Abstract:
Obstructive sleep apnea in newborns and infants presents a unique challenge with distinct differences in sleep physiology, etiologies, and management compared to older children. The indications for and interpretation of polysomnography are less well defined in infants. There are also no broadly accepted clinical practice guidelines for treating sleep apnea in this age group. Etiologies include general causes of upper airway obstruction in infants such as laryngomalacia, micrognathia, and nasal obstruction in addition to adenotonsillar hypertrophy. Treatment strategies must be tailored to the specific anatomic features and comorbidities of the specific patients and often require a multidisciplinary approach.
摘要:
新生儿和婴儿的阻塞性睡眠呼吸暂停提出了独特的挑战,在睡眠生理上存在明显差异。病因,和管理相比,年龄较大的孩子。在婴儿中,多导睡眠图的适应症和解释不太明确。在这个年龄组中也没有广泛接受的治疗睡眠呼吸暂停的临床实践指南。病因包括婴儿上呼吸道阻塞的一般原因,例如喉软化症,小颌畸形,鼻塞以及腺样体扁桃体肥大。治疗策略必须针对特定患者的特定解剖特征和合并症,并且通常需要多学科方法。