Alternatives to surgery in children with mild OSA  

作　　者：David Gozal Mahmoud Ismail Pablo E.Brockmann 

机构地区：[1]Department of Child Health and Child Health Research Institute,and MU Women and Children’s Hospital,University of Missouri School of Medicine,Columbia,MO,USA [2]Department of Neurology and Sleep Medicine,University of Missouri School of Medicine,Columbia,MO,USA [3]Department of Pediatric Cardiology and Pulmonology,Division of Pediatrics,School of Medicine,Pontificia Universidad Católica de Chile,Santiago,Chile [4]Pediatric Sleep Center,School of Medicine,Pontificia Universidad Católica de Chile,Santiago,Chile

出　　处：《World Journal of Otorhinolaryngology-Head and Neck Surgery》2021年第3期228-235,共8页世界耳鼻咽喉头颈外科杂志（英文）

基　　金：Supported by NIH grants HL130984,HL140548,and AG061824,a Tier 2 grant from the University of Missouri;the Leda J.Sears Foundation.In addition,PEB was supported by FONDECYT grant number 1180397.

摘　　要：Precision medicine requires coordinated and integrated evidence-based combinatorial approaches so that diagnosis and treatment can be tailored to the individual patient.In this context,the treatment approach to mild obstructive sleep apnea(OSA)is fraught with substantial debate as to what is mild OSA,and as to what constitutes appropriate treatment.As such,it is necessary to first establish a proposed consensus of what criteria need to be employed to reach the diagnosis of mild OSA,and then examine the circumstances under which treatment is indicated,and if so,whether and when anti-inflammatory therapy(AIT),rapid maxillary expansion(RME),and/or myofunctional therapy(MFT)may be indicated.

关 键 词：Obstructive sleep apnea CHILDREN ANTIINFLAMMATORY Myofunctional therapy Rapid maxillary expansion ADENOTONSILLECTOMY 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]