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Drug-induced sleep endoscopy in persistent pediatric sleep-disordered breathing after adenotonsillectomy.

  • Author(s): Durr, Megan L;
  • Meyer, Anna K;
  • Kezirian, Eric J;
  • Rosbe, Kristina W
  • et al.

Published Web Location

https://dx.doi.org/10.1001/archoto.2012.1067
No data is associated with this publication.
Creative Commons 'BY-NC-ND' version 4.0 license
Abstract

Objectives

To demonstrate the feasibility of drug-induced sleep endoscopy (DISE) in the pediatric population and to examine DISE results in children with persistent sleep-disordered breathing (SDB) after tonsillectomy and adenoidectomy (T&A).

Design

Retrospective case series with medical chart review.

Setting

Tertiary pediatric medical center.

Patients

Thirteen pediatric subjects with persistent SDB after T&A are included in the study.

Intervention

Drug-induced sleep endoscopy was per-formed on all patients with documentation of all sites of persistent airway obstruction.

Results

Multilevel upper-airway obstruction was identified in the majority of patients, most commonly related to tongue base obstruction, adenoid regrowth, and/or inferior turbinate hypertrophy. There were no differences among the 4 subgroups.

Conclusions

Findings from DISE suggest that multiple factors contribute to airway obstruction in persistent SDB after T&A. Further research can address the extent to which directed surgical treatment can improve outcomes in these patients.

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