Updates and Controversies: Troubleshooting Treatment Failures – Mild Pediatric OSA (2023 AMW)
2023 AAO-HNSF Annual Meeting & OTO Experience
Pediatric obstructive sleep apnea (OSA) is characterized by upper airway obstruction, poor sleep, and daytime sequelae such as hyperactivity. Although controversy exists regarding the ideal evaluation for children with obstructive sleep‐disordered breathing, the severity of OSA is currently determined by overnight polysomnography (PSG). Mild OSA is defined by an apnea‐hypopnea index (AHI) > 1 and < 5. The majority (approximately 85%) of healthy school‐aged children evaluated by otolaryngologists for tonsil hypertrophy and obstructive symptoms have either primary snoring or mild OSA. This reality positions mild pediatric obstructive sleep apnea squarely in the domain of both general and pediatric otolaryngologists alike and served as the primary impetus for submitting this panel.
Credits
CME:1.0, MOC:1.0