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Ressonancia magnetica de apneia obstrutiva do sono em criancas

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Ressonancia magnetica de apneia obstrutiva do sono em criancas

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Ressonancia magnetica de apneia obstrutiva do sono em criancas

  1. 1. Mancha RJ1, 2, 3, Chott SR4, 5, Mahmoud M6, SL4 Ishman, 5, Amin RS7, Donnelly LF8, 9. Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as
  2. 2. Respira��o desordenada de sono Espectro de severidade Vai de ronco e colapso parcial com resist�ncia aumentada das vias a�reas superiores para completar a obstru��o com apneia obstrutiva do sono. Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as
  3. 3. A obstru��o que ocorre na apneia obstrutiva do sono � o resultado da via a�rea em colapso durante o sono, que causa excita��o e prejudica o sono repousante. Enquanto o ronco ocorre em at� 20% das crian�as, apneia obstrutiva do sono afeta aproximadamente 15% das crian�as. Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as
  4. 4. Tratamento Adenotonsillectomia � a primeira linha de tratamento da apneia obstrutiva do sono e � geralmente eficaz em crian�as nonsyndromic de outra maneira saud�veis. Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as
  5. 5. Existem subgrupos em que a cirurgia � menos eficaz. Estes subgrupos incluem crian�as com obesidade, apneia obstrutiva grave no per�odo pr�-operat�rio, s�ndrome, anomalias craniofaciais e doen�a do ov�rio polic�stico Efic�cia da adenotonsilectomia Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as
  6. 6. Press�o positiva cont�nua nas vias a�reas (CPAP) � a terapia de primeira linha para persistente apneia obstrutiva do sono apesar de adenotonsillectomy anterior, mas � frequentemente mal tolerado por crian�as. Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as
  7. 7. MRI din�mico das vias a�reas fornece um meio para identificar e localizar o local ou locais de obstru��o para estas crian�as. Ideal envolver em um programa multidisciplinar eficaz, requisitos b�sicos da anestesia, t�cnicas de protocolo de MRI e interpreta��o dos achados na RM que guia de ajuda cir�rgica Conclus�es Resson�ncia magn�tica de apneia obstrutiva do sono em crian�as

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