Obstructive Sleep Apnea Syndrome in Children

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Persistent OSA after T&A Current treatments and new research: DYMOSA study Sally R. Shott, M.D. Professor Cincinnati Children’s Hospital Medical Center Department of Otolaryngology - Head and Neck Surgery University of Cincinnati Sally.Shott@cchmc.org
Page 1 and 2: Obstructive Sleep Apnea (OSA) in Ch
Page 3 and 4: Obstructive Sleep Apnea Syndrome (O
Page 5 and 6: OSA • More difficult to diagnosis
Page 7 and 8: • Not diagnostic of OSA Diagnosis
Page 9 and 10: Diagnosis of OSA Sleep patterns •
Page 11: Higher incidence of OSAS in: • Ob
Page 14 and 15: Down Syndrome • 50% also have an
Page 16 and 17: Before 1980’s • Despite 50% of
Page 18 and 19: Child Abuse Amendments 1984 • All
Page 20 and 21: Parents Of Children With DS Underes
Page 22 and 23: Behavior Changes with OSAS • Dayt
Page 24 and 25: Children who snore vs those who do
Page 26 and 27: OSAS and Growth • T&A hypertrophy
Page 28 and 29: • What is the incidence of OSA in
Page 30 and 31: Dyken et al (2003) • Prospective
Page 32 and 33: Shott et al 2006 • Prospective st
Page 34 and 35: Objective diagnosis of OSAS • Sle
Page 36 and 37: Sleep studies in children with deve
Page 38 and 39: Definitions of Sleep Abnormalities
Page 40 and 41: Obstructive Index Apnea-Hypopnea in
Page 42 and 43: Hypoventilation Syndrome • You br
Page 44 and 45: Repetitive Arousals and Sleep Fragm
Page 46 and 47: Treatment of OSA • Removal of ton
Page 50 and 51: OSA - Obstructive Sleep Apnea • W
Page 52 and 53: T&A less successful for children wi
Page 54 and 55: What if T&A fails Define the level
Page 56 and 57: What if T&A fails Define the level
Page 58 and 59: Cine MRI • Fast gradient echo seq
Page 60 and 61: Causes of persistent obstructive sl
Page 62 and 63: Case 1 - Cine MRI • Adenoid regro
Page 64 and 65: Case 2: • 7 year old F with DS
Page 66 and 67: Case 2 - Further treatment and resu
Page 68 and 69: Case 3 : Sleep cine MRI
Page 70 and 71: OSAS - Further surgical options:
Page 74 and 75: Palate expansion
Page 76 and 77: OSA - Surgical options for base of
Page 78 and 79: We need to do better • There is a
Page 80 and 81: The future: DYMOSA Dynamic Computat
Page 82 and 83: DYMOSA • Using dynamic MRI imagin
Page 84 and 85: Flow direction Flow direction Resul
Page 86 and 87: Flow Structure Interaction and Larg
Page 88 and 89: Vortices
Page 90 and 91: Structure and Compliance 15 cm of H
Page 92 and 93: Fluid Structure Interaction (FSI) M
Page 94 and 95: DYMOSA Aims • Aim 3: Use the vali
Page 96: • Sleep abnormalities may continu

Obstructive Sleep Apnea Syndrome in Children

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