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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

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