PDF(Pubmed)
Abstract：
While adenotonsillectomy is the primary treatment of pediatric obstructive sleep apnea (OSA), persistent OSA after surgery is common and may be due to residual obstruction at the nose, nasopharynx, and/or palate. Comprehensive evaluation for persistent pediatric OSA ideally includes clinical examination (with or without awake nasal endosocpy) as well as drug-induced sleep endoscopy in order to accurately identify sources of residual obstruction. Depending on the site of obstruction, some of the surgical management options include submucous inferior turbinate resection, septoplasty, adenoidectomy, and expansion sphincter pharyngoplasty.
摘要：
虽然腺样体扁桃体切除术是儿童阻塞性睡眠呼吸暂停（OSA）的主要治疗方法，手术后持续性OSA很常见，可能是由于鼻部残留阻塞所致，鼻咽部,和/或上颚。理想情况下，对持续性小儿OSA的综合评估包括临床检查（有或没有清醒的鼻内窥镜）以及药物诱导的睡眠内窥镜检查，以准确识别残留梗阻的来源。根据阻塞部位的不同,一些手术治疗选择包括下鼻甲粘膜下切除术，中隔成形术,腺样体切除术,和扩张括约肌咽成形术。
