Treatment of Childhood Obstructive Sleep Apnea

被引：0
作者：
Ameet S. Daftary
Suresh Kotagal
机构：
[1] Mayo Clinic,Departments of Neurology, Pediatrics and the Center for Sleep Medicine
[2] Mayo Clinic,Departments of Neurology, Pediatrics and the Center for Sleep Medicine
来源：
Current Treatment Options in Neurology | 2010年 / 12卷
关键词：
Obstructive Sleep Apnea; Continuous Positive Airway Pressure; Montelukast; Distraction Osteogenesis; Nasal Continuous Positive Airway Pressure;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
An array of surgical, medical and orthodontic treatments is available for treating childhood obstructive sleep apnea. Adenotonsillectomy remains the first choice in treatment, with a need for subsequent clinical and polysomnographic reassessment in selected cases to determine residual sleep-disordered breathing. Residual obstructive sleep apnea is more likely in patients with craniofacial abnormalities or obesity. It may require the use of a positive airway pressure breathing device. Topical corticosteroids, leukotriene antagonists, weight reduction, and positional therapy also play a role in ameliorating childhood obstructive sleep apnea. The published evidence for the efficacy of various treatment modalities consists largely of case-controlled studies and case reports.
引用
收藏
页码：369 / 378
页数：9
相关论文
共 112 条
[1]  
Gastaut H(1965)Etude polygraphique des manifestations episodiques (hypniques et respiratoires) du syndrome de Pickwick [in French] Rev Neurol (Paris) 112 568-579
[2]  
Tassinari C(1965)Neurophysiological studies of abnormal night sleep and the Pickwickian syndrome Prog Brain Res 18 140-159
[3]  
Duron B(1976)Sleep apnea in eight children Pediatrics 58 23-30
[4]  
Jung R(2001)Prevalence of obstructive sleep apnea syndrome in a cohort of 1207 children of Southern Italy Chest 120 1930-1935
[5]  
Kuhlo W(2003)Prevalence and risk factors for sleep-disordered breathing in 8 to 11 year old children: association with race and prematurity J Pediatr 142 383-389
[6]  
Guilleminault C(2002)Health care service utilization in children with obstructive sleep apnea syndrome Pediatrics 110 68-72
[7]  
Eldridge F(2002)Subcommittee on Obstructive Sleep Apnea Syndrome, American Academy of Pediatrics: Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome Pediatrics 109 704-712
[8]  
Simmons F(2006)The effectiveness of tonsillectomy and adenoidectomy in treatment of pediatric obstructive sleep apnea/hypopnea syndrome: a meta-analysis Otolaryngol Head Neck Surg 134 979-984
[9]  
Brunetti L(2005)Obstructive sleep apnea in pediatric patients: evaluation with cine MR sleep studies Radiology 236 768-778
[10]  
Rana S(2004)Maxillomandibular expansion for the treatment of sleep disordered breathing: preliminary result Laryngoscope 114 893-896
12345678910