Podcast
Questions and Answers
What is a crucial factor in deciding treatment options for children with OSA?
What is a crucial factor in deciding treatment options for children with OSA?
- Shoe size
- Severity of nighttime sleep problems and daytime dysfunction (correct)
- Hair length
- Eye color
When might adenotonsillectomy be considered as a treatment option for children with OSA?
When might adenotonsillectomy be considered as a treatment option for children with OSA?
- Only for children with obesity as the primary cause
- After all other treatments have been tried and failed
- If the child refuses all other treatment options
- If the child has enlarged tonsils (correct)
What is a potential consideration when deciding on adenotonsillectomy for children with OSA and underlying medical conditions?
What is a potential consideration when deciding on adenotonsillectomy for children with OSA and underlying medical conditions?
- Color of the child's hair
- Number of teeth the child has
- Weight of the child's backpack
- Presence of neuromuscular disorders (correct)
What does a preoperative polysomnogram provide for children undergoing adenotonsillectomy?
What does a preoperative polysomnogram provide for children undergoing adenotonsillectomy?
Why might adenotonsillectomy be the first choice for children with OSA and enlarged tonsils?
Why might adenotonsillectomy be the first choice for children with OSA and enlarged tonsils?
What is a risk factor for persistent OSA and/or respiratory complications following adenotonsillectomy in children younger than 3 years?
What is a risk factor for persistent OSA and/or respiratory complications following adenotonsillectomy in children younger than 3 years?
Children with obesity (BMI ≥95th percentile) undergoing adenotonsillectomy are at increased risk for:
Children with obesity (BMI ≥95th percentile) undergoing adenotonsillectomy are at increased risk for:
What condition requires evaluation for hypothyroidism prior to adenotonsillectomy in children?
What condition requires evaluation for hypothyroidism prior to adenotonsillectomy in children?
What is a common feature of adenoid and tonsil size in children with sickle cell disease?
What is a common feature of adenoid and tonsil size in children with sickle cell disease?
What is a characteristic of craniofacial anomalies that affects the outcomes of adenotonsillectomy?
What is a characteristic of craniofacial anomalies that affects the outcomes of adenotonsillectomy?
Which group of children may also have significant hypoventilation in addition to obstructive symptoms post-adenotonsillectomy?
Which group of children may also have significant hypoventilation in addition to obstructive symptoms post-adenotonsillectomy?
What is a common indication for adenotonsillectomy in children with obstructive sleep apnea?
What is a common indication for adenotonsillectomy in children with obstructive sleep apnea?
In children with non-severe OSA (AHI 2-10), what are the two management options mentioned?
In children with non-severe OSA (AHI 2-10), what are the two management options mentioned?
What factor influences the decision between adenotonsillectomy and watchful waiting in children with non-severe OSA?
What factor influences the decision between adenotonsillectomy and watchful waiting in children with non-severe OSA?
In which group of children may the results of adenotonsillectomy be less dramatic compared to lean children?
In which group of children may the results of adenotonsillectomy be less dramatic compared to lean children?
What improvement is typically observed in children with OSA and enlarged tonsils after adenotonsillectomy?
What improvement is typically observed in children with OSA and enlarged tonsils after adenotonsillectomy?
Which aspect has not shown a clear benefit following adenotonsillectomy in children aged 2-9 with mild to moderate OSA?
Which aspect has not shown a clear benefit following adenotonsillectomy in children aged 2-9 with mild to moderate OSA?
What is a potential concern when considering supplemental oxygen therapy for children with OSA?
What is a potential concern when considering supplemental oxygen therapy for children with OSA?
What is a primary reason for using nasal CPAP or BiPAP in children with predisposing factors for OSA?
What is a primary reason for using nasal CPAP or BiPAP in children with predisposing factors for OSA?
What is a significant outcome reported by studies on rapid maxillary expansion in children with narrow jaws and adenotonsillar hypertrophy?
What is a significant outcome reported by studies on rapid maxillary expansion in children with narrow jaws and adenotonsillar hypertrophy?
