Author(s)
Xiao Yang, MD
Lijing Ma, MD
Zijie Niu
Jun Wang, MD
Affiliation(s)
Beijing, CHINA;
Abstract:
Objective: To investigate the changes of monitoring pulse oxygen saturation in children with juvenile-onset recurrent respiratory papillomatosis (JORRP)during perioperative period.
Methods: 34 children with JORRP were selected, including 20 with 1 °dyspnea and 14 with 2 °dyspnea. Pulse oxygen saturation was performed preoperatively and postoperatively respectively. The factors affecting pulse oxygen saturation and surgical efficacy were analyzed.
Results: 82.4% patents were diagnosed with the hypoxemia before treatment. Mean oxygen saturation (MSpO2) and lowest oxygen saturation (LSpO2) were higher in patients with 1 °dyspnea compared with 2 °dyspnea. In this group, the average 3% Oxygen desaturation index ODI was (1.78±2.09) events/h. The 3% ODI of patients with 1 °dyspnea was lower than that with 2 °dyspnea. The mean anatomic Derkay score calculated was (15.29±4.79) and there was no significant difference between different degrees of dyspnea. The LSpO2 was correlated with age, 3% ODI and the anatomic Derkay score. Comparing the LSpO2 and 3% ODI on the first night of post-operation to pre-operation, there were no significant differences.
Conclusion: Recurrent respiratory papilloma can cause laryngeal OSA in some children, and the severity is positively relative to the degree of dyspnea. The LSpO2 during sleep is correlated with age, 3%ODI and the anatomic Derkay score. The LSpO2 and 3% ODI on the first night of post-operation without significant difference compared with pre-operation due to local mucosal swelling or other factors. Therefore, the children' breathing situation should be closely monitored and given electrocardiograph monitoring on the first night of post-operation.