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Relief of Upper Airway Obstruction Using a Cervical Splint for Young Patients with Cerebral Palsy

Authors
Son, H; Kim, S; Lee, J; Kang, C; Kim, S
Citation
The Journal of clinical pediatric dentistry, 42(4):295-298, 2018
Journal Title
The Journal of clinical pediatric dentistry
ISSN
1053-46281557-5268
Abstract
13-year old boy with spastic quadriplegia cerebral palsy visited dental clinic with chief complaints of mouth breathing and malocclusion. His mouth was constantly open at the resting position, with his mandible and tongue displaced downward. He breathed through his mouth, making a constant gurgling sound, a sign of upper airway obstruction. To enhance his mandible position, vertical chin cap was first considered, but it was not sufficient to reduce the gurgling sound or ease breathing. Then, cervical splint was considered, which effectively decreased the gurgling sound by repositioning his mandible to the anterior-superior position. Oxygen saturation was increased when the cervical splint was used. Cervical splint can effectively assist breathing in patients with cerebral palsy, but it should be carefully applied as long-term use can result in unexpected complications. Under instruction by a physician regarding proper usage, a cervical splint can be applied to assist breathing in patients with cerebral palsy.
Keywords
cerebral palsygurgling soundupper airway obstructioncervical splint
MeSH terms
AdolescentAirway Obstruction/etiology*Airway Obstruction/therapy*Cerebral Palsy/complications*HumansMaleMouth Breathing/etiology*Mouth Breathing/therapy*NeckSplints*
DOI
10.17796/1053-4628-42.4.10
PMID
29750629
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Dentistry
AJOU Authors
김, 승혜
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