Upper airway visualization in pediatric obstructive sleep apnea

被引:14
作者
Quinlan, Courtney M. [1 ]
Otero, Hansel [2 ]
Tapia, Ignacio E. [3 ]
机构
[1] Childrens Hosp Philadelphia, Div Pulm Med, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Div Radiol, Philadelphia, PA 19104 USA
[3] Childrens Hosp Philadelphia, Div Pulm Med, Sleep Ctr, 3401 Civ Ctr Blvd, Philadelphia, PA 19104 USA
关键词
Obstructive sleep apnea; Magnetic resonance imaging; Lateral neck radiograph; Drug induced sleep endoscopy; Computerized axial tomography; Upper airway imaging; PHARYNGEAL AIRWAY; DOWN-SYNDROME; CHILDREN; ENDOSCOPY; INFANTS; ADENOTONSILLECTOMY; ADENOIDECTOMY; PATENCY; NASAL; TOOL;
D O I
10.1016/j.prrv.2019.03.007
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Pediatric Obstructive Sleep Apnea (OSA) is a condition that may lead to a variety of comorbidities in adolescence and adulthood. The gold standard of diagnosing OSA is polysomnography (PSG). Over the past fifteen years numerous publications have explored how to better visualize the upper airway to further assess OSA in the pediatric population, and eventually institute personalized treatment. Lateral neck radiograph, cephalometry, computed axial tomography, and magnetic resonance imaging are all unique imaging techniques that are used in the diagnosis of OSA. Drug Induced Sleep Endoscopy is a direct visualization technique that is gathering momentum in pediatrics. Each approach has respective benefits and weaknesses. However, none of them at this time can replace PSG. They are a helpful supplement in those patients with complicated upper airway anatomy and in those with residual OSA. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:48 / 54
页数:7
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