Table 2.
Surgical procedures addressing OSA in children other than tonsilloadenoidectomy.
| Author (date) | Age (mean age) | N | Type of procedure | Prior procedure performed | Type of study | Mean pre/post AHI |
|---|---|---|---|---|---|---|
| Rivero and Durr (2017) | <18 years (9.5) | 132 | Lingual tonsillectomy | T+A | Systematic review and meta-analysis | 12.291/5.653 (54% reduction) |
| Camacho et al. (2017) | <18 years (10.8) | 116 | Base of tongue reduction (114), tongue suspension (1), and HNS (1) | >90% T+A | Systematic review and meta-analysis | 16.9/8.7 for tongue-base reduction (48.5% reduction) |
| Fray et al. (2018) | <18 years (11.1) | 196 | Tracheostomy | Not reported | Systematic review and meta-analysis | 34.2/0.75 (98% reduction) |
| Camacho et al. (2016) | 1 month to 12.6 years (mean not reported) | 138 | Supraglottoplasty | Excluded | Systematic review and meta-analysis | 20.4/4 (80% reduction) in congenital laryngomalacia 14/3.3 (76% reduction) in sleep-exclusive larnygomalacia |
| Lee et al. (2016) | 2.4 months to 7.4 years (3.7) | 121 | Supraglottoplasty | AT or lingual tonsillectomy in some patients | Meta-analysis | 8.9 mean decrease (mean pre/post not included) |
| Noller et al. (2018) | <18 years | 376 | MAD or mandibular advancement surgery | None (excluded) | Systematic review and meta-analysis | 41.1/4.5 (89.1% reduction) |
T+A: tonsillectomy and adenoidectomy; AT: adenotonsillectomy; MAD: mandibular advancement device.