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Review
. 2022 Aug;69(1):95-105.
doi: 10.1016/j.yapd.2022.03.006. Epub 2022 Jun 17.

Management of Pediatric Obstructive Sleep Apnea After Failed Tonsillectomy and Adenoidectomy

Abhay Varun Sharma  1 , Tapan Padhya  2 , Sagarika Nallu  3
Affiliations
Review

Management of Pediatric Obstructive Sleep Apnea After Failed Tonsillectomy and Adenoidectomy

Abhay Varun Sharma et al. Adv Pediatr. 2022 Aug.

Abstract

Pediatric obstructive sleep apnea (OSA) represents a different entity from its adult counterpart and therefore requires a different therapeutic approach. Adenotonsillectomy (AT) is the primary treatment of pediatric OSA, and evidence shows it is very effective. However, there is a growing understanding that residual OSA is common, and next steps for patients who fail primary AT are less certain. This article reviews current methods of evaluating and treating these complex patients.

Keywords: Adenotonsillectomy; Cine MRI; Drug-induced sleep endoscopy; Lingual tonsillectomy; Obstructive sleep apnea; Pharyngoplasty; Tongue base.

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Conflict of interest statement

Disclosure The authors have no financial or commercial conflicts of interest to disclose.

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