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Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review
Joint Authors
Rana, Mandeep
August, Joshua
Levi, Jessica
Parsi, Goli
Motro, Melih
DeBassio, William
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-04
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Continuous positive airway pressure (CPAP) is considered first-line treatment in the management of pediatric patients without a surgically correctible cause of obstruction who have confirmed moderate-to-severe obstructive sleep apnea (OSA).
The evidence supports its reduction on patient morbidity and positive influence on neurobehavioral outcome.
Unfortunately, in clinical practice, many patients either refuse CPAP or cannot tolerate it.
An update on alternative approaches to CPAP for the management of OSA is discussed in this review, supported by the findings of systematic reviews and recent clinical studies.
Alternative approaches to CPAP and adenotonsillectomy for the management of OSA include weight management, positional therapy, pharmacotherapy, high-flow nasal cannula, and the use of orthodontic procedures, such as rapid maxillary expansion and mandibular advancement devices.
Surgical procedures for the management of OSA include tongue-base reduction surgery, uvulopalatopharyngoplasty, lingual tonsillectomy, supraglottoplasty, tracheostomy, and hypoglossal nerve stimulation.
It is expected that this review will provide an update on the evidence available regarding alternative treatment approaches to CPAP for clinicians who manage patients with pediatric OSA in daily clinical practice.
American Psychological Association (APA)
Rana, Mandeep& August, Joshua& Levi, Jessica& Parsi, Goli& Motro, Melih& DeBassio, William. 2020. Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review. Sleep Disorders،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1208941
Modern Language Association (MLA)
Rana, Mandeep…[et al.]. Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review. Sleep Disorders No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1208941
American Medical Association (AMA)
Rana, Mandeep& August, Joshua& Levi, Jessica& Parsi, Goli& Motro, Melih& DeBassio, William. Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review. Sleep Disorders. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1208941
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1208941