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Current Otorhinolaryngology Reports

, Volume 6, Issue 1, pp 48–55 | Cite as

Obstructive Sleep Apnea in the Very Young

  • Jason Powell
  • Steven Powell
Pediatric Otolaryngology (I Bruce, Section Editor)
  • 22 Downloads
Part of the following topical collections:
  1. Topical Collection on Pediatric Otolaryngology

Abstract

Purpose of Review

The aim of this report was to review the recent literature related to the assessment and management of obstructive sleep apnea (OSA) in children under the age of 2 years.

Recent Findings

Adenotonsillectomy (AT) indications are changing, with a greater proportion of younger children undergoing AT for OSA. Medical therapies may be an alternative to AT in mild-moderate OSA cases; however, further research is needed. Coblation® intracapsular tonsillectomy may confer benefits in reduced post-operative pain and hemorrhage. Recent concerns regarding the safety of general anesthesia in young children are an important area for further investigation.

Summary

There is a paucity of literature related to OSA in children younger than 2 years. Recent large-scale trials have actively excluded children from this age group and there are no planned studies of this specific population. These children represent a distinct population with differing etiologies, presentations, investigations, and management consideration.

Keywords

Tonsil Adenoid Sleep-disordered breathing Obstructive sleep apnea 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Paediatric OtolaryngologyGreat North Children’s HospitalNewcastle upon TyneUK

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