Abstract
Screening for obstructive sleep apnea (OSA) with in-laboratory polysomnography is recommended for children with sleep disordered breathing. Adenotonsillectomy is the first-line therapy for pediatric OSA, although intranasal steroids and montelukast can be considered for those with mild OSA and continuous positive airway pressure for those with moderate to severe OSA awaiting surgery, poor surgical candidates or persistent OSA. Bony or soft tissue upper airway surgery is reasonable for children failing medical management or those with persistent OSA following adenotonsillectomy. Weight loss and oral appliance therapy are also useful. A multi-modality approach to diagnosis and treatment is preferred.
Original language | English (US) |
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Pages (from-to) | 1449-1464 |
Number of pages | 16 |
Journal | Otolaryngologic Clinics of North America |
Volume | 49 |
Issue number | 6 |
DOIs | |
State | Published - Dec 1 2016 |
Externally published | Yes |
Keywords
- Diagnosis
- Management
- Obstructive sleep apnea
- Pediatric
ASJC Scopus subject areas
- Otorhinolaryngology