Persistent obstructive sleep apnea syndrome in adenotonsillectomized children: re-view article

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Francisco Ringler A.
Pilar Gajardo O.

Keywords

obstructive sleep apnea syndrome, pediatrics, adenotonsillectomy, persistent, treatment

Abstract

Obstructive sleep apnea syndrome (OSA) in children is part of the spectrum of respiratory sleep disorders in childhood. It has a prevalence between 0.69 and 4.7% in pediatric population, with a higher incidence between 2 and 6 years old, mainly due to adenotonsillar hyperplasia. OSA constitutes an important cause of neurocognitive and behavioral morbidity. The main surgical treatment for childhood OSA is adenotonsillectomy, which resolves symptoms in 20%-75% of patients.  Patients with associated comorbidities such as obesity, neuromuscular diseases, and craniofacial malformations are at higher risk of having persistent OSA. In this literature review, we will discuss the diagnosis, evaluation and treatment of persistent OSA after adenotonsillectomy in children.

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