Dennis Rosen1. 1. Division of Respiratory Diseases, Center for Pediatric Sleep Disorders, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA. dennis.rosen@childrens.harvard.edu
Abstract
PURPOSE OF REVIEW: Obstructive sleep apnea (OSA) is very common in children with Down syndrome and other craniofacial abnormalities and causes significant deleterious physical, developmental, and behavioral outcomes. OSA in these individuals is generally more difficult to treat than in other children, because of increased postoperative complications and lower success rates for adenotonsillectomy, the mainstay of treatment for otherwise healthy children with OSA. RECENT FINDINGS: There is a growing number of treatment options for these children, which can provide an alternative to continuous positive airway pressure or tracheostomy. Through the use of dynamic cine MRI studies, the level of obstruction can be identified and treatment made more focused. SUMMARY: Screening for OSA in this population should be increased, and utilization made of the recent advances in imaging and surgical technique to treat it.
PURPOSE OF REVIEW: Obstructive sleep apnea (OSA) is very common in children with Down syndrome and other craniofacial abnormalities and causes significant deleterious physical, developmental, and behavioral outcomes. OSA in these individuals is generally more difficult to treat than in other children, because of increased postoperative complications and lower success rates for adenotonsillectomy, the mainstay of treatment for otherwise healthy children with OSA. RECENT FINDINGS: There is a growing number of treatment options for these children, which can provide an alternative to continuous positive airway pressure or tracheostomy. Through the use of dynamic cine MRI studies, the level of obstruction can be identified and treatment made more focused. SUMMARY: Screening for OSA in this population should be increased, and utilization made of the recent advances in imaging and surgical technique to treat it.
Authors: Marta Moraleda-Cibrián; Sean P Edwards; Steven J Kasten; Steven R Buchman; Mary Berger; Louise M O'Brien Journal: J Clin Sleep Med Date: 2015-01-15 Impact factor: 4.062
Authors: Andrea M Coverstone; Merielle Bird; Melissa Sicard; Yu Tao; Dorothy K Grange; Claudia Cleveland; David Molter; James S Kemp Journal: J Clin Sleep Med Date: 2014-12-15 Impact factor: 4.062
Authors: Fabian Fernandez; Casandra C Nyhuis; Payal Anand; Bianca I Demara; Norman F Ruby; Goffredina Spanò; Caron Clark; Jamie O Edgin Journal: Sleep Med Date: 2017-02-10 Impact factor: 3.492
Authors: Kristin M Jensen; Elizabeth J Campagna; Elizabeth Juarez-Colunga; Allan V Prochazka; Desmond K Runyan Journal: Am J Prev Med Date: 2020-11-12 Impact factor: 5.043