Managing the Child with Persistent Sleep Apnea

Andrew E. Bluher; Stacey L. Ishman; Cristina M. Baldassari

doi:10.1016/j.otc.2019.06.004

Managing the Child with Persistent Sleep Apnea

Andrew E. Bluher
, Stacey L. Ishman
, Cristina M. Baldassari

Department of Otolaryngology

Research output: Contribution to journal › Review article › peer-review

25 Scopus citations

Abstract

Pediatric obstructive sleep apnea (OSA) affects 2% to 4% of American children, and is associated with metabolic, cardiovascular, and neurocognitive sequelae. The primary treatment for pediatric OSA is adenotonsillectomy. Children with obesity, craniofacial syndromes, and severe baseline OSA are at risk for persistent disease. Evaluation of persistent OSA should focus on identifying the causes of upper airway obstruction. Interventions should be tailored to address the patient's symptomatology, sites of obstruction, and preference for surgical versus medical management. Further research is needed to identify management protocols that result in improved outcomes for children with persistent OSA.

Original language	English
Pages (from-to)	891-901
Number of pages	11
Journal	Otolaryngologic Clinics of North America
Volume	52
Issue number	5
DOIs	https://doi.org/10.1016/j.otc.2019.06.004
State	Published - Oct 2019

Keywords

DISE
Pediatric obstructive sleep apnea
Persistent OSA
Tongue base obstruction

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10.1016/j.otc.2019.06.004

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title = "Managing the Child with Persistent Sleep Apnea",

abstract = "Pediatric obstructive sleep apnea (OSA) affects 2\% to 4\% of American children, and is associated with metabolic, cardiovascular, and neurocognitive sequelae. The primary treatment for pediatric OSA is adenotonsillectomy. Children with obesity, craniofacial syndromes, and severe baseline OSA are at risk for persistent disease. Evaluation of persistent OSA should focus on identifying the causes of upper airway obstruction. Interventions should be tailored to address the patient's symptomatology, sites of obstruction, and preference for surgical versus medical management. Further research is needed to identify management protocols that result in improved outcomes for children with persistent OSA.",

keywords = "DISE, Pediatric obstructive sleep apnea, Persistent OSA, Tongue base obstruction",

author = "Bluher, \{Andrew E.\} and Ishman, \{Stacey L.\} and Baldassari, \{Cristina M.\}",

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year = "2019",

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doi = "10.1016/j.otc.2019.06.004",

language = "English",

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T1 - Managing the Child with Persistent Sleep Apnea

AU - Bluher, Andrew E.

AU - Ishman, Stacey L.

AU - Baldassari, Cristina M.

PY - 2019/10

Y1 - 2019/10

N2 - Pediatric obstructive sleep apnea (OSA) affects 2% to 4% of American children, and is associated with metabolic, cardiovascular, and neurocognitive sequelae. The primary treatment for pediatric OSA is adenotonsillectomy. Children with obesity, craniofacial syndromes, and severe baseline OSA are at risk for persistent disease. Evaluation of persistent OSA should focus on identifying the causes of upper airway obstruction. Interventions should be tailored to address the patient's symptomatology, sites of obstruction, and preference for surgical versus medical management. Further research is needed to identify management protocols that result in improved outcomes for children with persistent OSA.

AB - Pediatric obstructive sleep apnea (OSA) affects 2% to 4% of American children, and is associated with metabolic, cardiovascular, and neurocognitive sequelae. The primary treatment for pediatric OSA is adenotonsillectomy. Children with obesity, craniofacial syndromes, and severe baseline OSA are at risk for persistent disease. Evaluation of persistent OSA should focus on identifying the causes of upper airway obstruction. Interventions should be tailored to address the patient's symptomatology, sites of obstruction, and preference for surgical versus medical management. Further research is needed to identify management protocols that result in improved outcomes for children with persistent OSA.

KW - DISE

KW - Pediatric obstructive sleep apnea

KW - Persistent OSA

KW - Tongue base obstruction

UR - https://www.scopus.com/pages/publications/85068522638

U2 - 10.1016/j.otc.2019.06.004

DO - 10.1016/j.otc.2019.06.004

M3 - Review article

C2 - 31301824

AN - SCOPUS:85068522638

SN - 0030-6665

VL - 52

SP - 891

EP - 901

JO - Otolaryngologic Clinics of North America

JF - Otolaryngologic Clinics of North America

IS - 5

ER -

Managing the Child with Persistent Sleep Apnea

Abstract

Keywords

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