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Updated: Jun 3, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Surgical Management of Pediatric Obstructive Sleep Apnea: Efficacy, Outcomes, and Alternatives-A Systematic Review

Gianna Dipalma1, Angelo Michele Inchingolo1, Irene Palumbo1

  • 1Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.

Life (Basel, Switzerland)
|January 8, 2025
PubMed

Insights

Obstructive sleep apnea (OSA) surgical treatments like adenotonsillectomy improve quality of life. Alternative procedures offer benefits with fewer complications, but more research is needed for optimal patient care.

Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Surgical Oncology

Background:

  • Obstructive sleep apnea (OSA) is a widespread sleep disorder affecting millions, with low diagnosis and treatment rates in Italy.
  • Effective management strategies are crucial for improving patient outcomes and quality of life.

Purpose of the Study:

  • To systematically review surgical treatments for obstructive sleep apnea (OSA).
  • To guide clinical decision-making for appropriate OSA management.
  • To identify optimal surgical interventions for OSA patients.

Main Methods:

  • Systematic review adhering to PRISMA guidelines.
  • Searches conducted on PubMed, Scopus, and Web of Science.
  • Keywords focused on OSA and surgical treatment options.

Main Results:

  • Initial search yielded 20,337 publications; 15 selected for qualitative analysis.
  • Adenotonsillectomy (AT) shows significant improvement in secondary outcomes compared to watchful waiting.
  • Tonsillotomy and adenopharyngoplasty (APP) present promising alternatives with reduced discomfort and complications.

Conclusions:

  • Adenotonsillectomy (AT) effectively improves behavioral issues and quality of life in OSA patients.
  • Alternative surgical techniques like tonsillotomy and adenopharyngoplasty (APP) offer advantages.
  • Further large-scale studies are essential to refine surgical techniques and personalize OSA treatment.
Abstract

Keywords:
OSASobstructive sleep apneapediatric OSAsurgical treatmenttonsillectomy

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