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Updated: Apr 28, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

19.7K

Pediatric sleep surgery

Cecille G Sulman1

  • 1Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin , Milwaukee, WI , USA.

Frontiers in Pediatrics
|June 14, 2014
PubMed

Insights

Adenotonsillectomy effectively treats sleep disordered breathing. However, children with obesity or certain conditions may experience persistent sleep apnea, requiring further intervention and carrying higher surgical risks.

Area of Science:

  • Pediatric Surgery
  • Sleep Medicine
  • Otolaryngology

Background:

  • Adenotonsillectomy is a primary surgical intervention for pediatric sleep disordered breathing.
  • While generally successful, persistent sleep apnea can occur post-surgery.
  • Specific pediatric populations face elevated risks for residual sleep apnea.

Purpose of the Study:

  • To review outcomes of adenotonsillectomy for sleep disordered breathing.
  • To identify risk factors for persistent sleep apnea post-adenotonsillectomy.
  • To discuss management strategies for residual obstructive sleep apnea in children.

Main Methods:

  • Literature review of adenotonsillectomy outcomes.
  • Analysis of risk factors associated with persistent sleep apnea.
  • Examination of surgical techniques for complex pediatric airway obstruction.

Main Results:

  • Adenotonsillectomy demonstrates good outcomes for most children with sleep disordered breathing.
  • Obesity, craniofacial anomalies, and neurologic impairment are key predictors of persistent sleep apnea.
  • Children with obstructive sleep apnea face increased peri-operative complications.

Conclusions:

  • Further surgical or medical management may be necessary for persistent pediatric sleep apnea.
  • Careful patient selection and risk assessment are crucial for adenotonsillectomy.
  • Understanding risk factors improves management of sleep disordered breathing in children.

Keywords:
craniofacial distractiondistraction osteoneogenesisexpansion pharyngoplastyobstructive sleep apnea in childrentongue base surgerytonsillectomytracheostomy

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