Pediatric Obstructive Sleep Apnea.
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.
Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2021, Cincinnati, OH 45229, USA.
Zarmina
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Ehsan
Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2021, Cincinnati, OH 45229, USA; Division of Pediatric Otolaryngology - Head & Neck Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2018, Cincinnati, OH 45229, USA; University of Cincinnati School of Medicine, Department of Otolaryngology - Head & Neck Surgery, 231 Albert Sabin Way, MSB 6503, Cincinnati, Ohio 45267-0528, USA. Electronic address: stacey.ishman@cchmc.org.
Stacey L
SL
Ishman
D000233:Adenoidectomy; D000281:Administration, Intranasal; D000777:Anesthetics / Q000008:administration & dosage; D002648:Child; D045422:Continuous Positive Airway Pressure; D004724:Endoscopy; D005938:Glucocorticoids; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008487:Medical History Taking; D015508:Nasal Obstruction / Q000601:surgery; D019647:Oral Surgical Procedures; D009968:Orthodontic Appliances, Removable; D019990:Perioperative Care; D010808:Physical Examination; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000628:therapy*; D014068:Tonsillectomy; D015431:Weight Loss
D000777:Anesthetics; D005938:Glucocorticoids
Diagnosis; Management; Obstructive sleep apnea; Pediatric