Current Concepts in the Surgical Management of Pediatric OSA

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• 作者：Stacey L. Ishman ; Cristina M. Baldassari…
• 关键词：Obstructive sleep apnea ; Adenotonsillectomy ; Sleep endoscopy ; Surgical management of OSA ; Pediatrics
• 刊名：Current Otorhinolaryngology Reports
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：4
• 期：1
• 页码：35-42
• 全文大小：454 KB
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• 作者单位：Stacey L. Ishman (1) (2) (3)
  Cristina M. Baldassari (4) (5)
  Aliza P. Cohen (1)
  
  1. Division of Pediatric Otolaryngology–Head and Neck Surgery, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MLC 2018, Cincinnati, OH, 45229-3026, USA
  2. Division of Pulmonary Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
  3. Department of Otolaryngology–Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA
  4. Department of Otolaryngology–Head and Neck Surgery, Eastern Virginia Medical School, 601 Children’s Lane, Norfolk, VA, 23507, USA
  5. Department of Otolaryngology–Head and Neck Surgery, The Children’s Hospital of The King’s Daughters, Norfolk, VA, USA
  
• 刊物主题：Otorhinolaryngology;
• 出版者：Springer US
• ISSN：2167-583X

文摘

Given that adenotonsillar hypertrophy is a common cause of upper airway obstruction in children with obstructive sleep apnea (OSA), adenotonsillectomy (T&A) has long been the first-line management approach. Despite the positive outcomes associated with this procedure, persistent disease occurs postoperatively in 34 % of children. A number of studies have therefore used drug-induced sleep endoscopy and other methods to identify sites of upper airway obstruction that may be amenable to surgical correction. Research is increasingly focused on the effectiveness of surgical procedures other than T&A, such as suturing of the tonsillar pillars, expansion pharyngoplasty, lingual tonsillectomy, supraglottoplasty, rapid maxillary expansion, and tongue suspension. This article presents an overview of these topics, focusing on current concepts in the surgical management of OSA. Keywords Obstructive sleep apnea Adenotonsillectomy Sleep endoscopy Surgical management of OSA Pediatrics