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Tracheostomy for paediatric obstructive sleep apnoea: A systematic review

Published online by Cambridge University Press:  03 August 2018

S Fray ,
A Biello ,
J Kwan ,
Y A Kram ,
K Lu  and
M Camacho
S Fray
Affiliation:
School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
A Biello
Affiliation:
School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
J Kwan
Affiliation:
School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
Y A Kram
Affiliation:
Department of Surgery, Division of Otolaryngology, Tripler Army Medical Center, Hawaii, USA
K Lu
Affiliation:
Department of Surgery, Division of Otolaryngology, San Antonio Military Medical Center, Texas, USA
M Camacho*
Affiliation:
Department of Surgery, Division of Otolaryngology, Tripler Army Medical Center, Hawaii, USA
*
Author for correspondence: Dr Macario Camacho, Department of Surgery, Division of Otolaryngology, Tripler Army Medical Center, 1 Jarrett White Rd, HI 96859, USA E-mail: drcamachoent@yahoo.com
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Abstract

Objective

To search the international literature (any language) for publications reporting outcomes of tracheostomy performed to treat obstructive sleep apnoea in children.

Method

Data sources included: Google Scholar, Cumulative Index to Nursing and Allied Health Literature, Embase, Scopus, and PubMed/Medline. Four authors searched systematically through to 20 January 2018.

Results

A total of 597 studies were screened; 64 were downloaded and 11 met criteria. A total of 196 patients underwent tracheostomy (mean age, 4.2 years; range, newborn to 18 years); 40 had detailed qualitative data and 6 had detailed quantitative data. Apnoea/hypopnoea index showed a 97 per cent reduction (n = 2) and apnoea index showed a 98 per cent reduction (n = 3). Lowest oxygen saturation showed a 34 oxygen saturation point improvement (n = 3). Several patients demonstrated significant improvement in breathing. All identified patients were syndromic, had significant co-morbidities or had severe obstructive sleep apnoea.

Conclusion

Based on reports of children who have undergone a tracheostomy, for whom there are pre- and post-operative data, tracheostomy appears to be a successful treatment for obstructive sleep apnoea. However, additional research is recommended given the small number of patients in the literature.

Keywords

TracheostomyObstructive Sleep Apnoea
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 8 , August 2018 , pp. 680 - 684
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr M Camacho takes responsibility for the integrity of the content of the paper

References

1Camacho, M, Teixeira, J, Abdullatif, J, Acevedo, JL, Certal, V, Capasso, R et al. Maxillomandibular advancement and tracheostomy for morbidly obese obstructive sleep apnea: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 2015;152:619–30Google Scholar
2Camacho, M, Certal, V, Brietzke, SE, Holty, JE, Guilleminault, C, Capasso, R. Tracheostomy as treatment for adult obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope 2014;124:803–11Google Scholar
3Brietzke, SE, Gallagher, D. The effectiveness of tonsillectomy and adenoidectomy in the treatment of pediatric obstructive sleep apnea/hypopnea syndrome: a meta-analysis. Otolaryngol Head Neck Surg 2006;134:979–84Google Scholar
4Camacho, M, Certal, V, Abdullatif, J, Zaghi, S, Ruoff, CM, Capasso, R et al. Myofunctional therapy to treat obstructive sleep apnea: a systematic review and meta-analysis. Sleep 2015;38:669–75Google Scholar
5Tapia, IE, Marcus, CL. Newer treatment modalities for pediatric obstructive sleep apnea. Paediatr Respir Rev 2013;14:199–203Google Scholar
6Bannink, N, Nout, E, Wolvius, EB, Hoeve, HL, Joosten, KF, Mathijssen, IM. Obstructive sleep apnea in children with syndromic craniosynostosis: long-term respiratory outcome of midface advancement. Int J Oral Maxillofac Surg 2010;39:115–21Google Scholar
7Burstein, FD, Cohen, SR, Scott, PH, Teague, GR, Montgomery, GL, Kattos, AV. Surgical therapy for severe refractory sleep apnea in infants and children: application of the airway zone concept. Plast Reconstr Surg 1995;961:34–41Google Scholar
8Cohen, SR, Suzman, K, Simms, C, Burstein, FD, Riski, J, Montgomery, G. Sleep apnea surgery versus tracheostomy in children: an exploratory study of the comparative effects on quality of life. Plast Reconstr Surg 1998;102:1855–64Google Scholar
9Cook, BJ, Berkowitz, RG. Tracheostomy in children with nemaline core myopathy. Int J Pediatr Otorhinolaryngol 2005;69:263–6Google Scholar
10Gozal, D, Torres, JE, Menendez, AA. Longitudinal assessment of hypercapnic ventilatory drive after tracheotomy in a patient with the Prader-Willi syndrome. Eur Respir J 1996;9:1565–8Google Scholar
11Guilleminault, C, Eldridge, FL, Simmons, FB, Dement, WC. Sleep apnea in eight children. Pediatrics 1976;58:23–30Google Scholar
12Handford, HA, Cadieux, RJ, Kales, A, Ballard, JO, Potter, CR. Tracheostomy for sleep apnea in a hemophilic child. Am J Pediatr Hematol Oncol 1984;6:346–9Google Scholar
13Imataka, G, Nakajima, I, Goto, K, Konno, W, Hirabayashi, H, Arisaka, O. Drop episodes improved after tracheotomy: a case of Coffin-Lowry syndrome associated with obstructive sleep apnea syndrome. Eur Rev Med Pharmacol Sci 2016;20:498–501Google Scholar
14Kasow, KA, Stocks, RM, Kaste, SC, Donepudi, S, Tottenham, D, Schoumacher, RA et al. Airway evaluation and management in 7 children with malignant infantile osteopetrosis before hematopoietic stem cell transplantation. J Pediatr Hematol Oncol 2008;30:225–9Google Scholar
15Perks, WH, Cooper, RA, Bradbury, S, Horrocks, P, Baldock, N, Allen, A et al. Sleep apnoea in Scheie's syndrome. Thorax 1980;35:85–91Google Scholar
16Rizzi, CJ, Amin, JD, Isaiah, A, Valdez, TA, Jeyakumar, A, Smart, SE et al. Tracheostomy for severe pediatric obstructive sleep apnea: indications and outcomes. Otolaryngol Head Neck Surg 2017:157:309–13Google Scholar
17Camacho, M, Zaghi, S, Chang, ET, Song, SA, Szelestey, B, Certal, V. Mini tracheostomy for obstructive sleep apnea: an evidence based proposal. Int J Otolaryngol 2016;2016:7195349Google Scholar