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Snoring and Obstructive Sleep Apnea in Children
An Evidence-Based, Multidisciplinary Approach
1st Edition - November 24, 2023
Editors: Amal Isaiah, Ron B. Mitchell
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Snoring and Obstructive Sleep Apnea in Children: An Evidence-Based, Multidisciplinary Approach provides researchers and practitioners with a complete and comprehensive source of… Read more
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Snoring and Obstructive Sleep Apnea in Children: An Evidence-Based, Multidisciplinary Approach provides researchers and practitioners with a complete and comprehensive source of information on the epidemiology, pathophysiology, diagnosis, management and controversies concerning sleep disordered breathing in infants. Written by an interdisciplinary team of authors, chapters consolidate information on the evaluation and management of pediatric sleep disordered breathing (SDB) currently fragmented across different specialties.
Principles of surgery for SDB as well as non-medical approaches, such as continuous positive airway pressure (CPAP) are covered, and a section dedicated to controversies in pediatric SDB discusses clinical cases and future trends for the treatment of snoring and obstructive sleep apnea in children.
Consolidates information on pediatric sleep disordered breathing (SDB) across disciplines
Covers common diagnostic modalities and adverse outcomes related to snoring and sleep apnea in infants
Includes flowcharts and clinical guidelines for evaluation and management of pediatric SDB
Sleep medicine physicians, sleep researchers, otorhinolaryngologists and pediatricians, ENT surgeons and orthodontists
Part 1. Epidemiology and pathophysiology
1. Anatomy of upper airway
2. Regulation of upper airway during sleep
3. Epidemiology of sleep disordered breathing
4. Socioeconomic determinants of sleep disordered breathing
5. Race, sex, and airway obstruction
6. Impact of obesity on upper airway
7. Genetic conditions and sleep disordered breathing
8. Upper airway obstruction and neurocognition
9. Upper airway obstruction in infancy
10. Quality of life in pediatric sleep disordered breathing
11. Cardiovascular and metabolic complications of sleep disordered breathing
12. SDB in syndromic children
Part 2. Evaluation
13. Symptoms and signs
15. Imaging upper airway obstruction
16. Drug-induced sleep endoscopy
17. Actigraphy/other sensors in SDB
18. Questionnaires in resource-limited environments
19. Machine learning for pediatric SDB
20. Complications of SDB
Part 3. Management
21. ENT surgeries
22. Maxillofacial procedures
23. Positional therapy
24. Myofunctional and orthodontic approaches
25. medical management including anti-inflammatory medications
26. CPAP therapy
27. Discussion of all societal guidelines
28. Comorbid asthma in children with SDB
29. Management of upper airway obstruction in infancy
Part 4. Special cases/controversies
30. persistent SDB-to treat or not to treat
31. SDB in infants
32. home sleep studies
33. role of polysomnography prior to adenotonsillectomy
34. OSA in adolescents
35. Hypoglossal nerve stimulation
36. Clinical cases
37. Future directions
No. of pages: 420
Published: November 24, 2023
Imprint: Academic Press
Paperback ISBN: 9780323996532
Dr Isaiah earned a medical degree in India with multiple honors and was awarded a Rhodes Scholarship to read for a DPhil (PhD) in Neuroscience at University of Oxford. During doctoral training, he studied brain plasticity using electrophysiological, statistical, computational, and behavioral techniques. Following postdoctoral training, residency in otolaryngology and a clinical fellowship in pediatric otolaryngology, he joined the faculty at University of Maryland in September 2016. His principal areas of interest are sleep disordered breathing (SDB), brain development, and statistical modeling. He has received the Charles Ferguson Award for clinical research from the American Society of Pediatric Otolaryngology, the Mentor Award for transformative impact on medical students interested in research and was a featured Early Career Investigator by the journal Pediatric Research. He is also a co-investigator in the Adolescent Brain Cognitive Development (ABCD) study, the largest study of brain development in children. He participated in a writing group for pediatric SDB and cardiovascular disease commissioned by the American Heart Association. He has a robust clinical practice and has performed both cross-sectional and prospective studies related to SDB. His work has received extensive media coverage, including a recent paper in Nature Communications on the association between SDB and brain outcomes, which received worldwide attention.
Affiliations and expertise
Associate Professor, Head and Neck Surgery Pediatrics, and Diagnostic Radiology, University of Maryland School of Medicine, MD, USA
Ron B. Mitchell
Dr. Mitchell earned his medical degree at the University of Southampton in England. He completed residencies in general surgery and otolaryngology at the Royal College of Surgeons of England and then received advanced training in pediatric otolaryngology through a fellowship at Le Bonheur Children’s Hospital in Memphis.
Certified by the Royal College of Surgeons of Edinburgh, the Royal College of Surgeons of England, and the American Board of Otolaryngology, Dr. Mitchell joined the UT Southwestern faculty in 2011. In addition to his roles at UT Southwestern, he also serves as head of the Sleep Disorders Center at Children’s Medical Center.
Dr. Mitchell is currently the president of the American Society of Pediatric Otolaryngology and is actively involved in his profession’s national leadership, chairing multiple committees including a recent task force of the American Academy of Otolaryngology-Head and Neck Surgery (AAOHNS) that published Clinical Practice Guideline: Tonsillectomy in Children (Update). He previously chaired a committee that published a consensus document about the optimal care of patients with a tracheostomy.
Dr. Mitchell edits four otolaryngology journals and serves as a peer reviewer for 11 more. He has also published dozens of peer-reviewed papers, as well as many book chapters and three books on pediatric otolaryngology. A highly respected educator, he has delivered lectures on pediatric otolaryngology and pediatric sleep medicine across the United States as well as in Israel, Panama, Argentina, Brazil, and Mexico.
Affiliations and expertise
Professor and Vice Chairman, Department of Otolaryngology Head and Neck Surgery, Chief of Pediatric Otolaryngology, UT Southwestern and Children's Medical Center Dallas, TX, USA