International Pediatric Otolaryngology group (IPOG) consensus on the diagnosis and management of pediatric obstructive sleep apnea (OSA)

Benedek, Pálma; Balakrishnan, Karthik; Cunningham, Michael J.; Friedman, Norman R.; Goudy, Steven L.; Ishman, Stacey L.; Katona, Gábor; Kirkham, Erin M.; Lam, Derek J.; Leboulanger, N.; Lee, Gi Soo; Treut, C. Le; Mitchell, Ron B.; Muntz, Harlan R.; Musso, Mary Frances; Parikh, Sanjay R.; Rahbar, Reza; Roy, Soham; Russell, John; Sidell, Douglas; Sie, Kathleen C.Y.; Smith, Richard J.H.; Soma, Marlene; Wyatt, Michelle; Zalzal, George H.; Zur, Karen B.; Boudewyns, An

doi:10.1016/j.ijporl.2020.110276

Cited by 46 publications

(60 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with AHI values between 1-4.9 were classified as mild OSA, 5 to 9.9 cases as moderate OSA and 10> cases as severe OSA. 21 According to this classification, 16 patients had mild, 13 patients had moderate and 17 patients had severe OSA at the beginning of the treatment in this study. When the AHI changes according to the treatment were evaluated, it was found that there was a decrease in the TTB and BB groups but this was not significant.…”

Section: Main Findings In the Context Of The Evidence Interpretationmentioning

confidence: 61%

“…The following eligibility criteria were applied: (1) no previous tonsillar, nasal or adenoid surgery and orthodontic treatment, (2) bilateral crossbite and need for RME, (3) maxillary and mandibular permanent teeth fully erupted, (4) AHI [?] 1 defined as OSA (21). Exclusion criteria were the presence of adenotonsillectomy or nasopharyngeal/oropharyngeal pathologies, craniofacial syndromes, body mass index (BMI) [?…”

Section: Participants Eligibility Criteria and Settingsmentioning

confidence: 99%

“…The groups also showed similar characteristics concerning about variables of sleep (95% (CI),p > 0.05, Table 2). According to AHI classification, 21 16 patients had mild, 13 patients had moderate and 17 patients had severe OSA at baseline of treatment.…”

Section: Baseline Datamentioning

confidence: 99%

“…The most commonly used parameter for determining the severity of OSA and respiratory events is AHI. 21 AHI refers to the total number of apneas and hypopneas per hour during sleep. It is considered as abnormal if the value is more than 1 hour per hour in children.…”

Section: Main Findings In the Context Of The Evidence Interpretationmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of the Effects of Different Rapid Maxillary Expansion Appliances on Obstructive Sleep Apnea: A randomized clinical trial

Gökçe

Başoğlu

Veli

2021

Preprint

View full text Add to dashboard Cite

Purpose The aim of this randomized clinical trial was to evaluate the effects of tooth tissue-borne (TTB), tooth-borne (TB), and bone-borne (BB) rapid maxillary expansion appliances on obstructive sleep apnea (OSA) severity. Trial design Three-arm parallel randomized controlled trial. Methods This study was designed in parallel with an allocation ratio of 1:1:1. Forty six patients with narrow maxilla and diagnosis of OSA recruited from the Department of Orthodontics, ### University were randomly assigned to three groups according to appliance used: tooth tissue-borne, tooth-borne and bone-borne expanders. The primary outcome of this study included polygraphic change in sleep parameters. Secondary outcome was the correction of posterior crossbite. Each subject underwent overnight sleep test with polygraphy at baseline and 3 month-follow-up of treatment. Randomization was performed using a computer-generated randomization program The outcome assessor was blinded to group assignment. For the statistical analysis, Kruskal-Wallis analysis and Dunn-Bonferroni tests were used for inter-group comparisons and Wilcoxon analysis was used for intra-group evalaution. p<0.05 was accepted statistically significant. Results The amount of expansion in maxillary width and upper intermolar width were similar in all goups (95% confidence interval [CI], p>0.05). The groups were similar in terms of apnea-hypopnea index (AHI) and oxygen saturation parameters at baseline (95% [CI], p>0.05). After 3 months of treatment, there was no significant decrease in AHI and oxygen desaturation index, and no increase in minimum and mean oxygen saturations (95% [CI], p>0.05). Supine AHI values were decreased by the tooth tissue-borne and tooth-borne appliances, but these changes were not significant (95% [CI], p>0.05). Harms No serious harm ocurred except mild gingivitis. Conclusions Similar skeletal and dental expansion of maxilla were observed after RME with all expanders. Although the decrease in AHI was not significant, RME can be used as an adjunct to the primary treatment in OSA patients.

