The role of hyoid procedures in the surgical management of SDB remains uncertain, as several reports have emerged questioning their potential benefit.
Testing Recommendation for Children with Sleep-Disordered Breathing
Before determining the need for tonsillectomy, it is highly beneficial to refer children with sleep-disordered breathing for polysomnography (PSG)
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
Pediatric Obesity and Sleep Apnea
COSM 2012: Award Winners Tackle Sleep-Disordered Breathing, Unilateral Hearing Loss and Tumor Resections
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.
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 in the pathogenesis or exacerbation of sleep-disordered breathing (SDB) has not been clearly shown. Several previous studies have used nasal packing or complete nasal obstruction […]
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.
The Sleepy Child Conundrum: What to consider when SDB is ruled out
In a modern society that is constantly “on,” with 24-hour news channels, Internet connection, cell phones, video games, and a rapid pace of life unequaled in previous generations, sleep deprivation and sleep disorders are not only a risk—they are a given.
Nose News: Sleep-Disordered Breathing, Middle Meatal Stents
Just how much of the nose plays a role in sleep-disordered breathing should probably get a bit more attention.
Otolaryngologists Must Be at the Forefront of Diagnosing Sleep Disorders
The general otolaryngologist’s office practice is full of patients with sleep disorders-the hypertensive male with epistaxis, the snoring child with ADHD, the woman with fatigue and restless sleep.