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Published on: December 6, 2016
Treatment Options for Pediatric Obstructive Sleep Apnea
Christopher M Cielo1, Anil Gungor2
1Division of Pulmonary Medicine, The Children׳s Hospital of Philadelphia.
Insights
Treatments for pediatric obstructive sleep apnea syndrome (OSAS) vary. Adenotonsillectomy (AT) is common for enlarged tonsils/adenoids, while positive airway pressure (PAP) is the most effective non-surgical option.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Respiratory Medicine
Background:
- Pediatric obstructive sleep apnea syndrome (OSAS) is a common condition requiring effective treatment.
- Treatment strategies must address the underlying causes and severity of OSAS in children.
Purpose of the Study:
- To review and summarize the current therapeutic options for pediatric obstructive sleep apnea syndrome (OSAS).
- To provide an overview of surgical and non-surgical interventions for OSAS in children.
Main Methods:
- Literature review of available therapies for pediatric OSAS.
- Categorization of treatments into surgical and non-surgical approaches.
- Evaluation of treatment efficacy in different pediatric populations.
Main Results:
- Adenotonsillectomy (AT) is the primary surgical treatment for OSAS due to enlarged adenoids/tonsils.
- Positive airway pressure (PAP) therapy is the most effective non-surgical treatment, even for severe OSAS.
- Other treatments like nasal steroids, dental appliances, and craniofacial surgery have roles in specific cases.
Conclusions:
- A range of effective treatments exist for pediatric OSAS, tailored to individual patient needs.
- Surgical and non-surgical options, particularly AT and PAP, form the cornerstone of pediatric OSAS management.
- Further research may refine the use of adjunctive therapies for specific pediatric populations.
Abstract:
There are a variety of therapies available for the treatment of pediatric obstructive sleep apnea syndrome (OSAS). In children with enlarged adenoids or tonsils, adenotonsillectomy (AT) is the preferred treatment, but other surgical options include partial tonsillectomy and lingual tonsillectomy. In specific populations, craniofacial or bariatric surgery may be indicated, and tracheostomy should be reserved for cases where there is no other therapeutic option. Positive airway pressure (PAP) is the most effective non-surgical therapy for OSAS as it can be successfully used in even cases of severe OSAS. Nasal steroids and leukotriene receptor antagonists may be used in the treatment of mild or moderate OSAS. Rapid maxillary expansion and dental appliances may be effective in select populations with dental problems. Other non-surgical therapies, such as positional therapy, supplemental oxygen, and weight loss have not been shown to be effective in most pediatric populations.
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