Cognitive and behavioral after adenotonsillectomy in apnea syndrome obstructive sleep childhood

Esteller, Eduard Carbonell i; Segarra, Francisco; Barceló, Mónica Ibáñez; Girabent, M.; Roure, Núria; Estivill, E.

doi:10.1016/j.sleep.2013.11.358

Cited by 1 publication

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“…While the cognitive consequences of pediatric OSA are well established, their reversibility after surgical treatment remains controversial. Multiple small studies have demonstrated improvement of cognitive deficits, 21,22 while other studies have failed to show any improvement in cognitive indices even one year after surgery 23‐25 . Unfortunately, almost all studies have excluded younger as well as underweight children, which make data in this vulnerable population sparse.…”

Section: Introductionmentioning

confidence: 99%

Pediatric obstructive sleep apnea: Preoperative and neurocognitive considerations for perioperative management

Chandrakantan

Musso

Floyd

2020

Pediatric Anesthesia

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Obstructive sleep apnea (OSA) affects up to 7.5% of the pediatric population and is associated with a variety of behavioral and neurocognitive sequelae. Prompt diagnosis and treatment is critical to halting and potentially reversing these changes. Depending on the severity of the OSA and comorbid conditions, different treatment paradigms can be pursued, each of which has its own unique risk:benefit ratio. Adenotonsillectomy is first‐line recommended surgical treatment for pediatric OSA. However, it carries its own perioperative risks and the decision regarding surgical timing is therefore made in the context of procedural risk versus patient benefit. This article presents the seminal perioperative and neurocognitive risks from pediatric OSA to aid with perioperative management.

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Section: Introductionmentioning

confidence: 99%