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Current Concepts in the Surgical Management of Pediatric OSA

  • Sleep Apnea (B. Rotenberg, Section Editor)
  • Published:
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Abstract

Given that adenotonsillar hypertrophy is a common cause of upper airway obstruction in children with obstructive sleep apnea (OSA), adenotonsillectomy (T&A) has long been the first-line management approach. Despite the positive outcomes associated with this procedure, persistent disease occurs postoperatively in 34 % of children. A number of studies have therefore used drug-induced sleep endoscopy and other methods to identify sites of upper airway obstruction that may be amenable to surgical correction. Research is increasingly focused on the effectiveness of surgical procedures other than T&A, such as suturing of the tonsillar pillars, expansion pharyngoplasty, lingual tonsillectomy, supraglottoplasty, rapid maxillary expansion, and tongue suspension. This article presents an overview of these topics, focusing on current concepts in the surgical management of OSA.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Author information

Authors and Affiliations

  1. Division of Pediatric Otolaryngology–Head and Neck Surgery, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MLC 2018, Cincinnati, OH, 45229-3026, USA

    Stacey L. Ishman & Aliza P. Cohen

  2. Division of Pulmonary Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Stacey L. Ishman

  3. Department of Otolaryngology–Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Stacey L. Ishman

  4. Department of Otolaryngology–Head and Neck Surgery, Eastern Virginia Medical School, 601 Children’s Lane, Norfolk, VA, 23507, USA

    Cristina M. Baldassari

  5. Department of Otolaryngology–Head and Neck Surgery, The Children’s Hospital of The King’s Daughters, Norfolk, VA, USA

    Cristina M. Baldassari

Authors
  1. Stacey L. Ishman
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  2. Cristina M. Baldassari
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  3. Aliza P. Cohen
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Corresponding authors

Correspondence to Stacey L. Ishman, Cristina M. Baldassari or Aliza P. Cohen.

Additional information

This article is part of the Topical Collection on Sleep Apnea.

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Ishman, S.L., Baldassari, C.M. & Cohen, A.P. Current Concepts in the Surgical Management of Pediatric OSA. Curr Otorhinolaryngol Rep 4, 35–42 (2016). https://doi.org/10.1007/s40136-016-0103-7

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  • DOI: https://doi.org/10.1007/s40136-016-0103-7

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