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Occurrence Caused by Micrognathia

William A. Conway, MD; George C. Bower, MD; Matthew E. Barnes

JAMA. 1977;237(25):2740-2742.

Abstract
A patient with hypersomnolence, micrognathia, and respiratory insufficiency had been treated eight years for narcolepsy. Sleep apnea because of upper airway obstruction was found, and a tracheostomy was performed. Following this the hypersomnolence and respiratory insufficiency resolved.

This case emphasizes the importance of carefully evaluating the condition of patients complaining of hypersomnolence to detect those with intermittent upper airway obstruction occurring during sleep.

(JAMA 237:2740-2742, 1977)

Author Affiliations
From the Department of Medicine, Division of Pulmonary Medicine, Henry Ford Hospital, Detroit.

Footnotes
Reprint requests to Division of Pulmonary Medicine, Henry Ford Hospital, Detroit, MI 48202 (Dr Bower).

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