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[Obstructive Sleep Apnea in Children: A Team effort!]

Mai-Khanh Lê-Dacheux1, Guillaume Aubertin2, Catherine Piquard-Mercier3

  • 1Pôle de prise en charge pluridisciplinaire du ronflement et des apnées obstructives de l'enfant, Institut de l'Enfant, Clinique Marcel Sembat, 105 avenue Victor Hugo, 92100 Boulogne Billancourt, France, Service de Chirurgie Maxillo-Faciale et Plastique, Centre de Référence Fentes et Malformations Faciales (MAFACE), Hôpital Universitaire Necker Enfants Malades, 105 rue de Sèvres, 75015 Paris, France.

L' Orthodontie Francaise
|December 29, 2020
PubMed

Insights

Pediatric obstructive sleep apnea (OSA) is underdiagnosed but treatable. Early screening and interdisciplinary care involving orthodontists improve outcomes for children with OSA.

Area of Science:

  • Pediatric Sleep Medicine
  • Orthodontics
  • Multidisciplinary Healthcare

Background:

  • Obstructive Sleep Apnea (OSA) in children has multifactorial origins and can lead to serious health issues if untreated.
  • Current diagnosis rates for pediatric OSA are low, highlighting a need for improved screening and awareness.
  • Families and healthcare providers often lack clear pathways for addressing suspected pediatric OSA.

Purpose of the Study:

  • To outline a collaborative, interdisciplinary approach for screening, diagnosing, and treating pediatric OSA.
  • To highlight the crucial role of orthodontists in identifying and managing children at risk for OSA.
  • To present clinically illustrated methods aligned with recent professional guidelines for pediatric OSA management.

Main Methods:

  • Describing synergistic screening, diagnostic, and treatment strategies for pediatric OSA.
  • Emphasizing a collaborative model involving ENT specialists, orthodontists, pneumo-allergologists, sleep physicians, endocrinologists, orofacial myo-functional therapists, and speech therapists.
  • Integrating clinical illustrations with established professional guidelines for pediatric OSA.

Main Results:

  • The proposed approach facilitates early detection and intervention for pediatric OSA.
  • Multidisciplinary collaboration enhances the care pathway for affected children.
  • Optimized treatment strategies lead to improved short, mid, and long-term outcomes.

Conclusions:

  • An integrated, multidisciplinary approach is essential for effectively managing pediatric OSA.
  • Orthodontists are key in the early identification and referral process for at-risk children.
  • Developing specialized teams improves the overall care and prognosis for children with obstructive sleep apnea.

Keywords:
AdenotonsillectomyMultidisciplinary teamOSAOrofacial myo-functional therapyOrthodonticsPediatricsPneumologyRapid Maxillary Expansion

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