Why is weight loss emphasized in obese children with OSA?
Why is weight loss emphasized in obese children with OSA?
In what scenario might rapid maxillary expansion be considered as an alternative to adenotonsillectomy in children with narrow jaws?
In what scenario might rapid maxillary expansion be considered as an alternative to adenotonsillectomy in children with narrow jaws?
What is the primary cause of hyponatremia after tonsillectomy?
What is the primary cause of hyponatremia after tonsillectomy?
What is the most common severe complication of tonsillectomy?
What is the most common severe complication of tonsillectomy?
When does primary bleeding typically occur after tonsillectomy?
When does primary bleeding typically occur after tonsillectomy?
Which technique for tonsillectomy is associated with higher rates of secondary postoperative bleeding?
Which technique for tonsillectomy is associated with higher rates of secondary postoperative bleeding?
What is the recommended management for children with sickle cell disease undergoing adenotonsillectomy?
What is the recommended management for children with sickle cell disease undergoing adenotonsillectomy?
Why are preoperative coagulation studies not routinely performed before adenotonsillectomy?
Why are preoperative coagulation studies not routinely performed before adenotonsillectomy?
What is the significance of a clot in the tonsillar fossa post-tonsillectomy?
What is the significance of a clot in the tonsillar fossa post-tonsillectomy?
How should children with significant postoperative bleeding after adenotonsillectomy be managed?
How should children with significant postoperative bleeding after adenotonsillectomy be managed?
What can repeated postoperative bleeding after adenotonsillectomy indicate?
What can repeated postoperative bleeding after adenotonsillectomy indicate?
Why do children with type 1 von Willebrand disease undergo preoperative administration of desmopressin acetate before adenotonsillectomy?
Why do children with type 1 von Willebrand disease undergo preoperative administration of desmopressin acetate before adenotonsillectomy?
What is the purpose of drug-induced sleep endoscopy?
What is the purpose of drug-induced sleep endoscopy?
Which technique allows assessment of airway collapsibility during sleep?
Which technique allows assessment of airway collapsibility during sleep?
What is a key difference between flexible fiberoptic laryngoscopy and drug-induced sleep endoscopy?
What is a key difference between flexible fiberoptic laryngoscopy and drug-induced sleep endoscopy?
Why is PSG considered mandatory for children with comorbidities?
Why is PSG considered mandatory for children with comorbidities?
What is the primary focus of office physical examination using flexible fiberoptic laryngoscopy?
What is the primary focus of office physical examination using flexible fiberoptic laryngoscopy?
What is a common method used to assess surgical outcomes after DISE-directed surgery in children with OSA?
What is a common method used to assess surgical outcomes after DISE-directed surgery in children with OSA?
Why is surgery in children often staged rather than addressing multiple sites at once?
Why is surgery in children often staged rather than addressing multiple sites at once?
Which condition can typically be diagnosed by DISE and was treated with carbondioxide laser supraglottoplasty in children with residual OSA post adenotonsillectomy?
Which condition can typically be diagnosed by DISE and was treated with carbondioxide laser supraglottoplasty in children with residual OSA post adenotonsillectomy?
What technique was performed for the treatment of laryngomalacia in children with OSA, resulting in a decrease in AHI for 92% of patients?
What technique was performed for the treatment of laryngomalacia in children with OSA, resulting in a decrease in AHI for 92% of patients?
What is a common cause of persistent obstruction post-adenotonsillectomy, leading to residual OSA in children?
What is a common cause of persistent obstruction post-adenotonsillectomy, leading to residual OSA in children?
Describe the earliest description of pediatric OSA mentioned in the text.
Describe the earliest description of pediatric OSA mentioned in the text.
Who accurately described pediatric OSA in 1892?
Who accurately described pediatric OSA in 1892?
What term did Osler coin to describe morbidly obese, hypersomnolent patients?
What term did Osler coin to describe morbidly obese, hypersomnolent patients?
Who were the first to describe the clinical features of pediatric OSA in 1976?
Who were the first to describe the clinical features of pediatric OSA in 1976?
