CPAP Treatment in Children
Obstructive sleep apnea syndrome (OSAS) is a relatively common disorder, occurring in 1–4% of otherwise healthy children, with a higher prevalence in children with underlying medical conditions such as obesity or genetic syndromes. The standard treatment for childhood OSAS is adenotonsillectomy. However, further treatment is required in many children, particularly children with comorbid medical conditions. Continuous positive airway pressure (CPAP) is the usual treatment for those children who do not respond to adenotonsillectomy or the few children who are not candidates for surgery. It is less than 30 years since CPAP was first used for the treatment of OSAS in adults, and only recently has it been used systematically in children. CPAP treatment can effectively treat OSAS in children, improving both nocturnal and daytime symptoms. However, poor adherence is a limiting factor. The process of CPAP initiation, habituation, and maintenance in children involves multidisciplinary teamwork. Because of the relatively short time period since the introduction of CPAP in children, and the relative small number of children who have received CPAP treatment until recently, much research in the area is required.
KeywordsContinuous Positive Airway Pressure Obstructive Sleep Apnea Syndrome Continuous Positive Airway Pressure Therapy Continuous Positive Airway Pressure Treatment Rapid Maxillary Expansion
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