New treatments for obstructive sleep apnea in children

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Updated: Jan 2, 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

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Sheri Jones Oguh1, Lisa Elden2, Jordan Swanson3

  • 1Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Paediatric Anaesthesia
|December 3, 2019
PubMed

Insights

Pediatric obstructive sleep apnea (OSA) affects up to 5% of children. Treatment typically involves adenotonsillectomy or continuous positive airway pressure therapy, requiring multidisciplinary management.

Area of Science:

  • Pediatric pulmonology
  • Sleep medicine
  • Otolaryngology

Background:

  • Obstructive sleep apnea (OSA) affects up to 5% of children, with higher prevalence in obese children.
  • OSA is linked to significant comorbidities in children, impacting general health and perioperative outcomes.
  • Understanding pediatric OSA is crucial due to its prevalence and associated health risks.

Purpose of the Study:

  • To review the background of obstructive sleep apnea in children.
  • To provide insights into current surgical and medical treatment options for pediatric OSA.
  • To highlight the multidisciplinary approach required for managing pediatric sleep apnea.

Main Methods:

  • Literature review of pediatric obstructive sleep apnea.
  • Analysis of surgical interventions, focusing on adenotonsillectomy.
  • Examination of medical management, including continuous positive airway pressure (CPAP) therapy.

Main Results:

  • Adenotonsillectomy is the primary surgical treatment for pediatric OSA, differing from adult approaches.
  • Continuous positive airway pressure (CPAP) therapy is the most common medical intervention.
  • Effective management necessitates a coordinated, multidisciplinary team approach.

Conclusions:

  • Pediatric OSA requires tailored management strategies distinct from adult OSA.
  • Surgical and medical options, particularly adenotonsillectomy and CPAP, are key treatment modalities.
  • A multidisciplinary approach ensures comprehensive care for children with obstructive sleep apnea.

Keywords:
adenotonsillectomyanti-inflammatorymandibular distraction osteogenesispositive airway pressuresleep apneasupraglottoplastyuvulopalatopharyngoplasty

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