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Muntz HR. Management of sleep apnea in the cleft population.
Curr Opin Otolaryngol
Head Neck Surg
. 2012; 20(6):518-521. EBM level 4................................................50-53
Summary: This article reviews the importance of the diagnosis and management of
obstructive sleep apnea in children with facial clefting. Diagnostic work-up and
potential interventions are discussed in detail. Commonly encountered clinical
scenarios, including Pierre Robin sequence, post-VPI repair OSA, and midface
hypoplasia are discussed as well as potential surgical treatment options for each.
Okada H, Gosain AK. Current approaches to management of nonsyndromic
craniosynostosis.
Curr Opin Otolaryngol Head Neck Surg
. 2012; 20(4):310-317. EBM
level 4...........................................................................................................................54-61
Summary: This is a review article detailing the pathogenesis of non-syndromic
craniosynostosis and the imaging necessary to accurately make the diagnosis. A
review of the history of surgical repair options is included as well as descriptions for
current surgical techniques. Advantages and limitations of different interventions
are discussed in detail.
Runyan CM, Uribe-Rivera A, Karlea A, et al. Cost analysis of mandibular distraction
versus tracheostomy in neonates with Pierre Robin sequence.
Otolaryngol Head Neck
Surg
. 2014; 151(5):811-818. EBM level 3.................................................................62-69
Summary: Several surgical options are available to treatment upper airway
obstruction in neonates with Pierre Robin sequence. This article examines the cost
of two of those surgical approaches, tracheotomy and mandibular distraction, in a
study of 47 patients. The mandibular distraction groups appeared to have lower
overall costs, despite having no difference in overall hospital stay length between the
groups.
III.
Adenotonsillar Disease and Sleep Disorders
Bedwell JR, Pierce M, Levy M, Shah RK. Ibuprofen with acetaminophen for
postoperative pain control following tonsillectomy does not increase emergency
department utilization.
Otolaryngol Head Neck Surg
. 2014; 151(6):963-966. EBM
level 3...........................................................................................................................70-73
Summary: This is a retrospective case series of children who underwent
tonsillectomy with or without adenoidectomy comparing pain control in patients
who received acetaminophen with codeine vs. acetaminophen and ibuprofen. The
proportion of patients requiring emergency department visits for inadequate pain
management was not significantly different between groups on both bivariate and
multivariate analysis controlling for age and antibiotic use.