Articles tagged with "Obstructive sleep apnea"

Is Polysomnagraphy Required Prior to T+A for Diagnosis of OSA versus Mild Sleep Disordered Breathing in Children?

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

OSA Patients Less Likely to Have Post-Op Bleeding

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 […]

Mild OSA Linked to Nasal Obstruction

What impact does nasal obstruction have on obstructive sleep apnea (OSA) as measured by polysomnography (PSG)? Background: While nasal obstruction is often identified and treated in patients with OSA, its role […]

Drug-Induced Sleep Endoscopy Provides Insight into OSA

Can drug-induced sleep endoscopy (DISE) help determine the mechanisms for lack of response to surgery for obstructive sleep apnea (OSA)? Background: The most common OSA surgical treatment in the U.S. is […]

A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate

Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.

New OSA Clinical Guideline

What is the current recommended standard for evaluation and treatment of sleep-disordered breathing and obstructive sleep apnea (OSA)?  Background: There is lack of consensus about diagnostic protocols for OSA in adults. […]