Toward a multidisciplinary approach to the treatment of obstructive sleep apnea in the obese child

ABSTRACT Obstructive sleep apnea (OSA) is the most common type of sleep apnea and is caused by complete or partial obstructions of the upper airway. In this study we are presenting a case report of 11-year-old male patient with enlarged adenoids and tonsils, convex profile, receded chin, lower lip trap, class II skeletal and dental relationship with increased overjet. Surgical removal of enlarged adenoids was done before commencement of twinblock therapy. After this, two-step advancement with expansion in both arches utilizing twin blocks was planned. Four months into the treatment, patient reported with history of facial trauma with avulsed maxillary left central incisor. Twin block was then modified with pontic as replacement for maxillary left central incisor. Sagittal correction resulting in class I molar relationship was achieved in next 6 months. Fixed appliance therapy was followed. The design of the appliance and the results achieved after the postfunctional therapy are presented in this case report. How to cite this article Madhaswar AB, Ravindranath VK, Daga PN. Multidisciplinary Approach for Correction of Obstructive Sleep Apnea. J Contemp Dent 2016;6(3):189-193.

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Genetic susceptibility to obstructive sleep apnea in the obese child

Sleep Medicine ◽

10.1016/j.sleep.2006.09.003 ◽

2007 ◽

Vol 8 (2) ◽

pp. 169-175 ◽

Cited By ~ 8

Author(s):

Maninder Kalra ◽

Ranajit Chakraborty

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Genetic Susceptibility ◽

Obese Child ◽

Obstructive Sleep

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Multidisciplinary Approach to the Patient with Obstructive Sleep Apnea

Journal of Otology & Rhinology ◽

10.4172/2324-8785.1000315 ◽

2017 ◽

Vol 06 (03) ◽

Author(s):

Pauna HF ◽

Serrano TLI ◽

Moreira APSM ◽

Cabrini MAM ◽

Cunha MO ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Multidisciplinary Approach ◽

Obstructive Sleep

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Improvements in Obstructive Sleep Apnea Syndrome (OSAs) in Patient with Treacher Collins Syndrome (TCs): A Multidisciplinary Approach

Global Journal of Oral Science ◽

10.30576/2414-2050.2017.03.1 ◽

2018 ◽

Vol 3 (1) ◽

pp. 1-11

Author(s):

A.P. Cazzolla ◽

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Obstructive Sleep Apnea Syndrome ◽

Multidisciplinary Approach ◽

Sleep Apnea Syndrome ◽

Treacher Collins Syndrome ◽

Obstructive Sleep ◽

Apnea Syndrome

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Proboscis Lateralis with Rhinosinusitis

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v32i1.185 ◽

2017 ◽

Vol 32 (1) ◽

pp. 41-43

Author(s):

Laurence Michael N. Vera Cruz ◽

Gil M. Vicente

Keyword(s):

Congenital Anomaly ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Paranasal Sinuses ◽

Multidisciplinary Approach ◽

Sinus Surgery ◽

Rare Congenital Anomaly ◽

Obstructive Sleep ◽

The Right ◽

Proboscis Lateralis

Objective: This report aims to describe unique manifestations of proboscis lateralis and highlight the importance of a multidisciplinary approach to address the problems that arise from this rare congenital anomaly. Methods: Study Design: Case Report Setting: Tertiary Government Hospital Patient: One Results: A 13 year-old girl diagnosed with proboscis lateralis presented with a trunk-like appendage projecting from the surface of the right supramedial canthal area. She also had clear nasal discharge, nasal congestion, mouth-breathing, and snoring since birth. Paranasal Sinus (PNS) CT scan with 3D reconstruction showed agenesis of the right paranasal sinuses, and expansile aeration of the left paranasal sinuses. Due to her condition, the drainage system of the paranasal sinuses was obstructed, causing chronic rhinosinusitis (CRS). This hindered plans for reconstructive surgery despite medical management, hence the patient underwent Endoscopic Sinus Surgery (ESS). Conclusion: Proboscis lateralis is a rare congenital anomaly that results in aesthetic problems as well as airway concerns, such as rhinosinusitis and obstructive sleep apnea syndrome (OSAS). Management entails a multidisciplinary approach to address functional and aesthetic problems of the patient. Keywords: proboscis lateralis, chronic rhinosinusitis, obstructive sleep apnea, endoscopic sinus surgery, multidisciplinary approach, plastic surgery, reconstructive surgery

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The Obese Child

The Pediatric Procedural Sedation Handbook ◽

10.1093/med/9780190659110.003.0030 ◽

2018 ◽

pp. 196-199

Author(s):

James H. Hertzog

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Adverse Events ◽

Obese Child ◽

Therapeutic Interventions ◽

Obese Patients ◽

Obese Children ◽

Obstructive Sleep ◽

Analgesic Agents ◽

Adults And Children

Given that the incidence of obesity is increasing worldwide for both adults and children, sedationists will encounter obese children in their practice. Understanding the obesity-related risks of pediatric procedural sedation will assist the sedationist in managing and mitigating these risks. Obesity is associated with an increase in airway-related adverse events and the need for airway interventions during sedation. Obese patients also need modifications in the dosing of sedative and analgesic agents. Obstructive sleep apnea is commonly associated with obesity and should be identified during the presedation evaluation. With proper screening and preparation, obese patients may be safely and successful sedated for diagnostic and therapeutic interventions.

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