Before determining the need for tonsillectomy, it is highly beneficial to refer children with sleep-disordered breathing for polysomnography (PSG)
Practice Focus » Sleep Medicine
Polysomnography (PSG) has been recommended by the American Academy of Pediatrics as the gold standard for the diagnosis of obstructive sleep apnea (OSA) versus mild sleep disordered breathing (SDB) prior to tonsillectomy and adenoidectomy (T+A) in children. Mild SDB includes primary snoring and upper airway resistance syndrome. Controversy exists regarding the accuracy of history and physical exam (H+P) alone in children for the diagnosis of OSA versus mild SDB prior to T+A. Thus, PSG has been recommended to confirm the diagnosis
Otolaryngologists discuss negative pressure redux, combination therapies and airflow-detecting technology in sleep breathing disorders
What is the association between sleep apnea and hypertension in younger patients? Background: Younger patients with sleep apnea have a higher cardiovascular mortality rate compared with their normal counterparts. Because treating sleep apnea in hypertensive patients has been proven to reduce blood pressure, young patients with hypertension may be a good target screening population for […]
What is the relationship between pre-operative clinical diagnosis of obstructive sleep apnea (OSA) and post-operative hemorrhage? Background: In general, post-operative complications following tonsillectomy are rare, with hemorrhage being one of the most serious complications. The overall rate of hemorrhage following the surgery is approximately 4.5 percent. The variability of primary and secondary hemorrhage rates can […]
Awards for the best Triological theses this year went to three researchers, including two co-Mosher Award winners and a Fowler award winner. The awards were given here at the 115th Annual Meeting of the Triological Society on April 20, held as part of the Combined Otolaryngology Spring Meetings.
Oral appliances may work better than CPAP for some patients
For otolaryngologists seeing increasing numbers of children with sleep-disordered breathing, whether or not to refer children for a polysomnography (PSG) prior to surgery is not a decision easily made. Currently, only about 10 percent of otolaryngologists request a sleep study in children with sleep-disordered breathing prior to surgery.
The most significant danger to children now is obesity, and of the many related comorbidities that affect obese children, obstructive sleep apnea (OSA) will impact a child’s life more than anything else, according to Carole Marcus, MD, an invited lecturer here last month at SLEEP 2011, the 25th Annual Meeting of the Associated Professional Sleep Societies.Dr. Marcus is a professor of pediatrics at the University of Pennsylvania and director of the sleep center at Children’s Hospital of Philadelphia.
For patients undergoing surgery, identification of known or suspected obstructive sleep apnea (OSA) is critical to avoid or minimize surgical complications that are increased in these patients, experts said here last month at SLEEP 2011, the 25th Annual Meeting of the Associated Professional Sleep Societies.