Pediatric obstructive sleep apneea – surgical treatment

Abstract

Obstructive sleep apnea is characterized by recurrent episodes of partial or complete obstruction of upper respiratory airways which appear during sleep and lead to the decrease of oxygen saturation and numerous awakenings. The symptomatology in pediatric obstructive sleep apnea is very different from the adult type in many aspects. The gold standard examination for diagnosis and evaluation of severity is polysomnography. The authors present their experience in the surgical tratament of children with obstructive sleep apnea. It is outlined a group of patient enrolled during a period of 5 years (2010-2014) who had their tonsils reduced through coblation and radiofrequency techniques.

Presentation of B-cell lymphoma in childhood and adolescence: a systematic review and meta-analysis

“…Furthermore, as our systematic review and meta-analysis included studies with > 10 participants, we may have not captured rarer relevant and important clinical presentations. These include gastrointestinal presentations such as intussusception [ 70 ] and bowel obstruction [ 71 ], upper respiratory tract symptoms such as asymmetrical tonsillar enlargement [ 72 ], sleep apnoea [ 73 ], wheeze and stridor [ 74 ], as well as rheumatic symptoms such as arthritis [ 75 ].…”

Establishing the relationship between MRI and histological tonsil size measurement in patients undergoing tonsillectomy: Our experience in 11 patients

“…However, multiple studies identified as part of the systematic review of the literature have shown that this method has a limited accuracy (Table 3). 2,4,6–8,11–15 In eight studies 2,4,6–8,11–13 , true asymmetry following histological specimen assessments was reported to range from 0% to 72%. Harley et al have compared 47 children with the tonsillar asymmetry with 43 children with symmetric tonsils on clinical examination.…”

“…shown that this method has a limited accuracy (Table 3). 2,4,[6][7][8][11][12][13][14][15] In eight studies 2,4,6-8,11-13 , true asymmetry following histological specimen assessments was reported to range from 0% to 72%.…”