Management of Persistent Obstructive Sleep Apnea after Adenotonsillectomy

被引：8

作者：

Pomerantz, Jonathan ^{[1
,2
,3
]}

机构：

[1] NorthShore Univ HealthSyst, Div Otolaryngol Head & Neck Surg, 501 Skokie Blvd, Northbrook, IL 60062 USA

[2] NorthShore Univ HealthSyst, Div Otolaryngol Head & Neck Surg, Sleep Surg, Northbrook, IL 60062 USA

[3] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA

来源：

PEDIATRIC ANNALS | 2016年 / 45卷 / 05期

关键词：

CHILDREN; TONSILLECTOMY; POLYSOMNOGRAPHY; METAANALYSIS;

D O I：

10.3928/00904481-20160329-01

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Adenotonsillectomy is widely considered to be an effective treatment for sleep-disordered breathing (SDB) and obstructive sleep apnea (OSA) in the pediatric population. However, in some patients, SDB and OSA can persist despite surgical treatment with adenotonsillectomy. Options to manage persistent SDB/OSA depend on symptoms and severity. Many patients with mild residual OSA can be managed with nasal steroids and observed. Those with more moderate-to-severe residual pathology often can be managed with conservative measures that usually include continuous positive airway pressure (CPAP) therapy. However, some patients cannot tolerate CPAP, and are therefore candidates to be evaluated for addition surgical therapies.

引用

页码：E180 / E183

页数：4

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