Treatment of Childhood Obstructive Sleep Apnea

被引:0
|
作者
Ameet S. Daftary
Suresh Kotagal
机构
[1] Mayo Clinic,Departments of Neurology, Pediatrics and the Center for Sleep Medicine
[2] Mayo Clinic,Departments of Neurology, Pediatrics and the Center for Sleep Medicine
来源
关键词
Obstructive Sleep Apnea; Continuous Positive Airway Pressure; Montelukast; Distraction Osteogenesis; Nasal Continuous Positive Airway Pressure;
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学科分类号
摘要
An array of surgical, medical and orthodontic treatments is available for treating childhood obstructive sleep apnea. Adenotonsillectomy remains the first choice in treatment, with a need for subsequent clinical and polysomnographic reassessment in selected cases to determine residual sleep-disordered breathing. Residual obstructive sleep apnea is more likely in patients with craniofacial abnormalities or obesity. It may require the use of a positive airway pressure breathing device. Topical corticosteroids, leukotriene antagonists, weight reduction, and positional therapy also play a role in ameliorating childhood obstructive sleep apnea. The published evidence for the efficacy of various treatment modalities consists largely of case-controlled studies and case reports.
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页码:369 / 378
页数:9
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