show abstract

Section: Main Findings In the Context Of The Evidence Interpretationmentioning

confidence: 61%

Section: Participants Eligibility Criteria and Settingsmentioning

confidence: 99%

Section: Baseline Datamentioning

confidence: 99%

Section: Main Findings In the Context Of The Evidence Interpretationmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of the Effects of Different Rapid Maxillary Expansion Appliances on Obstructive Sleep Apnea: A randomized clinical trial

Gökçe

Başoğlu

Veli

2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Tonsillectomy for OSA appeared in the mid-1970s when OSA was recognized as a condition that not only affected adults, but children as well [4]. The current and most frequent indications for tonsillectomy (with or without adenoidectomy) include recurrent tonsil infections that meet the Paradise criteria [11] and sleep disordered breathing or obstructive sleep apnea symptoms [12][13][14].…”

Section: Changing Indications For Tonsillectomymentioning

confidence: 99%

Considerations in Surgical Management of Pediatric Obstructive Sleep Apnea: Tonsillectomy and Beyond

Uwiera

2021

Children

View full text Add to dashboard Cite

Obstructive sleep apnea (OSA) is an increasingly recognized disorder with a reported incidence of 5.7% in children. Tonsillectomy (with or without adenoidectomy) in pediatric OSA in otherwise healthy non-obese children has a success rate of approximately 75%. However, the cure rate reported for all children undergoing tonsillectomy varies from 51% to 83%. This article reviews the history of tonsillectomy, its indications, techniques, various methods, risks, and successes. The article also explores other surgical options in children with residual OSA post-tonsillectomy.

show abstract

Sleep‐disordered breathing and its management in children with rare skeletal dysplasias

Nguyen

Khirani

Griffon

et al. 2021

American J of Med Genetics Pt A

View full text Add to dashboard Cite

Sleep‐disordered breathing (SDB) is common in patients with skeletal dysplasias. The aim of our study was to analyze SDB and respiratory management in children with rare skeletal dysplasias. We performed a retrospective analysis of patients with spondyloepiphyseal dysplasia congenita (SEDC), metatropic dysplasia (MD), spondyloepimetaphyseal dysplasia (SEMD), acrodysostosis (ADO), geleophysic dysplasia (GD), acromicric dysplasia (AD), and spondylocostal dysplasia (SCD) between April 2014 and October 2020. Polygraphic data, clinical management, and patients' outcome were analyzed. Thirty‐one patients were included (8 SEDC, 3 MD, 4 SEMD, 1 ADO, 4 GD, 3 AD, and 8 SCD). Sixteen patients had obstructive sleep apnea (OSA): 11 patients (2 with SEDC, 1 with SEMD, 1 with ADO, 1 with GD, 2 with AD, and 4 with SCD) had mild OSA, 2 (1 SEMD and 1 GD) had moderate OSA, and 3 (1 SEDC, 1 MD, 1 SEMD) had severe OSA. Adenotonsillectomy was performed in one patient with SCD and mild OSA, and at a later age in two other patients with ADO and AD. The two patients with moderate OSA were treated with noninvasive ventilation (NIV) because of nocturnal hypoxemia. The three patients with severe OSA were treated with adenotonsillectomy (1 SEDC), adeno‐turbinectomy and continuous positive airway pressure (CPAP; 1 MD), and with NIV (1 SEMD) because of nocturnal hypoventilation. OSA and/or alveolar hypoventilation is common in patients with skeletal dysplasias, underlining the importance of systematic screening for SDB. CPAP and NIV are effective treatments for OSA and nocturnal hypoventilation/hypoxemia.

show abstract

International Pediatric Otolaryngology group (IPOG) consensus on the diagnosis and management of pediatric obstructive sleep apnea (OSA)

Cited by 46 publications

References 35 publications

Evaluation of the Effects of Different Rapid Maxillary Expansion Appliances on Obstructive Sleep Apnea: A randomized clinical trial

Evaluation of the Effects of Different Rapid Maxillary Expansion Appliances on Obstructive Sleep Apnea: A randomized clinical trial

Considerations in Surgical Management of Pediatric Obstructive Sleep Apnea: Tonsillectomy and Beyond

Sleep‐disordered breathing and its management in children with rare skeletal dysplasias

Contact Info

Product

Resources

About