Chronic Cough in Children (2022 AMW) Front Matter
2022 AAO-HNSF Annual Meeting & OTO Experience
Obstructive sleep disordered breathing (SDB) and Obstructive Sleep Apnea (OSA) are common in children presenting for otolaryngology evaluation. In the past decade, there have been numerous innovations and advances in the field of pediatric OSA. However, controversies persist regarding the evaluation and management of SDB and OSA in children. Published guidelines from national otolaryngology, sleep medicine, and pediatric societies differ significantly in their recommendations. Thus, it can be challenging for otolaryngologists to determine the most appropriate management strategies for children with SDB. Our primary aim is to identify and discuss controversies in the management of children with SDB and OSA. The following controversial topics related to pediatric SDB and OSA management topics will be included: 1) role of adenotonsillectomy (AT) for primary snoring; 2) same day discharge in children with severe OSA; 3) utility of palatal surgery at the time of adenotonsillectomy; 4) pros and cons of tonsillectomy vs tonsillotomy; 5) AT vs cPAP therapy for treatment of OSA in obese adolescents; 6) role of cPAP vs DISE for persistent OSA. The proposed Mini-Seminar will feature a debate among panelists on these topics in a point-counter-point format. Clinical cases will be presented to frame the discussion. Panelists will provide evidence-based “pro and con” arguments for each controversy. To provide the best care to pediatric patients presenting with SDB and OSA, otolaryngologists must be familiar with the most up-to-date management options and be able to incorporate the current literature into their practice.