PEDIATRICS Vol. 78 No. 5 November 1986, pp. 797-802
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Alternative Treatment to Tracheostomy in Obstructive Sleep Apnea Syndrome: Nasal Continuous Positive Airway Pressure in Young Children

Christian Guilleminault MD1, German Nino-Murcia MD1, Gregory Heldt MD1, Roger Baldwin MSc1, and David Hutchinson MSc1

1 From the Sleep Disorders Clinic, Stanford University School of Medicine, Palo Alto, California, and Department of Pediatrics, University of California at San Francisco

Two groups of prepubertal children with severe obstructive sleep apnea syndrome received continuous positive airway pressure (CPAP) treatment using a nasal mask. The five children in group A had nasal CPAP only in a hospital setting; the five children in group B received the treatment at home as well. Four of these five children, who have now been followed for as long as 10 months, have adapted well to the treatment at home. The problems encountered with nasal CPAP as a home treatment, such as poor cooperation from parents, allergic rashes, eye irritation resulting from air leaks, are discussed. Despite the problems, nasal CPAP is a valid alternative to tracheostomy in children as young as 3 years of age.

Key Words: Continuous positive airway pressure • obstructive sleep apnea syndrome • tracheostomy • snoring

Submitted on August 9, 1985
Accepted on May 28, 1986




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