Surgical correction of neonatal obstructive sleep apnea due to a temporomandibular joint ankylosis

Michael Pesis, Aviv Goldbart, Navot Givol

    Research output: Contribution to journalArticlepeer-review

    Abstract

    In growing children, temporomandibular joint (TMJ) ankylosis and septic arthritis are uncommon. Retrognathia and micrognathia affect airway patency and can cause obstructive sleep apnea (OSA). No unified diagnostic criteria have been established for the management of this pathology. We describe the first case of treatment for pediatric TMJ ankylosis and severe OSA due to neonatal group B streptococcal septic TMJ arthritis. Untreated pathological changes in the TMJ will eventually lead to ankylosis. Among children, this will include facial growth disturbances leading to mandibular retrognathia, reduction in the oropharyngeal spaces, and OSA. Our patient had severe OSA with an apnea-hypopnea index of 24.9 events/h and oxygen saturation nadir of 73% as measured by polysomnography. She was treated successfully according to Andrade protocol. This is the first report of pediatric OSA due to TMJ ankylosis following neonatal group B streptococcal septic arthritis.

    Original languageEnglish
    Pages (from-to)173-179
    Number of pages7
    JournalJournal of Clinical Sleep Medicine
    Volume20
    Issue number1
    DOIs
    StatePublished - 1 Jan 2024

    Keywords

    • ankylosis
    • micrognathia
    • obstructive sleep apnea
    • retrognathia
    • septic arthritis
    • temporomandibular joint

    ASJC Scopus subject areas

    • Clinical Neurology
    • Neurology
    • Pulmonary and Respiratory Medicine

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