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.
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页码：369 / 378
页数：9
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[21]  
Guilleminault C(2008)The prevalence, anatomical correlates and treatment of sleep-disordered breathing in obese children and adolescents Sleep Med Rev 12 339-346
[22]  
Li KK(2006)Sleep in overweight adolescents: shorter sleep, poorer sleep quality, sleepiness and sleep-disordered breathing J Pediatr Psychol 32 69-79
[23]  
Nixon GM(2008)Growth velocity predicts recurrence of sleep-disordered breathing 1 year after adenotonsillectomy Am J Respir Crit Care Med 177 654-659
[24]  
Brouillette RT(2008)Is there a clear link between overweight/obesity and sleep disordered breathing in children? Sleep Med Rev 12 347-361
[25]  
Goldbart AD(2009)Lifestyle intervention with weight reduction: first-line treatment in mild obstructive sleep apnea Am J Respir Crit Care Med 179 320-327
[26]  
Goldman JL(2009)A randomized study on the effect of weight loss on obstructive sleep apnea among obese patients with type 2 diabetes: the Sleep AHEAD study Arch Intern Med 169 1619-1626
[27]  
Veling MC(2009)Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome Am J Respir Crit Care Med 179 962-966
[28]  
Kheirandish L(2007)Association of body position with sleep architecture and respiratory disturbances in children with obstructive sleep apnea Acta Otolaryngol 127 1321-1326
[29]  
Goldbart AD(2005)Glucocorticoid receptor subunit expression in adenotonsillar tissue of children with obstructive sleep apnea Pediatr Res 57 232-236
[30]  
Gozal D(2004)Differential expression of cysteinyl leukotriene receptors 1 and 2 in tonsils of children with obstructive sleep apnea syndrome or recurrent infection Chest 126 13-18
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