AI Article Synopsis
- Pediatric patients with ongoing obstructive sleep apnea (OSA) after surgery may have other obstruction sites like the tongue base or larynx.
- Sleep endoscopy and advanced imaging techniques help guide surgical treatment options for these patients.
- Various surgical interventions, such as lingual tonsillectomy and epiglottopexy, target specific areas of obstruction to improve breathing during sleep.
Article Abstract
Pediatric patients with persistent obstructive sleep apnea (OSA) after adenotonsillectomy often have additional sites of upper airway obstruction such as the tongue base or larynx. Sleep endoscopy and cross-sectional, dynamic imaging can be used to direct surgical management of persistent OSA. The tongue base is one of the most common sites of obstruction in children with persistent OSA, especially for patients with Trisomy 21. Lingual tonsillectomy, tongue suspension, and/or posterior midline glossectomy may be used to address lingual tonsil hypertrophy and tongue base obstruction. Epiglottopexy and/or supraglottoplasty may be used to address laryngomalacia and epiglottic prolapse resulting in OSA.
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| http://dx.doi.org/10.1016/j.otc.2024.02.005 | DOI Listing |
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