Aaron Snow MD , Mikayla J. Huestis MD , Cristina M. Baldassari MD
{"title":"Surgical treatment of palatal collapse in pediatric obstructive sleep apnea","authors":"Aaron Snow MD , Mikayla J. Huestis MD , Cristina M. Baldassari MD","doi":"10.1016/j.otot.2023.09.007","DOIUrl":null,"url":null,"abstract":"<div><p><span><span><span><span>Pediatric </span>obstructive sleep apnea (OSA) is characterized by upper airway collapse that results in poor, restless sleep, and daytime </span>sequelae such as </span>sleepiness<span><span> and behavior problems. The primary treatment for pediatric OSA has traditionally been </span>adenotonsillectomy (AT). However, rates of persistent OSA following AT can be as high as 50%. With the increased utilization of drug-induced sleep </span></span>endoscopy<span><span> in both surgically-naïve pediatric OSA patients and patients with persistent OSA after AT, the palate has been identified as a common site of collapse contributing to airway obstruction. Palatal procedures, such as palatopharyngopexy and </span>barbed suture<span> pharyngoplasty, can be utilized to address collapse at the palate and may improve pediatric OSA treatment outcomes.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages 174-178"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Otolaryngology - Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043181023000477","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Pediatric obstructive sleep apnea (OSA) is characterized by upper airway collapse that results in poor, restless sleep, and daytime sequelae such as sleepiness and behavior problems. The primary treatment for pediatric OSA has traditionally been adenotonsillectomy (AT). However, rates of persistent OSA following AT can be as high as 50%. With the increased utilization of drug-induced sleep endoscopy in both surgically-naïve pediatric OSA patients and patients with persistent OSA after AT, the palate has been identified as a common site of collapse contributing to airway obstruction. Palatal procedures, such as palatopharyngopexy and barbed suture pharyngoplasty, can be utilized to address collapse at the palate and may improve pediatric OSA treatment outcomes.
期刊介绍：
This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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