In what year did Spector and Bautista associate pediatric respiratory distress with tonsillitis and adenoiditis?
In what year did Spector and Bautista associate pediatric respiratory distress with tonsillitis and adenoiditis?
What are the potential morbidities associated with childhood obstructive sleep apnea?
What are the potential morbidities associated with childhood obstructive sleep apnea?
What is the condition characterized by elevated upper airway resistance without classic apnea or hypopnea?
What is the condition characterized by elevated upper airway resistance without classic apnea or hypopnea?
What is the primary etiology of pediatric obstructive sleep apnea?
What is the primary etiology of pediatric obstructive sleep apnea?
What are the proposed mechanisms underlying the neurocognitive and behavioral deficits in pediatric sleep-disordered breathing?
What are the proposed mechanisms underlying the neurocognitive and behavioral deficits in pediatric sleep-disordered breathing?
What consequences can pediatric sleep-disordered breathing lead to, beyond neurocognitive deficits?
What consequences can pediatric sleep-disordered breathing lead to, beyond neurocognitive deficits?
What are some potential effects of hypoxemia and sleep fragmentation on children with sleep-disordered breathing?
What are some potential effects of hypoxemia and sleep fragmentation on children with sleep-disordered breathing?
What is the peak incidence age range for pediatric obstructive sleep apnea (OSA)?
What is the peak incidence age range for pediatric obstructive sleep apnea (OSA)?
What genetic factor is more common in nonobese children with OSA, especially those with neurocognitive dysfunction?
What genetic factor is more common in nonobese children with OSA, especially those with neurocognitive dysfunction?
Which gender is affected at higher rates by pediatric OSA, with a 50-100% higher prevalence?
Which gender is affected at higher rates by pediatric OSA, with a 50-100% higher prevalence?
What is the estimated prevalence range of sleep-disordered breathing (SDB) in children based on parental reports and diagnostic testing?
What is the estimated prevalence range of sleep-disordered breathing (SDB) in children based on parental reports and diagnostic testing?
What do the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) guidelines recommend regarding PSG prior to tonsillectomy?
What do the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) guidelines recommend regarding PSG prior to tonsillectomy?
What are the indications for PSG after adenotonsillectomy in children?
What are the indications for PSG after adenotonsillectomy in children?
What is known about the natural history of untreated sleep-disordered breathing in children?
What is known about the natural history of untreated sleep-disordered breathing in children?
What percentage of children in the watchful waiting group normalized their sleep studies in the Childhood Adenotonsillectomy Trial (CHAT)?
What percentage of children in the watchful waiting group normalized their sleep studies in the Childhood Adenotonsillectomy Trial (CHAT)?
What are the primary differences in PSG recommendations between the American Thoracic Society Consensus Committee and the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS)?
What are the primary differences in PSG recommendations between the American Thoracic Society Consensus Committee and the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS)?
In the context of adenotonsillectomy, why might PSG be necessary for some children post-surgery?
In the context of adenotonsillectomy, why might PSG be necessary for some children post-surgery?
What is the significance of the Childhood Adenotonsillectomy Trial (CHAT) in understanding pediatric OSA treatment?
What is the significance of the Childhood Adenotonsillectomy Trial (CHAT) in understanding pediatric OSA treatment?
What do the 1996 American Thoracic Society Consensus Committee and the 2012 American Academy of Pediatrics Clinical Practice Guidelines recommend regarding PSG before adenotonsillectomy?
What do the 1996 American Thoracic Society Consensus Committee and the 2012 American Academy of Pediatrics Clinical Practice Guidelines recommend regarding PSG before adenotonsillectomy?
Why is there limited knowledge about the natural history of untreated sleep-disordered breathing in children?
Why is there limited knowledge about the natural history of untreated sleep-disordered breathing in children?
What did the Childhood Adenotonsillectomy Trial (CHAT) find regarding the normalization of sleep studies in the watchful waiting group?
What did the Childhood Adenotonsillectomy Trial (CHAT) find regarding the normalization of sleep studies in the watchful waiting group?
