Table 1.
Summary of evidence for tongue reduction as OSA treatment in BWS
| Study | n | Technique | Pre-operative respiratory findings | Post-operative respiratory findings | Notes |
|---|---|---|---|---|---|
| Mixter11 1993 | 3 | Central ‘W’ | 1 with moderate-severe OSA, 2 with severe OSA | One with mild-moderate OSA, 1 with mild OSA, 1 with no OSA | Minimal improvement in articulation disorders; 2 required tracheostomy |
| Kamata10 (2005) | 2 | 1 anterior resection, 1 central resection; both: division of frenulum | Severe OSA | No OSA | Both patients were preterm infants with omphalocele |
| Maturo12 (2006) | 3 | Submucosal minimally-invasive lingual excision | 1 with tracheostomy 2 with AHI=10/hr | 1 decannulated AHI for other two = 0.2/hour and 0.9/hr | |
| Follmar15 (2014) | 4 (118 in series) | Not reported | ‘OSA’ | ‘successfully treated’ | Unclear if PSGs performed in these patients |