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Glossoptosis (Posterior Displacement of the Tongue) During Sleep

A Frequent Cause of Sleep Apnea in Pediatric Patients Referred for Dynamic Sleep Fluoroscopy

Lane F. Donnelly1, Janet L. Strife1 and Charles M. Myer, III2

1 Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039.
2 Division of Otolaryngology, Children's Hospital Medical Center, Cincinnati, OH 45229-3039.



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  		Fig. 1A. —Glossoptosis in 1-year-old girl with cerebral palsy. Video-captured fluoroscopic image shows air in posterior pharynx between base of tongue (arrows) and posterior wall of pharynx.

 


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  		Fig. 1B. —Glossoptosis in 1-year-old girl with cerebral palsy. Video-captured fluoroscopic image obtained during episode of oxygenation desaturation shows tongue to have moved posteriorly. Posterior base of tongue (arrows) abuts posterior wall of pharynx, obstructing airway.

 


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  		Fig. 2A. —Glossoptosis in 3-year-old boy with duplicated tongue. Video-captured fluoroscopic image shows air in posterior pharynx between base of posterior tongue (arrows) and posterior wall of pharynx.

 


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  		Fig. 2B. —Glossoptosis in 3-year-old boy with duplicated tongue. Video-captured fluoroscopic image obtained during episode of oxygenation desaturation shows posterior tongue to have moved posteriorly. Posterior base of tongue (arrows) abuts posterior wall of pharynx, obstructing airway.

 

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