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[Historical review on obstructive sleep apnea in children]
1Stanford university sleep medicine program, Stanford, CA 94305, États-Unis.
Summary
This review covers over 50 years of research into pediatric obstructive sleep apnea syndrome (OSAS) and sleep-disordered breathing. Advances in understanding and treatment have been made, but further research is needed.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Otolaryngology
Background:
- Historical review of pediatric obstructive sleep apnea syndrome (OSAS) and sleep-disordered breathing (SDB).
- Traces research evolution from adult lean individuals to children.
- Covers the progression from recognizing OSAS to defining upper-airway resistance syndrome.
Observation:
- Early descriptions of SDB date back to Dickens' character "Joe."
- Research has evolved over 50 years, shifting focus from adults to children.
- Multiple comorbidities associated with SDB include cognitive, behavioral, mood, and cardiovascular disorders.
Findings:
- Pathophysiological understanding of SDB in children has advanced significantly.
- Treatment approaches have evolved from tracheostomy to positive-airway pressure therapy, adenotonsillectomy, and myofunctional therapy.
- Significant progress in OSAS research has been achieved, yet many questions remain.
Implications:
- Highlights the critical need for continued investigation into pediatric SDB and OSAS.
- Emphasizes the multifaceted nature of SDB comorbidities in children.
- Suggests a need for further research to address remaining questions in the field.
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