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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Advanced interdisciplinary treatment protocol for pediatric obstructive sleep apnea including medical, surgical, and

Su-Jung Kim1, Hyo-Won Ahn1, Sung-Wan Kim2

  • 1Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Korea.

Cranio : the Journal of Craniomandibular Practice
|October 23, 2020
PubMed

Insights

This study proposes an updated treatment protocol for pediatric obstructive sleep apnea (POSA) by integrating craniofacial growth modification with medical and surgical care. Early skeletal growth modification can improve upper airway development in POSA patients with craniofacial issues.

Area of Science:

  • Pediatric Sleep Medicine
  • Craniofacial Orthodontics
  • Otolaryngology

Background:

  • Pediatric obstructive sleep apnea (POSA) requires comprehensive management.
  • Current treatment protocols can be enhanced by integrating craniofacial growth modification.

Purpose of the Study:

  • To propose an updated interdisciplinary treatment protocol for POSA.
  • To integrate craniofacial growth modification into medical and surgical sleep practice.

Main Methods:

  • Systematic literature search of PubMed, Scopus, and Cochrane Library up to February 2020.
  • Inclusion of 80 studies from 184 initially identified articles.
  • Development of an integrated treatment protocol for POSA.

Main Results:

  • A differential diagnostic workflow for POSA phenotyping was suggested.
  • A phenotype-based treatment protocol for POSA was proposed.
  • Timely, three-dimensional skeletal growth modification shows potential for improving upper airway development in POSA patients with craniofacial phenotypes.

Conclusions:

  • A novel precision treatment protocol for POSA is presented.
  • This protocol aids clinicians in selecting primary or combined treatment strategies.
  • Craniofacial growth modification is a valuable adjunct for specific POSA patient populations.
Abstract

Keywords:
Pediatric obstructive sleep apneacraniofacialgrowth modificationinterdisciplinaryphenotypetreatment protocol

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