ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2014
Craniofacial contribution to residual obstructive sleep apnea after adenotonsillectomy in children: a preliminary study.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Risk Factors of Residual Obstructive Sleep Apnea After Adenotonsillectomy in Children: Systematic Review.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Pooled it
- Orofacial Myofunctional Therapy to Treat Residual Obstructive Sleep Apnoea in Children Treated with Adenotonsillectomy and Maxillary Expansion: An Interventional Study.Journal of clinical medicine · 2026Article
- Maxillary Arch Expansion and Adenotonsillectomy in Prepubertal Children Diagnosed with Paediatric Obstructive Sleep Apnoea: An Interventional Study.Journal of clinical medicine · 2026Article
- Exploring nightly variability in sleep apnea and changes in severity classification with multi night sleep testing in a population based cohort of young children.Frontiers in sleep · 2026Article
- The Role of Craniofacial Abnormalities and Orthodontic Interventions in Residual Obstructive Sleep Apnea after Adenotonsillectomy in Children: A Scoping Review.Medical journal of the Islamic Republic of Iran · 2026Review
- Polysomnographic Profile and Clinical Phenotypes of Osa in Association with Residual Sleep Apnea in Children.Life (Basel, Switzerland) · 2025Article
- Exploring the Intricate Links between Adenotonsillar Hypertrophy, Mouth Breathing, and Craniofacial Development in Children with Sleep-Disordered Breathing: Unraveling the Vicious Cycle.Children (Basel, Switzerland) · 2023Review
- Sleep quality, sleep apnea, and metabolic health in children treated with adenotonsillectomy.Sleep & breathing = Schlaf & Atmung · 2023Article
- Craniofacial and upper airway morphological characteristics associated with the presence and severity of obstructive sleep apnea in Chinese children.Frontiers in pediatrics · 2023Article
- Clinical Characteristics Combined with Craniofacial Photographic Analysis in Children with Obstructive Sleep Apnea.Nature and science of sleep · 2023Article
- Use of facial stereophotogrammetry as a screening tool for pediatric obstructive sleep apnea by dental specialists.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Treatment of Obstructive Sleep Apnea in Children: Handling the Unknown with Precision.Journal of clinical medicine · 2020Article
- Upper airway visualization in pediatric obstructive sleep apnea.Paediatric respiratory reviews · 2019Review
- Upper Airway Reflexes are Preserved During Dexmedetomidine Sedation in Children With Down Syndrome and Obstructive Sleep Apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesPediatric obstructive sleep apnea (OSA) is frequently associated with adenotonsillar hypertrophy, and the fact that about 30% of affected children continue to show OSA after adenotonsillectomy (AT) suggests the presence of some other predisposing factor(s). We hypothesized that abnormal maxillofacial morphology may be a predisposing factor for residual OSA in pediatric patients.
methodsA total of 13 pediatric OSA patients (9 boys and 4 girls, age [median (interquartile range)] = 4.7 (4.0, 6.4) y, body mass index (BMI) z score = -0.3 (-0.8, 0.5)) who had undergone AT were recruited for this study. Maxillomandibular size was measured using an upright lateral cephalogram, and correlations between size and the apnea hypopnea index (AHI) values obtained before (pre AT AHI) and about 6 months after AT (post AT AHI) were analyzed.
resultsAHI decreased from 12.3 (8.9, 26.5)/h to 3.0 (1.5, 4.6)/h after AT (p < 0.05). Residual OSA was seen in 11 of the 13 patients (84.6%) and their AHI after AT was 3.1 (2.7, 4.7)/h. The mandible was smaller than the Japanese standard value, and a significant negative correlation was seen between maxillomandibular size and post AT AHI (p < 0.05).
conclusionsThese findings suggest that the persistence of OSA after AT may be partly due to the smaller sizes of the mandible in pediatric patients. We propose that the maxillomandibular morphology should be carefully examined when a treatment plan is developed for OSA children.
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