What is the role of surgery in the treatment of pediatric sleep disorders?

Updated: Oct 09, 2018
  • Author: Sufen Chiu, MD, PhD; Chief Editor: Caroly Pataki, MD  more...
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Answer

Adenotonsillectomy is the primary treatment modality in children with OSAS, however recurrence is common post-surgery. [6] Myofunctional therapy in conjuction with orthodontia and craniofacial surgery may be more effective. Tongue and facial muscle exercises improve adult OSAS. Positive airway pressure is needed in cases of continued postoperative symptoms. Continuous positive airway pressure (CPAP), variable pressure devices (eg, bilevel positive airway pressure [BiPAP]), and on-demand pressure when airflow is impeded (D-PAP) may be needed. Weight loss can be helpful for obese patients.


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