Surgical correction of obstructive sleep apnea in the complicated pediatric patient documented by polysomnography

Cognition, sleep and respiration in at-risk children treated for obstructive sleep apnoea

“…As expected, and previously reported [16,17,[19][20][21], marked pre-to-post-surgical changes in respiratory indices during sleep were found. Both the AHI and apnoea index were reduced after T&A, and no longer differed from those of matched controls.…”

“…The preferred treatment for OSA in otherwise healthy children is tonsillectomy and adenoidectomy (T&A) [16,17]. Although T&A may not be universally effective in paediatric patients [18], several studies have shown that post-operative recovery from OSA treated with T&A includes normalisation of sleep and respiratory measures [16,17,[19][20][21], and improvements in school performance [2], cognitive function [13,22,23], behaviour [24] and quality of life [25,26].…”

Temperature-Controlled Radiofrequency Treatment of Tonsillar Hypertrophy for Reduction of Upper Airway Obstruction in Pediatric Patients

“…[5][6][7][8][9] The average nadir arterial oxygen percentage of saturation increases while endtidal carbon dioxide decreases. 6,[9][10][11] Other studies have shown improvements in obstructive respiratory events, malocclusions, behavior, and learning. [5][6][7][8][10][11][12][13][14] However, current tonsillectomy techniques are not free of disadvantages or complications.…”

Hipertrofia de amígdala lingual y apnea obstructiva del sueño en población pediátrica: Una asociación a considerar

“…En aquellos pacientes en los que la posibilidad de AOS residual está incrementada, debiera realizarse un PSG posoperatorio de rutina. Estos pacientes incluyen aquellos con obesidad, trastornos neuromusculares, trisomía 21 y síndromes craneofaciales 18 . En estudios imagenológicos con resonancia magnética de niños con AOS pese a AA previa, el 33% presenta AL visibles, al compararlos con controles sanos (0%), siendo una diferencia estadís-ticamente significativa.…”