PT  - JOURNAL ARTICLE
AU  - Scott L Gee
AU  - Gary R Lowe
AU  - Robert H Warren
TI  - Complications With Utilization of Positive-Pressure Devices in a Young Man With Duchenne Muscular Dystrophy
AID  - 10.4187/respcare.03396
DP  - 2014 Aug 26
TA  - Respiratory Care
PG  - respcare.03396
4099  - http://rc.rcjournal.com/content/early/2014/08/26/respcare.03396.short
4100  - http://rc.rcjournal.com/content/early/2014/08/26/respcare.03396.full
AB  - Because of the progressive muscle weakness they experience, patients with Duchenne muscular dystrophy frequently utilize positive-pressure devices to maintain adequate bronchial hygiene and ventilation. This case illustrates the course of a 19-y-old male who presented with a perforated right tympanic membrane (TM) following the use of these devices. Perforation of the TM while utilizing positive-pressure devices is a rarely reported event. A challenging aspect in this case was balancing the reduction of pressures and maintaining adequate ventilation while at the same time allowing the TM to heal.