Late-onset laryngomalacia: A cause of pediatric obstructive sleep apnea

Revell, Sally M.; Clark, William D.

doi:10.1016/j.ijporl.2010.11.007

Cited by 54 publications

(36 citation statements)

References 28 publications

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“…f ) Adenoid regrowth has been demonstrated in 12.2% of non-obese children with OSAS at 1.5 years post-adenotonsillectomy using nasopharyngoscopy (class IV) [255]. Drug-induced sleep endoscopy in children with persistent SDB may demonstrate laryngomalacia, adenoidal tissue regrowth, tongue base obstruction and pharyngeal collapse (class III and IV) [69,[263][264][265]. MRI of the upper airway may reveal residual adenoid tissue in obese children with persistent OSAS following adenotonsillectomy (class IV) [266].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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“…Eight studies reported the data for a postoperative AHI <1, and the random effects model estimate for the success rate was 28% (95% CI, 18%e42%; Fig. 4) [48e51, 53,55,56,58].…”

Section: Success Rate After Supraglottoplastymentioning

confidence: 99%

“…Complications after supraglottoplasty were rare and included failure to extubate [48], lung collapse [50], suture dislodgement [51], and abscess formation [58]. Revision surgeries, including tracheostomy [48], revision supraglottoplasty [51,52], and adenotonsillectomy [52,53], were occasionally performed in cases with residual disease. Adenotonsillectomy was considered a treatment option in children with persistent OSA after supraglottoplasty and adenotonsillar hypertrophy [52,53].…”

Section: Follow-up Period Complications and Revision Surgeriesmentioning

confidence: 99%

Treatment outcomes of supraglottoplasty for pediatric obstructive sleep apnea: A meta-analysis

Lee

Hsu

Lee

et al. 2016

International Journal of Pediatric Otorhinolaryngology

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“…[1][2][3][4] Owing to the atypical presentations and unusually advanced age at the time of presentation, terms such as state dependent, late onset, or occult LM have been coined. [5][6][7][8][9] However, to our knowledge there have not been epidemiological reports with robust size or design that can justify the connotation of causation or determine the prevalence of these observations. Meanwhile, it is believed that approximately 20% of children with LM require supraglottoplasty (SGP).…”

mentioning

confidence: 99%

Factors Associated With the Morphological Type of Laryngomalacia and Prognostic Value for Surgical Outcomes

Erickson

Cooper

El‐Hakim

2014

JAMA Otolaryngol Head Neck Surg

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Type of LM varies by age and primary presentation. Outcome of management is poorer for males and in the presence of a neurological diagnosis. The findings of the present study may help in counseling parents on the risks and benefits of SGP surgery as well as on expected outcomes postoperatively. Further work is required in validating an existing classification scheme for LM or developing a new, validated classification system with may be used for future outcomes research.

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Late-onset laryngomalacia: A cause of pediatric obstructive sleep apnea

Cited by 54 publications

References 28 publications

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Treatment outcomes of supraglottoplasty for pediatric obstructive sleep apnea: A meta-analysis

Factors Associated With the Morphological Type of Laryngomalacia and Prognostic Value for Surgical Outcomes

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