Elsevier · 2023
Snoring and Obstructive Sleep Apnea in Children
An Evidence-Based, Multidisciplinary Approach
A complete and comprehensive resource on the epidemiology, pathophysiology, diagnosis, management, and controversies surrounding sleep-disordered breathing in infants and children. Written by an interdisciplinary team of experts, this book consolidates knowledge currently fragmented across pediatric otolaryngology, sleep medicine, pulmonology, and dentistry — covering everything from adenotonsillectomy to future directions in hypoglossal nerve stimulation.
- Consolidates pediatric SDB knowledge across disciplines in a single authoritative reference
- Covers diagnostic modalities, adverse outcomes, flowcharts, and clinical guidelines
- Dedicated section on controversies and future directions including Down syndrome, ADHD, and home sleep studies
Written for
Sleep Medicine Physicians
Otorhinolaryngologists
Pediatricians
ENT Surgeons
Orthodontists
Sleep Researchers
Contents
Section 1 — Epidemiology & Pathophysiology
- 1Anatomy of upper airway
- 2Regulation of upper airway during sleep
- 3Socioeconomic disparities in pediatric SDB
- 4Cerebral oxygenation in pediatric OSA
- 5Genetics of pediatric OSA
- 6Neurobehavioral outcomes of pediatric OSA
- 7Quality of life outcomes
- 8Cardiovascular complications
- 9High-risk groups
- 10Growth and development
Section 2 — Evaluation
- 11Symptoms and signs of upper airway obstruction
- 12Polysomnography for evaluation
- 13Imaging upper airway obstruction
- 14Pediatric drug-induced sleep endoscopy
- 15Questionnaires for pediatric OSA
- 16Technology applications for detection
Section 3 — Management
- 17Adenotonsillectomy
- 18Surgical management post-adenotonsillectomy
- 19Maxillofacial procedures
- 20Positional therapy
- 21Orofacial myofunctional therapy
- 22Anti-inflammatory therapy
- 23Positive airway pressure therapy
- 24Clinical guidelines for management
- 25Comorbid asthma
Section 4 — Special Cases & Controversies
- 26OSA in infancy
- 27OSA and ADHD
- 28Home sleep studies
- 29Severe and extreme OSA: management principles
- 30Sleep-related hypoxemia
- 31OSA in children with Down syndrome
- 32OSA in adolescents
- 33Hypoglossal nerve stimulation
- 34Future directions
Editors
Amal Isaiah, MD, DPhil, MBA
University of Maryland School of Medicine
Dr. Isaiah was awarded a Rhodes Scholarship and completed a DPhil in Neuroscience at the University of Oxford. He joined the faculty at the University of Maryland in 2016 and rose to full Professor in 2023. He leads an NIH-funded laboratory investigating brain outcomes of pediatric sleep-disordered breathing and holds a portfolio of multiple patents related to upper airway obstruction.
Ron B. Mitchell, MD
UT Southwestern & Children's Medical Center Dallas
Dr. Mitchell is Professor and Vice Chairman of Otolaryngology–Head and Neck Surgery and Chief of Pediatric Otolaryngology at UT Southwestern. Past President of the American Society of Pediatric Otolaryngology, he chaired the AAO-HNS task force that published the Clinical Practice Guideline: Tonsillectomy in Children (Update) and has delivered lectures on pediatric otolaryngology across the US and internationally.