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Obstructive Sleep Apnea Treatment Tips

Pediatric Obstructive Sleep Apnea

Dr. Harmeet Singh Pasricha 89% (54 ratings)
DNB (ENT), MBBS, MNAMS - Otorhinolaryngology
ENT Specialist, Gurgaon
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Hello, I am Dr Harmeet Singh Pasricha I am an ENT specialist working in Gurgaon for last 20 years. Today I am going to speak on a topic called paediatric obstructive sleep apnea or paediatric OSA. This is a common condition in children which present as mouth breathing during sleep during children and there is snoring also during sleep. This happens usually in the age group of 4 to 8 years during sleep it happens because there is an abstraction in the nose patient cannot breathe through the nose so it starts breathing through the mouth. This happens because of increase in the size of the tonsils and adenoids, tonsils are a pair of lymphatic tissue in the throat and adenoid is similar tissue which is situated in the midline behind the nose in the throat. When these adenoid increase in size then there is obstruction of the nose from the back side so a child cannot breathe through the nose. So in advertly opens the mouth to breathe, there is lack of oxygenation in the body and patient is restless during sleep and because of continued mouth breathing because of the growing age in the children, there are changes which developed in the face and nose of the patient. In it the front teeth come out and the pallet which is the partition between the nose and the throat it goes up, the development of the nose is reduced it forms the pins nose and the bones of the cheek they elongate downwards and the patient develops and adenoid faces. So because of the growing age, this has to control and we have to manage the patient medically. Initially, if the medical management of the patient fails then we have to go in for surgery. The surgery involves removal of the tonsil that is tonsillectomy and removal of adenoids that is adenoidectomy. Now because of its a procedure is done under general anaesthesia and adenoidectomy is now usually these days done under direct vision using the endoscopic technique transnasal or transoral technique and it is done with powered instruments now usually using micro debrider or coblation and adenoidectomy is done, so which opens up the space of the nasofarings and patient can breathe through the nose and tonsils are also removed. So the airways opened up and once the patient breathes smoother nose properly, he gets proper oxygenation and the shape of the face can be prevented from distortion. Thank you, you can contact me at my clinic a Dr Pasricha’s ENT & Eye Care Centre, Old Jail Land Complex, Sohna Adda, Gurugram, or at Columbia Asia Hospital, Palam Vihar, Gurgaon or you can book an appointment on lybrate.com. Thank you.

3908 people found this helpful

Sleep Apnea - 7 Ways it Can Be Treated!

MS - ENT, MBBS
ENT Specialist, Delhi
Sleep Apnea - 7 Ways it Can Be Treated!

Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.

Treatment of sleep apnea includes:

  1. CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
  2. BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
  3. ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
  4. Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
  5. Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
  6. Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
  7. Surgery: Surgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful. If you wish to discuss about any specific problem, you can consult a doctor.
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