小儿阻塞性睡眠呼吸暂停外科治疗的考量：扁桃体切除术及其他
Considerations in Surgical Management of Pediatric Obstructive Sleep Apnea: Tonsillectomy and Beyond.
作者信息
Uwiera T C
机构信息
Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada.
Pediatric Otolaryngology, Stollery Children's Hospital, Edmonton, AB T6G 2B7, Canada.
出版信息
Children (Basel). 2021 Oct 20;8(11):944. doi: 10.3390/children8110944.
Abstract
Obstructive sleep apnea (OSA) is an increasingly recognized disorder with a reported incidence of 5.7% in children. Tonsillectomy (with or without adenoidectomy) in pediatric OSA in otherwise healthy non-obese children has a success rate of approximately 75%. However, the cure rate reported for all children undergoing tonsillectomy varies from 51% to 83%. This article reviews the history of tonsillectomy, its indications, techniques, various methods, risks, and successes. The article also explores other surgical options in children with residual OSA post-tonsillectomy.
摘要
阻塞性睡眠呼吸暂停（OSA）是一种日益受到认可的疾病，据报道在儿童中的发病率为5.7%。对于其他方面健康的非肥胖儿童的小儿阻塞性睡眠呼吸暂停，扁桃体切除术（伴或不伴腺样体切除术）的成功率约为75%。然而，所有接受扁桃体切除术的儿童的治愈率报告在51%至83%之间。本文回顾了扁桃体切除术的历史、其适应证、技术、各种方法、风险和成功案例。本文还探讨了扁桃体切除术后仍有阻塞性睡眠呼吸暂停残留的儿童的其他手术选择。
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