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(Journal of Laryngology and Otology[TA])
13,889 results
  • Paediatric obstructive sleep apnoea: is our operative management evidence-based? [Journal Article]
  • JLJ Laryngol Otol 2018 Feb 21; :1-6
  • Pabla L, Duffin J, … Blackmore K
  • CONCLUSIONS: There are many gaps in the evidence base for the surgical correction of obstructive sleep apnoea. There is emerging evidence favouring subtotal tonsillectomy. There is continuing uncertainty around the prediction of the level of post-operative care that any individual child might require. The long-term benefit of surgical correction is a particularly fertile ground for further research.
  • Paediatric obstructive sleep apnoea: can our identification of surgical candidates be evidence-based? [Journal Article]
  • JLJ Laryngol Otol 2018 Feb 14; :1-9
  • Pabla L, Duffin J, … Blackmore K
  • CONCLUSIONS: There is a considerable lack of evidence regarding most of these fundamental questions. Notably, screening measures show low specificity and can be insensitive to mild obstructive sleep apnoea. There is a surprising lack of clarity in the definition (let alone estimate of severity) of sleep-disordered breathing, relying on what may be arbitrary test thresholds. Areas of potential research might include investigation of the mechanisms through which obstructive sleep apnoea causes co-morbidities, whether neurocognitive, behavioural, metabolic or cardiovascular, and the role of non-surgical management.
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