Most unanticipated admissions following ambulatory surgery in children are related to anesthesia, with otolaryngology procedures and obstructive sleep apnea among the most significant predictive factors for admission.

Most unanticipated admissions following ambulatory surgery in children are related to anesthesia, with otolaryngology procedures and obstructive sleep apnea among the most significant predictive factors for admission.
While guidelines help to determine when to order a sleep study, clinical judgment is vital
Tonsillectomy can be considered for patients with mild OSA who have severe obstructing anatomy that is surgically correctible
A study showed that tonsil size did not correlate with baseline OSA severity, even when adenoid hypertrophy was accounted for in the analysis
OSAS is associated with increased morbidity and mortality, as well as increased risk of poor sleep and low QOL
However, the majority of them are not cured, and additional research is needed
Distraction osteogenesis can be very effective in improving upper airway obstruction in children with micrognathia
Drug-induced sleep endoscopy and cine MRI are the most commonly reported tools to identify obstruction sites for children with persistent OSA
MADs reduce AHI, increase oxygen saturation, and improve the main symptoms of mild to moderate OSAHS
Patients with chronic rhinosinusitis and comorbid obstructive sleep apnea see substantial improvements in quality of life following sinus surgery