Pediatric Sleep-Disordered Breathing: Evidence-Based Approach to Evaluation and Management

Abstract

Program Description:

Sleep-disordered breathing (SDB) affects more than 10% of all children, and tonsillectomy and adenoidectomy (T&A) is one of the most common surgeries done nationally. This miniseminar will review available current national guidelines on evaluation of SDB, including the use of polysomnogram and indications for T&A. Outcomes in routine, syndromic, obese, neurologically affected, and other cases will be reviewed. Lastly, surgical options for failures to cure with T&A will be discussed. Case studies will be presented that will demonstrate principles presented and foster discussion among panelists.

Educational Objectives:

(1) Describe patient characteristics that necessitate evaluation with polysomnogram versus proceeding with treatment based on clinical history and examination. (2) Identify common reasons for failure to cure SDB with routine T&A. (3) Demonstrate knowledge of available surgical options for these cases.