Glossoptosis

Glossoptosis (also Glossoptosis), from ancient Greek γλώσσα, glossa tongue and πτώσις, ptosis case, lowering, refers to the sinking of the tongue into the pharynx or a malposition with positioning of the tongue in the pharynx.

Blocking the airway poses a risk of suffocation.

It can be acquired when the muscles relax, e.g. B. with deep unconsciousness and anesthesia . The so-called “ life-saving handle ” should be used as an immediate measure .

Glossoptosis can also occur congenitally in micrognathia :

Arthrogryposis x-linked type 1
Catel Manzke Syndrome
Down syndrom
Pierre Robin Sequence (Mikrogenie Glossoptosis Syndrome)
Cerebro-Kosto-Mandibular Syndrome

The misalignment of the tongue can block the airways and cause problems when drinking .

diagnosis

The disease can be recognized prenatally by magnetic resonance imaging and fine ultrasound .

literature

C. Schweiger, D. Manica, G. Kuhl: Glossoptosis. In: Seminars in pediatric surgery. Volume 25, number 3, June 2016, pp. 123-127, doi : 10.1053 / j.sempedsurg.2016.02.002 , PMID 27301596 (review).

Individual evidence

^ Willibald Pschyrembel : Clinical Dictionary , 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0
↑ LF Donnelly, JL Strife, CM Myer: Glossoptosis (posterior displacement of the tongue) during sleep: a frequent cause of sleep apnea in pediatric patients referred for dynamic sleep fluoroscopy. In: American Journal of Roentgenology . Volume 175, Number 6, December 2000, pp. 1557-1560, doi : 10.2214 / ajr.175.6.1751557 , PMID 11090374 .
↑ Bernfried Leiber (founder): The clinical syndromes. Syndromes, sequences and symptom complexes . Ed .: G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7., completely reworked. Edition. tape 2 : symptoms . Urban & Schwarzenberg, Munich et al. 1990, ISBN 3-541-01727-9 .
↑ CM Resnick, TD Kooiman, CE Calabrese, R. Didier, BL Padwa, JA Estroff, MJ Koudstaal: In Utero Glossoptosis in Fetuses With Robin Sequence: Measurements From Prenatal MRI. In: The Cleft palate-craniofacial journal: official publication of the American Cleft Palate-Craniofacial Association. Volume 55, Number 4, April 2018, pp. 562-567, doi : 10.1177 / 1055665617746795 , PMID 29554458 .
↑ M. Bronshtein, S. Blazer, Y. Zalel, EZ Zimmer: Ultrasonographic diagnosis of glossoptosis in fetuses with Pierre Robin sequence in early and mid pregnancy. In: American Journal of Obstetrics & Gynecology . Volume 193, Number 4, October 2005, pp. 1561-1564, doi : 10.1016 / j.ajog.2005.03.052 , PMID 16202757 .

[1] Willibald Pschyrembel : Clinical Dictionary , 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0

[2] LF Donnelly, JL Strife, CM Myer: Glossoptosis (posterior displacement of the tongue) during sleep: a frequent cause of sleep apnea in pediatric patients referred for dynamic sleep fluoroscopy. In: American Journal of Roentgenology . Volume 175, Number 6, December 2000, pp. 1557-1560, doi : 10.2214 / ajr.175.6.1751557 , PMID 11090374 .

[Leiber-3] Bernfried Leiber (founder): The clinical syndromes. Syndromes, sequences and symptom complexes . Ed .: G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7., completely reworked. Edition. tape 2 : symptoms . Urban & Schwarzenberg, Munich et al. 1990, ISBN 3-541-01727-9 .

[4] CM Resnick, TD Kooiman, CE Calabrese, R. Didier, BL Padwa, JA Estroff, MJ Koudstaal: In Utero Glossoptosis in Fetuses With Robin Sequence: Measurements From Prenatal MRI. In: The Cleft palate-craniofacial journal: official publication of the American Cleft Palate-Craniofacial Association. Volume 55, Number 4, April 2018, pp. 562-567, doi : 10.1177 / 1055665617746795 , PMID 29554458 .

[5] M. Bronshtein, S. Blazer, Y. Zalel, EZ Zimmer: Ultrasonographic diagnosis of glossoptosis in fetuses with Pierre Robin sequence in early and mid pregnancy. In: American Journal of Obstetrics & Gynecology . Volume 193, Number 4, October 2005, pp. 1561-1564, doi : 10.1016 / j.ajog.2005.03.052 , PMID 16202757 .