Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children

Stahl, Avishai; Dagan, Or; Nageris, Ben I.; Ebner, Yaniv

doi:10.1007/s00405-020-06047-y

Cited by 2 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Children under 12 months benefitted the most. Since the RECKLEY et al [90] meta-analysis, three studies have been published on the efficacy of isolated adenoidectomy for OSAS [91][92][93]. The need for revision or additional surgery ranged from 18% to 34%, with risk factors being young age at the time of surgery, tonsillar size and gastro-oesophageal reflux [91][92][93].…”

Section: Adenoidectomy and Tonsillectomymentioning

confidence: 99%

An update on diagnosis and management of obstructive sleep apnoea in the first 2 years of life

Polytarchou,

Moudaki,

Van de Perck

et al. 2024

Eur Respir Rev

View full text Add to dashboard Cite

The aim of this review is to summarise evidence that became available after publication of the 2017 European Respiratory Society statement on the diagnosis and management of obstructive sleep apnoea syndrome (OSAS) in 1- to 23-month-old children. The definition of OSAS in the first 2 years of life should probably differ from that applied in children older than 2 years. An obstructive apnoea–hypopnoea index >5 events·h−1may be normal in neonates, as obstructive and central sleep apnoeas decline in frequency during infancy in otherwise healthy children and those with symptoms of upper airway obstruction. A combination of dynamic and fixed upper airway obstruction is commonly observed in this age group, and drug-induced sleep endoscopy may be useful in selecting the most appropriate surgical intervention. Adenotonsillectomy can improve nocturnal breathing in infants and young toddlers with OSAS, and isolated adenoidectomy can be efficacious particularly in children under 12 months of age. Laryngomalacia is a common cause of OSAS in young children and supraglottoplasty can provide improvement in children with moderate-to-severe upper airway obstruction. Children who are not candidates for surgery or have persistent OSAS post-operatively can be treated with positive airway pressure (PAP). High-flow nasal cannula may be offered to young children with persistent OSAS following surgery, as a bridge until definitive therapy or if they are PAP intolerant. In conclusion, management of OSAS in the first 2 years of life is unique and requires consideration of comorbidities and clinical presentation along with PSG results for treatment decisions, and a multidisciplinary approach to treatment with medical and otolaryngology teams.

show abstract