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Updated: Aug 21, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Evolution study in children with suspected obstructive sleep apnea]
P Carvajal1, M Costa, Y Lasierra
1Unidad de Infantil del Servicio de Neurofisiología Clínica, Hospital Universitario Miguel Servet, Zaragoza.
Insights
Children with obstructive sleep apnea syndrome (OSAS) show good middle-term evolution with appropriate treatment. Younger children undergoing surgery, particularly tonsillectomy, experienced better outcomes.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Otolaryngology
Context:
- Obstructive sleep apnea syndrome (OSAS) is a prevalent childhood disorder with variable clinical progression.
- Understanding the long-term outcomes of childhood OSAS is crucial for effective management.
- This study investigates the two-year clinical evolution of children with suspected OSAS.
Purpose:
- To evaluate the clinical evolution of children diagnosed with obstructive sleep apnea syndrome (OSAS).
- To assess the impact of surgical intervention on the outcomes of childhood OSAS.
- To correlate age, surgical treatment, and clinical changes in pediatric OSAS patients.
Summary:
- A two-year follow-up study of 73 children with suspected OSAS was conducted.
- Age was inversely correlated with clinical improvement (Brouillete Scale).
- Surgically treated children were younger; tonsillectomy showed the most significant positive impact on evolution when considering surgical types.
Impact:
- The findings suggest that timely and appropriate treatment, including surgery like tonsillectomy, leads to favorable middle-term outcomes in pediatric OSAS.
- This research aids clinicians in managing childhood OSAS, emphasizing the importance of early intervention and tailored surgical approaches.
- Optimizing treatment strategies for pediatric OSAS can improve long-term health and development in affected children.
Introduction:
Obstructive sleep apnea syndrome is a common disorder in childhood with an uncertain evolution.
Objectives:
Study of children's clinical evolution with suspected diagnosis of OSAS, which was carried out after two years of an overnight polisomnogram.
Patients And Methods:
73 children were studied. We evaluated if they had been operated and what type of surgery was performed, Brouillete Scale and subjective impressions. We have correlated: age, clinical evolution and surgery.
Results:
Age was inversely correlated with changes in Brouillete (r=-0.39, p=0.002), standing out that children that underwent surgery were younger (4.1 vs. 7.0 years, Student t: -4.22, p=0.00009). Without the influence of age, the difference between evolution in operated and not operated ones was not significative, statistically speaking, but it was if we analysed the different types of surgery by themselves (Snedecor F: 3.9, p=0.007), tonsillectomy was the larger.
Conclusion:
The middle-term evolution in children with OSAS is good if we use the correct treatment.
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