Pediatric Obstructive Sleep Apnea

Zarmina Ehsan, Stacey L. Ishman

Research output: Contribution to journalReview articlepeer-review

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 languageEnglish (US)
Pages (from-to)1449-1464
Number of pages16
JournalOtolaryngologic Clinics of North America
Volume49
Issue number6
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • Diagnosis
  • Management
  • Obstructive sleep apnea
  • Pediatric

ASJC Scopus subject areas

  • Otorhinolaryngology

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