Debates in pediatric obstructive sleep apnea treatment

Pediatric obstructive sleep apnea (OSA) is among the most common sleep-disordered breathing (SDB) diseases in children. Its high prevalence and multiple systemic complications lead to increasing numbers of children and families affected by OSA. Timely diagnosis and effective intervention in children...

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Autores principales:	Zhi-Fei Xu, Xin Ni
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2021
Materias:	Pediatric Obstructive sleep apnea Treatment Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3134eec8fc934b52a28e5b040ed3a7c5
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spelling	oai:doaj.org-article:3134eec8fc934b52a28e5b040ed3a7c52021-12-02T14:51:52ZDebates in pediatric obstructive sleep apnea treatment2095-881110.1016/j.wjorl.2021.05.001https://doaj.org/article/3134eec8fc934b52a28e5b040ed3a7c52021-07-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881121000445https://doaj.org/toc/2095-8811Pediatric obstructive sleep apnea (OSA) is among the most common sleep-disordered breathing (SDB) diseases in children. Its high prevalence and multiple systemic complications lead to increasing numbers of children and families affected by OSA. Timely diagnosis and effective intervention in children with this condition is extremely important in improving their prognosis. The major approaches in the treatment of OSA in children are to eliminate the causes of upper airway obstruction and prevent and treat complications. Considering the specific individual differences in children's growth and development, as well as the diversity of etiologies in children's OSA, pediatric treatment strategies need to be precise, multidisciplinary, and individualized. First-line clinical treatment consists of surgical (adenotonsillectomy) and non-surgical therapies [including anti-inflammatory medications and non-invasive ventilation (NIV)]. However, a considerable controversy exists concerning the indications, treatment standards, and the evaluation of the efficacy of the aforementioned treatment methods. In this review, reviews and assessment of literature studies and multidisciplinary clinical experience were performed to analyze the application of each treatment and discuss controversial issues and future research directions. We suggest that the above interventions should be tailored to each child's needs, comorbidities, and the availability and expertise of the practitioner. The ideal case is when a multidisciplinary team of doctors together with the patients and their parents, or guardians, have a thorough discussion regarding the benefits and risks of all available treatment options and all agree on an effective treatment plan.Zhi-Fei XuXin NiKeAi Communications Co., Ltd.articlePediatricObstructive sleep apneaTreatmentOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 3, Pp 194-200 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatric Obstructive sleep apnea Treatment Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Pediatric Obstructive sleep apnea Treatment Otorhinolaryngology RF1-547 Surgery RD1-811 Zhi-Fei Xu Xin Ni Debates in pediatric obstructive sleep apnea treatment
description	Pediatric obstructive sleep apnea (OSA) is among the most common sleep-disordered breathing (SDB) diseases in children. Its high prevalence and multiple systemic complications lead to increasing numbers of children and families affected by OSA. Timely diagnosis and effective intervention in children with this condition is extremely important in improving their prognosis. The major approaches in the treatment of OSA in children are to eliminate the causes of upper airway obstruction and prevent and treat complications. Considering the specific individual differences in children's growth and development, as well as the diversity of etiologies in children's OSA, pediatric treatment strategies need to be precise, multidisciplinary, and individualized. First-line clinical treatment consists of surgical (adenotonsillectomy) and non-surgical therapies [including anti-inflammatory medications and non-invasive ventilation (NIV)]. However, a considerable controversy exists concerning the indications, treatment standards, and the evaluation of the efficacy of the aforementioned treatment methods. In this review, reviews and assessment of literature studies and multidisciplinary clinical experience were performed to analyze the application of each treatment and discuss controversial issues and future research directions. We suggest that the above interventions should be tailored to each child's needs, comorbidities, and the availability and expertise of the practitioner. The ideal case is when a multidisciplinary team of doctors together with the patients and their parents, or guardians, have a thorough discussion regarding the benefits and risks of all available treatment options and all agree on an effective treatment plan.
format	article
author	Zhi-Fei Xu Xin Ni
author_facet	Zhi-Fei Xu Xin Ni
author_sort	Zhi-Fei Xu
title	Debates in pediatric obstructive sleep apnea treatment
title_short	Debates in pediatric obstructive sleep apnea treatment
title_full	Debates in pediatric obstructive sleep apnea treatment
title_fullStr	Debates in pediatric obstructive sleep apnea treatment
title_full_unstemmed	Debates in pediatric obstructive sleep apnea treatment
title_sort	debates in pediatric obstructive sleep apnea treatment
publisher	KeAi Communications Co., Ltd.
publishDate	2021
url	https://doaj.org/article/3134eec8fc934b52a28e5b040ed3a7c5
work_keys_str_mv	AT zhifeixu debatesinpediatricobstructivesleepapneatreatment AT xinni debatesinpediatricobstructivesleepapneatreatment
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Debates in pediatric obstructive sleep apnea treatment

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