PMID: 9160128May 1, 1997Paper

Age-related outcomes of sleep apnea surgery in infants and children

Annals of Plastic Surgery
J S JanuszkiewiczC Simms

Abstract

This study was designed to determine whether age at the time of surgery is an important influencing factor on outcomes following surgical correction of severe refractory obstructive sleep apnea (OSA) in infants and children. Data were collected prospectively on 55 children, all with severe OSA refractory to conservative medical and surgical measures, who underwent combinations of soft-tissue and skeletal procedures aimed at relieving their airway obstruction. The study population was subdivided for analysis into three groups based on age at the time of surgery (> 36 months, > 12 to < 36 months, and < or = 12 months). Each child was assessed for clinical outcomes, polysomnography results, and complications. Children in the > 36 months group demonstrated a significant improvement in respiratory disturbance index (RDI), apnea index, and lowest overnight oxygen saturation postoperatively. Only RDI improved significantly in the > 12 to < 36 months group. Although there was a trend toward improvement in the respiratory indices for the children < or = 12 months of age, they had a significantly longer intensive care and hospital stay, a greater mean number of extubation attempts, and the highest surgical failure rate (29%). Other compl...Continue Reading

Citations

Feb 18, 1999·Journal of Pediatric Surgery·S R CohenJ Thomsen
Jan 19, 2000·Otolaryngologic Clinics of North America·C M Bower, A Gungor
Nov 13, 2004·The Annals of Otology, Rhinology, and Laryngology·Anat Shatz
Jun 16, 2005·Pediatric Pulmonology·Shmuel GoldbergEitan Kerem
Mar 29, 2000·Pediatric Pulmonology·A B ChangM C O'Neil
Mar 12, 2002·The Journal of Craniofacial Surgery·Fernando Ortiz MonasterioAntonio Ysunza
Feb 15, 2003·Sleep Medicine Reviews·Andrew J Lipton, David Gozal

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