2014
DOI: 10.1016/j.ijporl.2014.04.041
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Beyond adenotonsillectomy: Outcomes of sleep endoscopy-directed treatments in pediatric obstructive sleep apnea

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Cited by 92 publications
(95 citation statements)
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References 18 publications
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“…A single study evaluated tongue suspension with radiofrequency to the base of tongue, which resulted in resolution of OSA in 61% of patients. A second study evaluated DISE‐directed intervention, which usually resulted in multilevel surgery, including a combination of lingual tonsillectomy, posterior midline glossectomy, revision adenoidectomy, inferior turbinate reduction, uvulopalatopharyngoplasty, and supraglottoplasty. This trial reported that only 23% of children had OSA resolution; however, the pooling of procedures makes it hard to generalize these results.…”
Section: Discussionmentioning
confidence: 99%
“…A single study evaluated tongue suspension with radiofrequency to the base of tongue, which resulted in resolution of OSA in 61% of patients. A second study evaluated DISE‐directed intervention, which usually resulted in multilevel surgery, including a combination of lingual tonsillectomy, posterior midline glossectomy, revision adenoidectomy, inferior turbinate reduction, uvulopalatopharyngoplasty, and supraglottoplasty. This trial reported that only 23% of children had OSA resolution; however, the pooling of procedures makes it hard to generalize these results.…”
Section: Discussionmentioning
confidence: 99%
“…Cine magnetic resonance imaging (MRI) and DISE have been increasingly used to evaluate UAO in children with OSA . In both techniques, multiple sites of upper airway during spontaneous ventilation are evaluated while the patient is induced into pharmacologically produced unconscious sedation simulating sleep.…”
Section: Introductionmentioning
confidence: 99%
“…Cine MRI has been used in children who have persistent OSA after surgery or abnormalities associated with obstruction at multiple sites of the airway . DISE has been used to identify the characteristics of UAO in children undergoing adenotonsillectomy (AT) for OSA and to plan surgery at the time of AT or after AT . To date, the utility of cine MRI and DISE to delineate sites of UAO in children with OSA has not been systematically studied.…”
Section: Introductionmentioning
confidence: 99%
“…Forty‐four studies were excluded for the following reasons: the number of patients undergoing polysomnography pre‐ and postsupraglottoplasty was not provided; no quantitative data for polysomnograms was provided; only adults were included; procedure(s) were performed in addition to the supraglottoplasty with no stratification of data for those who underwent isolated supraglottplasty; only preoperative data was available; some children were sedated with choral hydrate; the postoperative data was only available for a fraction of patients; portable pulse‐oximetry was used instead of formal polysomnography; or they were review articles …”
Section: Resultsmentioning
confidence: 99%