Hyung-Ju Cho2 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of KoreaCentral 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.http://j-rhinology.org/upload/pdf/jr-2021-00386.pdfcentral sleep apneaobstructive sleep apneasurgery |
| spellingShingle | Jungghi Kim Jong-Gyun Ha Hyung-Ju Cho Development of Central Sleep Apnea After Sleep Surgery Journal of Rhinology central sleep apnea obstructive sleep apnea surgery |
| title | Development of Central Sleep Apnea After Sleep Surgery |
| title_full | Development of Central Sleep Apnea After Sleep Surgery |
| title_fullStr | Development of Central Sleep Apnea After Sleep Surgery |
| title_full_unstemmed | Development of Central Sleep Apnea After Sleep Surgery |
| title_short | Development of Central Sleep Apnea After Sleep Surgery |
| title_sort | development of central sleep apnea after sleep surgery |
| topic | central sleep apnea obstructive sleep apnea surgery |
| url | http://j-rhinology.org/upload/pdf/jr-2021-00386.pdf |
| work_keys_str_mv | AT jungghikim developmentofcentralsleepapneaaftersleepsurgery AT jonggyunha developmentofcentralsleepapneaaftersleepsurgery AT hyungjucho developmentofcentralsleepapneaaftersleepsurgery |