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Emergency tracheostomy in a patient with Melnick-Needles Syndrome and sleep apnoea

Published online by Cambridge University Press:  29 June 2007

Aongus J. Curran ,
T. P. O'Dwyer  and
Alexander Blayney
Aongus J. Curran
Affiliation:
Children' Temple Street, Dublin.
T. P. O'Dwyer
Affiliation:
Children' Temple Street, Dublin.
Alexander Blayney*
Affiliation:
Children' Temple Street, Dublin.
*
Alexander Blayney, Consultant Otolaryngologist, Mater Misericordiae Hospital, Eccles Street, Dublin.
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Abstract

A six-year-old girl with a rare bone dysplasia (Melnick-Needles Syndrome) presented with a five month history of severe sleep apnoea, weight loss and failure of thrive. The syndrome is associated with craniofacial abnormalities, including micrognathia. Following a multi-disciplinary assessment an elective tracheostomy was considered the most appropriate treatment. The patient developed severe respiratory distress 10 days prior to the arranged date of surgery and required an emergency tracheostomy. This resulted in a dramatic return to health. The recognition of severe sleep apnoea in patients with craniofacial abnormalities and the role of initial tracheostomy are discussed.

Keywords

Sleep apnoea syndromesTracheostomyOsteochondrodysplasias, Melnick–Needles Syndrome
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 7 , July 1993 , pp. 647 - 648
Copyright
Copyright © JLO (1984) Limited 1993

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References

Block, A. J., Faulkner, J. A., Hughes, R. L. (1984) Factors influencing the upper airway closure. Chest 86: 114–122.Google Scholar
Colmenero, C, Esteban, R., Albarino, A. R., Colmenero, B. (1991) Sleep Apnoea Syndrome associated with maxillofacial abnormalities. The Journal of Laryngology and Otology 105: 94–100Google Scholar
Donnenfeld, A. E., Conard, K. A., Roberts, N. S., Flint Borns, P., Zackhai, E. H. (1987) Melnick-Needles Syndrome in males: a lethal multiple congenital anomalies syndrome. The American Journal of Medical Genetics 27: 159–173CrossRefGoogle Scholar
Gorlin, R. J., Knier, J. (1982) Letter to the Editor: X-linked or autosomal dominant, lethal in the male, inheritance of the Melnick-Needles (osteodysplasty) syndrome? A reappraisal. The American Journal of Medical Genetics 13: 465–467Google Scholar
Klint, R. B., Agustsson, M. H., McAllistar, W. H. (1970) Melnick–Needles osteodysplasia associated with pulmonary hypertension, obstructive uropathy, and marrow hypoplasia. Paediatric Radiology 6: 49–51CrossRefGoogle Scholar
Krieger, J., Weitzenblum, E., Racineux, J. L. (1987) Maladies respiratoires l'adults chroniques de l'adulte et sommeil. Chronic respiratory disease and sleep in adults. Bulletin European Physiopathologie Respiratoire 23: 479–499Google Scholar
Lauritzen, C. B., Lilja, J., Jarlstedt, J. (1986) Airway obstruction and sleep apnoea in children with craniofacial abnormalities. Plastic and Reconstructive Surgery 77: 1–5Google Scholar
Lind, M. G., Lundell, B. P. W. (1982) Tonsillar hyperplasia in children. A cause of obstructive sleep leaned, CO2 retention and retarded growth. Archives Leaned. 108: 650.Google Scholar
Lowe, A. A., Santamaria, J. D., Fleetham, J. A., Price, C. (1986) Facial morphology and obstructive sleep apoea. American Journal of Orthodontics and Dentofacial Orthopedics 90: 484–491Google Scholar
Melnick, J. C, Needles, C. F. (1966) An undiagnosed bone dysplasia. A two family study of four generations and three generations. American Journal of Roentgenology 97: 39–48.Google Scholar
Powell, N., Guilleminault, C, Riley, R., Smith, L. (1983) Mandibular advancement and obstructive sleep apnoea syndrome. Bulletin European Physiopologie Respiratoire 19: 607–610Google Scholar
Rojewski, T. E., Schuller, D. E., Clarke, R. W., Schmidt, H. S., Potts, R. E. (1984) Video endoscopic determination of the mechanisms of obstruction in obstructive sleep apnoea. Otolaryngology–Head and Neck Surgery 92: 127–131CrossRefGoogle Scholar
Van Der Lely, H., Robben, S. G. F, Meradji, M., Derksen-Lubsen, G. (1991) Melnick-Needles Syndrome (osteodysplasty) in an older male – report of a case and review of the literature. The British Journal of Radiology 64: 852–854CrossRefGoogle Scholar
Wendler, H., Kellerer, K. (1975) Osteodysplastie-Syndrom (Melnick–Needles). Forstschr. Rontgenstr. 122: 309–313Google Scholar