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Management of obstructive sleep apnea syndrome type 1 in children and adolescents - A French consensus

G Aubertin1, M Akkari2, A Andrieux3

  • 1Pediatric Pulmonology, Armand Trousseau Hospital, AP-HP Hospital, Sorbonne University, Paris, 75012, France; Centre de recherche Saint Antoine (CRSA), INSERM UMR-S 938, Paris, 75012, France; Centre de pneumologie de l'enfant, Ramsay Générale de Santé, Boulogne-Billancourt, 92100, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|August 3, 2023
PubMed

Insights

This guidance offers recommendations for managing obstructive sleep apnea syndrome type 1 (OSA1) in children. Diagnosis and individualized treatment, often involving ENT surgery, are key for effective management.

Area of Science:

  • Pediatric Sleep Medicine
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Obstructive sleep apnea syndrome type 1 (OSA1) in children presents with nighttime respiratory symptoms.
  • Clinical history taking is crucial for suspecting OSA1.
  • Hypertrophy of lymphoid tissues is a primary cause in pediatric OSA1.

Purpose of the Study:

  • To provide expert recommendations for managing pediatric OSA1.
  • To outline diagnostic criteria and therapeutic strategies.
  • To emphasize individualized and multidisciplinary care.

Main Methods:

  • Consensus-based recommendations from a panel of experts.
  • Review of shared clinical experience and published literature.
  • Clinical history, otolaryngologist examination (including nasofibroscopy).

Main Results:

  • OSA1 diagnosis can be based on clinical history (two nighttime symptoms, including snoring) without mandatory sleep studies.
  • Therapeutic management is individualized based on obstruction site.
  • ENT surgery is frequently indicated due to lymphoid tissue hypertrophy.

Conclusions:

  • Management requires individualized treatment tailored to the obstruction's location.
  • Orthodontic and orofacial-myofunctional therapy may be indicated.
  • Continuous, multidisciplinary follow-up within a specialist network is essential.

Keywords:
ApneaChildrenConsensusObstructive sleep-disordered breathingPediatrics

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