Adolescent obstructive sleep apnoea syndrome: Characteristics and treatment.

[Adolescent obstructive sleep apnoea syndrome: Characteristics and treatment]. Rev Mal Respir. 2019 Jun 26;: Authors: Nguyen XL, Briffod J, Couloigner V, Darqué F, Kerbrat JB, Vecchierini MF Abstract Although the prevalence of the obstructive sleep apnoea syndrome (OSAS) is high in adolescents, studies pertaining to adolescent OSAS are less numerous than childhood studies. Cases of adolescent OSAS may consist of residual OSAS after adenotonsillectomy, but most often are de novo cases. Major pathophysiological factors are weight excess or even high-grade obesity, and the association of upper airway narrowing and tonsillar hypertrophy (pharyngeal, palatal or even lingual). ENT and systematic orthodontic assessments are the main points. In case of predisposing factors such as dental, occlusal or dento-facial abnormalities, a specific orthodontic treatment can be discussed. First line treatment is surgical adenotonsillectomy; surgical reduction of the lingual tonsils is seldom required. CPAP treatment may be indicated in the case of severe comorbidities (craniofacial malformations, neuromuscular diseases…) or in obese adolescents with severe residual OSAS. Treatment of adolescent OSAS has to be comprehensive and multidisciplinary, taking into account the specific treatments of obesity and abnormal sleep/wake rhythms. PMID: 31255317 [PubMed - as supplied by publisher]
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research

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Int Arch Otorhinolaryngol DOI: 10.1055/s-0039-1685156 Introduction Upper airway obstruction at multiple sites, including the velum, the oropharynx, the tongue base, the lingual tonsils, or the supraglottis, has been resulting in residual obstructive sleep apnea (OSA) after tonsillectomy and adenoidectomy (TA). The role of combined lingual tonsillectomy and tongue base volume reduction for treatment of OSA has not been studied in nonsyndromic children with residual OSA after TA. Objective To evaluate the outcomes of tongue base volume reduction and lingual tonsillectomy in children with residual OSA after TA...
Source: International Archives of Otorhinolaryngology - Category: ENT & OMF Authors: Tags: Original Research Source Type: research
To examine weight changes relative to surgical success in children with Down syndrome and obstructive sleep apnea (OSA).
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Original Article Source Type: research
Objectives/HypothesisTo study rates of respiratory complications/interventions among inpatient tonsillectomy patients in the United States and identify risk factors for these events.Study DesignRetrospective database review.MethodsChildren (age  
Source: The Laryngoscope - Category: ENT & OMF Authors: Tags: Pediatrics Source Type: research
Publication date: October 2018Source: Anaesthesia Critical Care &Pain Medicine, Volume 37, Issue 5Author(s): Florence Julien-Marsollier, Pierre Salis, Rachida Abdat, Thierno Diallo, Thierry Van Den Abbelle, Souhayl DahmaniAbstractIntroductionTonsillectomy is considered as a therapeutic option in obstructive sleep apnoea syndrome (OSAS). Postoperative respiratory failure is a complication that can require respiratory support. The main objective of our study is to determine risk factors of postoperative respiratory complications in children undergoing tonsillectomy.Material and methodsThis is a retrospective single centr...
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
Conclusions:Association ofθavg with OAI and OAHI shows thatθavg reflects airway obstruction and has potential use as a quantitative indicator of OSA. RIP provides valuable information that is readily available in PSG. The significant difference betweenθavg in stage N3 sleep and stage R sleep confirms the clinical observation that there is more asynchrony during rapid eye movement sleep than non-rapid eye movement sleep.Citation:Bronstein JZ, Xie L, Shaffer TH, Chidekel A, Heinle R. Quantitative analysis of thoracoabdominal asynchrony in pediatric polysomnography.J Clin Sleep Med. 2018;14(7):1169–1176.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Follow me on Twitter @drClaire Tonsillectomies are one of the most common surgeries performed on children — but the decision to do one should not be taken lightly. In 1965, there were about a million tonsillectomies (with or without adenoidectomy, a surgery often done at the same time) performed on children younger than 15 years old. By 2006 that number had dropped by half, and by 2010 it had dropped by half again. Why the drop? Well, complications are common. In fact, one in five children who have a tonsillectomy has a complication. The most common is breathing difficulty, which can affect one in 10. Bleeding affect...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Children's Health Ear, nose, and throat Parenting Surgery Source Type: blogs
AbstractPurpose of ReviewReview the current state of the adenoidectomy procedure in the pediatric population with up-to-date indications for surgery, operative techniques, adverse events, non-surgical management of adenoid hypertrophy, and future directions.Recent FindingsAdenoidectomy is indicated in children for the treatment of sleep-disordered breathing, nasal airway obstruction, recurrent acute otitis media, and chronic rhinosinusitis. A new recommendation was released in 2016, not supporting adenoidectomy for a primary indication of otitis media in children under 4  years old, including those with prior tympanos...
Source: Current Otorhinolaryngology Reports - Category: ENT & OMF Source Type: research
Purpose of review Allergic rhinitis and nonallergic rhinitis (NAR) are common disorders, which have been considered as potential risk factors for obstructive sleep apnea (OSA). This review summarizes the proposed underlying pathophysiological mechanisms to provide a better understanding of the relationship between these conditions. Recent findings In adults, allergic rhinitis and NAR may be considered as symptoms potentiating, rather than risk potentiating factors in the pathophysiology of OSA, whereas in children, these are considered to be independent predictors for sleep-disordered breathing (SDB) and failure of ad...
Source: Current Opinion in Allergy and Clinical Immunology - Category: Allergy & Immunology Tags: RHINITIS, SINUSITIS AND UPPER AIRWAY DISEASE: Edited by Ruby Pawankar and David P. Skoner Source Type: research
Conclusion: This sudy did not evidence familial aggregation of OSAS and tonsil hypertrophy.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and Control of Breathing Source Type: research
ObjectiveThe relationship between palatine tonsil (PT) size and obstructive sleep apnea (OSA) has not been well established in adults. The purpose of this study was to test the association between PT grade, PT volume, and OSA severity in U.S. adult patients. Study DesignCross‐sectional study of all patients (age ≥ 18 years) who underwent pharyngeal surgery for OSA that included palatine tonsillectomy with tonsil volume measurement from January 2011 to June 2016. MethodsMedical records were reviewed for PT grade (measured on clinical exam by the Brodsky tonsil grading scale), PT volume (measured intraoperatively by wat...
Source: The Laryngoscope - Category: ENT & OMF Authors: Tags: Original Reports Source Type: research
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