pulmonary disorders
Obstructive Sleep Apnea (OSA) in Children
Key Points
Risk factors for childhood obstructive sleep apnea (OSA) include obesity, enlarged tonsils or adenoids, anatomic (including craniofacial) abnormalities, genetic abnormalities, drugs, and disorders causing hypertonia or hypotonia. Problems with learning and behavior are potentially serious complications. Diagnose childhood OSA based on caregiver-confirmed symptoms and the results of polysomnography. Correct anatomic causes of obstruction (eg, by adenotonsillectomy or correction of micrognathia). Consider continuous positive airway pressure and/or weight loss if surgery is not indicated or not completely effective. 