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Obstructive Sleep Apnea in the Very Young

  • Pediatric Otolaryngology (I Bruce, Section Editor)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The aim of this report was to review the recent literature related to the assessment and management of obstructive sleep apnea (OSA) in children under the age of 2 years.

Recent Findings

Adenotonsillectomy (AT) indications are changing, with a greater proportion of younger children undergoing AT for OSA. Medical therapies may be an alternative to AT in mild-moderate OSA cases; however, further research is needed. Coblation® intracapsular tonsillectomy may confer benefits in reduced post-operative pain and hemorrhage. Recent concerns regarding the safety of general anesthesia in young children are an important area for further investigation.

Summary

There is a paucity of literature related to OSA in children younger than 2 years. Recent large-scale trials have actively excluded children from this age group and there are no planned studies of this specific population. These children represent a distinct population with differing etiologies, presentations, investigations, and management consideration.

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References

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

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  1. Department of Paediatric Otolaryngology, Great North Children’s Hospital, Newcastle upon Tyne, NE1 4LP, UK

    Jason Powell & Steven Powell

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Powell, J., Powell, S. Obstructive Sleep Apnea in the Very Young. Curr Otorhinolaryngol Rep 6, 48–55 (2018). https://doi.org/10.1007/s40136-018-0184-6

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