Fiber-optic sleep endoscopy in children with persistent obstructive sleep apnea: Inter-observer correlation and comparison with awake endoscopy

Fishman, Gadi; Zemel, Meir; DeRowe, Ari; Sadot, Efraim; Sivan, Yakov; Koltai, Peter J.

doi:10.1016/j.ijporl.2013.02.002

Cited by 69 publications

(69 citation statements)

References 12 publications

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“…f ) Adenoid regrowth has been demonstrated in 12.2% of non-obese children with OSAS at 1.5 years post-adenotonsillectomy using nasopharyngoscopy (class IV) [255]. Drug-induced sleep endoscopy in children with persistent SDB may demonstrate laryngomalacia, adenoidal tissue regrowth, tongue base obstruction and pharyngeal collapse (class III and IV) [69,[263][264][265]. MRI of the upper airway may reveal residual adenoid tissue in obese children with persistent OSAS following adenotonsillectomy (class IV) [266].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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“…The technique was first described in the late eighties [18,19] and subsequently validated in several independent studies [20][21][22][23]. However, to date, only few articles have been published in children [15,16,[24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Drug Induced Sleep Endoscopy in the decision-making process of children with obstructive sleep apnea

et al. 2015

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“…[19][20][21] Compared with awake endoscopy, it better demonstrates collapse of the tongue base and pharyngeal wall. 22 Adenotonsillectomy Waldeyer ring, comprising the adenoids, palatine tonsils, and lingual tonsil, is a collection of lymphoid tissues surrounding the entrance to the aerodigestive tract. Hypertrophy may lead to nasal obstruction, snoring, obstructive sleep apnea, choking, and dysphagia.…”

Section: Patient Selection and Evaluationmentioning

confidence: 99%

Surgical management of sleep-disordered breathing in children

Qualls

Rimell

2015

Operative Techniques in Otolaryngology-Head and Neck Surgery

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Fiber-optic sleep endoscopy in children with persistent obstructive sleep apnea: Inter-observer correlation and comparison with awake endoscopy

Cited by 69 publications

References 12 publications

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Drug Induced Sleep Endoscopy in the decision-making process of children with obstructive sleep apnea

Surgical management of sleep-disordered breathing in children

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