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Tongue Obstructive apnea, in 2 yr old, c pap or surgery?


Posted by Becky on February05, 2000 at 12:13:52:

Hello

My 2 yr old son was recently obstructive and central sleep apnea. Not severe, 25 episodes in 6 hrs awake, and asleep.
Anyhow, a visit on wednesday to the and ENT, which I was told would probably mean him having his tonsils and adenoids out, proved otherwise. His tonsils and his adenoids are fine. It is his tongue, and lack of muscle control, due to his cerebral palsy. So I was told there are only 2 surgical options, and tongue "furrowing" procedure or a tracheostomy. The first operation would probably make matters worse, the best would be the trach. But try the c pap first. So a cpap trial was set up for that same nite.
The full face mask, was very hard. But his o2 sats were 85 then up to 94 with the cpap. Which looked positive to me.
So the next day the docs nurse calls and says the cpap helped, but he wants to talk to the ent and see if there is a surgical option. Well I already know the surgical options, and want to avoid a trach at all costs.
Why would there even be a question about the cpap if it is working?! Any help would be appreciated!
Thank You
Becky

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