Pediatric
Obstructive Sleep
Apnea
Do your patients
snore?
What is OSA?



Repeated partial or
complete airway
obstruction during sleep
Disrupts sleep quality and
oxygen levels
Affects 5-10% of children,
peaks ages 2-8
What Causes Pediatric OSA?
Enlarged tonsils
Obesity
Craniofacial & Neuromuscular
factors
Why it Matters
Cognition
CV Risk
ADHD
Growth
Restriction
Diagnosi
s
Step 1:
SCREEN
Ask – “Do
they snore?”
Overnight PSG is the standard diagnostic method for childhood OSA
Price:
Diagnostic – P28,135
Therapeutic –
P28,700
Split Night – P40,580
Treatment Options
Treatment
Key Evidence
Benefits
Tonsillectomy
CHAT 2013: Behavior,
growth, quality of life
↓ADHD
↑growth and QoL
CPAP
Sedky 2014: Focus, heart
benefits
↑focus
↓heart strain
Montelukast + Nasal
steroids
Gozal 2016: 50-70% AHI
drop
↓ADHD, mild OSA relief
Rapid maxillary expanders
(RME) and Oral appliances
(OA)
Camacho 2017 (RME): 70%
AHI drop
Zhang 2018 (OA): mild OSA
↑cognition, ↓AHI
Weight loss
Andersen 2020: 30-50% AHI
drop
↑sleep quality
Positional Therapy
Dayyat 2017: mild OSA help
Mild ↓AHI
Watchful Waiting
CHAT 2013: 40% improve
Mild cases; temporary
Mild ↑attention