OSA in Pediatric CNS tumor survivors

An interesting study showing a high prevalence of OSA in children CNS tumor survivors. Rather remarkable is that while SDB is highly prevalent, it is the Obstructive apneas that are more prevalent than Central (14 out of 18). Another subgroup of patients to be on the alert for OSA in.

Excessive daytime sleepiness and sleep-... [Pediatr Blood Cancer. 2011] - PubMed - NCBI:

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Oropharyngeal examination to predict sleep apnea severity

It's good to see a study that validates what is widely held belief among ENT surgeons. While assessing the oropharyngeal airway ALONE is hardly a holistic approach, a finding of a narrowed passage by Friedman Tongue Position in a patient with excessive daytime sleepiness or other comorbids of OSA (eg. refractory hypertension, ischemic heart disease) has been highly predictive of OSA in my own practice.


Oropharyngeal examination to... [Arch Otolaryngol Head Neck Surg. 2011] - PubMed - NCBI:

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Coronary CT Angiography Reveals Vessel Involvement in Obstructive Sleep Apnea : Internal Medicine News

An important step forward in delineating the relationship between OSA and IHD.

Already we know, hypoxia and sympathetic stimulation places the heart in a state of myocardial with reduced oxygenation.

The added insult of oxidative injury is the third and lethal blow it seems..

http://www.internalmedicinenews.com/news/cardiovascular-disease/single-article/coronary-ct-angiography-reveals-vessel-involvement-in-obstructive-sleep-apnea/233e32a8fd.html

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Experiments test if implant can block sleep apnea - Leesville, LA - Leesville Daily Leader

An impanted synchronised nerve stimulator to increase muscle tone of the tongue, hence preventing retroglossal obstruction. How ingenious!

http://www.leesvilledailyleader.com/news/x224240986/Experiments-test-if-implant-can-block-sleep-apnea

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