Chest
Selected ReportsAn Unreported Risk in the Use of Home Nasal Continuous Positive Airway Pressure and Home Nasal Ventilation in Children
Section snippets
Case Report
A 15-year-old African-American boy with obstructive sleep apnea (OSA) and morbid obesity was referred for evaluation to assess the present CPAP level. The patient was the product of a normal birth without evidence of any craniofacial or developmental anomalies. He has had a history of significant weight gain since 3 years of age. At age five, obesity and OSA at polygraphic recording were diagnosed. At that time, his height was normal for his age and he had normal craniofacial features. He had a
Discussion
To the best of our knowledge, this is the first reported case of mid-face hypoplasia secondary to prolonged nasal CPAP therapy by face mask. It is well known that craniofacial development occurs primarily during the prepubertal years. By 4 years of age, about 60% of the adult face is developed. At age five, when nasal CPAP treatment was initiated in this child, facial development was normal. Due to the positive pressure exerted by the face mask, a counteracting force with a headgear is
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2022, Journal of the Mechanical Behavior of Biomedical MaterialsCitation Excerpt :CPAP masks can be nasal, oro-nasal, or full-face, and they are available in different shapes for better adaptation to the face, with a headgear constituted by elastic straps that keep the mask in position to limit air leakage (Krieger, 1992). In particular, nasal masks apply pressure on the midface, concentrating the contact on a small area (Schallom et al., 2015; Vaschetto et al., 2014), which is also particularly relevant for facial growth (Li et al., 2000). In fact, a first aspect to consider in patients undergoing CPAP treatment is the effect of contact pressures on facial hard tissues.
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2020, Brazilian Journal of OtorhinolaryngologyCitation Excerpt :Faroux et al.21 observed that changes in facial flattening were associated with the use of PAP for more than 10 h/night. Li et al.20 suggested that extended force application on the developing facial skeleton may cause harmful effects on growth or worsen existing problems. Li et al.,20 Villa et al.19 and Roberts et al.23 suggest that individuals should receive regular maxillomandibular evaluations (at least yearly), and databanks should be obtained from such evaluations.20