Lingual Tonsillectomy for Treatment of Pediatric Obstructive Sleep Apnea

Kang, Kun Tai; Koltai, Peter J.; Lee, Chia Hsuan; Lin, Ming Tzer; Hsu, Wu-Hsiao

doi:10.1001/jamaoto.2016.4274

Cited by 58 publications

(53 citation statements)

References 70 publications

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“…In adults, the procedure of reducing lingual tonsil through Trans Oral Robotic Surgery (TORS) is widely used. In children, it is not a common procedure [38,39]. In particular, the young patient of Figure 3 underwent robotic surgery due to severe OSAS with disabling symptoms without adenotonsillar hypertrophy or other risk factors.…”

Section: Risk Factorsmentioning

confidence: 99%

Risk Factors for Obstructive Sleep Apnea Syndrome in Children: State of the Art

Gulotta

Iannella

Vicini

et al. 2019

IJERPH

142

135

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The obstructive sleep apnea syndrome (OSAS) represents only part of a large group of pathologies of variable entity called respiratory sleep disorders (RSD) which include simple snoring and increased upper airway resistance syndrome (UARS). Although the etiopathogenesis of adult OSAS is well known, many aspects of this syndrome in children are still debated. Its prevalence is about 2% in children from 2 to 8 years of age, mostly related to the size of the upper airways adenoid tissue. Several risk factors linked to the development of OSAS are typical of the pediatric age. The object of this paper is to analyze the state of the art on this specific topic, discussing its implications in terms of diagnosis and management.

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Section: Risk Factorsmentioning

confidence: 99%

Risk Factors for Obstructive Sleep Apnea Syndrome in Children: State of the Art

Gulotta

Iannella

Vicini

et al. 2019

IJERPH

142

135

View full text Add to dashboard Cite

show abstract

“…Finally, volume reduction of the lingual tonsil is indicated when its hypertrophy has been confirmed by fibroscopy and after failure of adenotonsillectomy 1,22 . This surgical technique has mainly been reported in children with Down syndrome in whom hypertrophy of lymphoid organs is part of the clinical picture 22,26 .…”

Section: Management Of Risk Factorsmentioning

confidence: 99%

Obstructive sleep apnea syndrome (OSA) in adolescents: therapeutic management

Amaddeo

Griffon²,

Thierry³

et al. 2018

J Dentofacial Anom Orthod

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Obstructive sleep apnea (OSA) in adolescents is characterized by a predominance of OSA type 2 which is associated with overweight/obesity. The treatment of OSA in adolescents depends on the cause of OSA and its risk and / or precipitating factors. Adenotonsillectomy is the cornerstone of OSA treatment in case of hypertrophy of the adenoids and/or tonsils. An anti-inflammatory treatment has proven its efficacy in mild to moderate or mild residual OSA after adenotonsillectomy. Orthodontic treatments such as rapid maxillary expansion or jaw positioning are indicated in case of dentofacial disharmonies. Continuous positive airway pressure (CPAP), is mainly indicated in type-3 OSA, which is associated with craniofacial or upper airway malformations or anomalies and should be performed by a pediatric multidisciplinary team having an expertise in sleep and OSA. Finally, maxillofacial or craniofacial surgery may be indicated in adolescents with type-3 OSA. In conclusion, the treatment of OSA in adolescents is based on the type of OSA, its severity and the medical characteristics of each patient.

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“…18 Consequently, additional surgical treatment options for both nonsyndromic children and children with DS have been utilized including lingual tonsillectomy, supraglottoplasty, and maxillomandibular advancement. [19][20][21][22] The increased use of these surgeries in children with OSA has been previously described. 23 This study aimed to investigate the trends in pediatric sleep surgery for children with DS.…”

Section: Introductionmentioning

confidence: 99%

“…Although the recommended second‐line therapy for children with persistent OSA after T&A is continuous positive airway pressure, children have poor compliance with this therapy . Consequently, additional surgical treatment options for both nonsyndromic children and children with DS have been utilized including lingual tonsillectomy, supraglottoplasty, and maxillomandibular advancement . The increased use of these surgeries in children with OSA has been previously described .…”

Section: Introductionmentioning

confidence: 99%