The Laryngoscope C 2014 The American Laryngological, V
Rhinological and Otological Society, Inc.
Can Lingual Tonsillectomy Improve Persistent Pediatric Obstructive Sleep Apnea? Connie Y. Kuo, MD; Sanjay R. Parikh, MD, FACS BACKGROUND The most common cause of pediatric obstructive sleep apnea (OSA) is adenotonsillar hypertrophy. As such, palatine tonsillectomy with or without adenoidectomy is the first-line treatment for OSA, which can significantly improve the sleep and behavioral disturbances associated with OSA in the majority of patients. However, even after adenotonsillectomy, a reported 20% to 40% of patients have persistent OSA as measured by polysomnography.1 A general consensus among pediatric sleep specialists defines pediatric OSA based on polysomnography parameters of an apnea-hypopnea index (AHI) >1 per hour, a pulse oximetry level
Rhinological and Otological Society, Inc.
Can Lingual Tonsillectomy Improve Persistent Pediatric Obstructive Sleep Apnea? Connie Y. Kuo, MD; Sanjay R. Parikh, MD, FACS BACKGROUND The most common cause of pediatric obstructive sleep apnea (OSA) is adenotonsillar hypertrophy. As such, palatine tonsillectomy with or without adenoidectomy is the first-line treatment for OSA, which can significantly improve the sleep and behavioral disturbances associated with OSA in the majority of patients. However, even after adenotonsillectomy, a reported 20% to 40% of patients have persistent OSA as measured by polysomnography.1 A general consensus among pediatric sleep specialists defines pediatric OSA based on polysomnography parameters of an apnea-hypopnea index (AHI) >1 per hour, a pulse oximetry level
