Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea

Obstructive Sleep Apnea (OSA) is a form of sleep-disordered breathing characterized by upper airway collapse during sleep resulting in recurring arousals and desaturations. However, many aspects of this syndrome in children remain unclear. Understanding underlying pathogenic mechanisms of OSA is cri...

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Autores principales: Ashley L. Saint-Fleur, Alexa Christophides, Prabhavathi Gummalla, Catherine Kier
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4866839c33824e079ddf897d8ae14ab7
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spelling oai:doaj.org-article:4866839c33824e079ddf897d8ae14ab72021-11-25T17:14:42ZMuch Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea10.3390/children81110322227-9067https://doaj.org/article/4866839c33824e079ddf897d8ae14ab72021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1032https://doaj.org/toc/2227-9067Obstructive Sleep Apnea (OSA) is a form of sleep-disordered breathing characterized by upper airway collapse during sleep resulting in recurring arousals and desaturations. However, many aspects of this syndrome in children remain unclear. Understanding underlying pathogenic mechanisms of OSA is critical for the development of therapeutic strategies. In this article, we review current concepts surrounding the mechanism, pathogenesis, and predisposing factors of pediatric OSA. Specifically, we discuss the biomechanical properties of the upper airway that contribute to its primary role in OSA pathogenesis and examine the anatomical and neuromuscular factors that predispose to upper airway narrowing and collapsibility.Ashley L. Saint-FleurAlexa ChristophidesPrabhavathi GummallaCatherine KierMDPI AGarticlepediatric obstructive sleep apneamechanismsupper airwaycritical pressurestarling resistor modelcraniofacialPediatricsRJ1-570ENChildren, Vol 8, Iss 1032, p 1032 (2021)
institution DOAJ
collection DOAJ
language EN
topic pediatric obstructive sleep apnea
mechanisms
upper airway
critical pressure
starling resistor model
craniofacial
Pediatrics
RJ1-570
spellingShingle pediatric obstructive sleep apnea
mechanisms
upper airway
critical pressure
starling resistor model
craniofacial
Pediatrics
RJ1-570
Ashley L. Saint-Fleur
Alexa Christophides
Prabhavathi Gummalla
Catherine Kier
Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea
description Obstructive Sleep Apnea (OSA) is a form of sleep-disordered breathing characterized by upper airway collapse during sleep resulting in recurring arousals and desaturations. However, many aspects of this syndrome in children remain unclear. Understanding underlying pathogenic mechanisms of OSA is critical for the development of therapeutic strategies. In this article, we review current concepts surrounding the mechanism, pathogenesis, and predisposing factors of pediatric OSA. Specifically, we discuss the biomechanical properties of the upper airway that contribute to its primary role in OSA pathogenesis and examine the anatomical and neuromuscular factors that predispose to upper airway narrowing and collapsibility.
format article
author Ashley L. Saint-Fleur
Alexa Christophides
Prabhavathi Gummalla
Catherine Kier
author_facet Ashley L. Saint-Fleur
Alexa Christophides
Prabhavathi Gummalla
Catherine Kier
author_sort Ashley L. Saint-Fleur
title Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea
title_short Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea
title_full Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea
title_fullStr Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea
title_full_unstemmed Much Ado about Sleep: Current Concepts on Mechanisms and Predisposition to Pediatric Obstructive Sleep Apnea
title_sort much ado about sleep: current concepts on mechanisms and predisposition to pediatric obstructive sleep apnea
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4866839c33824e079ddf897d8ae14ab7
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AT alexachristophides muchadoaboutsleepcurrentconceptsonmechanismsandpredispositiontopediatricobstructivesleepapnea
AT prabhavathigummalla muchadoaboutsleepcurrentconceptsonmechanismsandpredispositiontopediatricobstructivesleepapnea
AT catherinekier muchadoaboutsleepcurrentconceptsonmechanismsandpredispositiontopediatricobstructivesleepapnea
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