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Review
. 2015 Jun;27(3):329-33.
doi: 10.1097/MOP.0000000000000218.

Sleep medicine

Aviv D Goldbart  1
Affiliations
Review

Sleep medicine

Aviv D Goldbart. Curr Opin Pediatr. 2015 Jun.

Abstract

Purpose of review: To reflect the recent advances in the field of pediatric sleep medicine. The pediatrician will be able to define which children to refer for a sleep study and what to expect from the sleep specialist in 2015.

Recent findings: In the first study that compared adeno tonsillectomy (TA) to watchful waiting, TA reduced symptoms and improved children's behavior, quality of life, and polysomnographic results. Anti-inflammatory therapy for mild obstructive sleep apnea was effective and well tolerated according to a double-blind study. A retrospective study showed that it is beneficial for 80% of the patients. TA is associated with a decrease in asthma symptoms and medication utilization.

Summary: Pediatricians need to be aware of the clear benefits of tonsillectomy (including better asthma control), although anti-inflammatory therapy may improve symptoms and polysomnographic findings in children with nonsevere obstructive sleep apnea.

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