Pediatric Sleep Apnea
Overview
In children, enlarged tonsils, allergies, or cranio‑facial under‑development narrow the airway, causing loud snoring, bed‑wetting, or ADHD‑like behaviour.
Health Consequences
Untreated pediatric OSA is linked to pulmonary hypertension, growth failure, and neuro‑cognitive delays.
Rebis Treatment Approach
Early ENT evaluation and adenotonsillectomy when indicated
Rapid maxillary expansion (RME) for narrow palates
Myofunctional therapy to strengthen oral muscles
Age‑specific CPAP when necessary
Allergy management to open nasal airflow
Connection to Other Health Domains
| System | Untreated Impact | Key Evidence |
|---|---|---|
| Cardiovascular & Metabolic |
Higher systolic BP and adverse lipid profile | Pediatr Cardiol cohort |
| Hormone Imbalances | Disrupted growth-hormone pulses stunting growth | Pediatric endocrinology studies |
| Immune / Chronic Pain | Night hypoxia raises systemic inflammation | Sleep Med Rev 2023 |
| Gastrointestinal | Elevated GERD prevalence mirroring adults | JGH 2023 meta-analysis |
Benefits of Treatment
Early treatment restores growth curves, improves attention, normalises blood pressure, and gives families quieter nights.
Key References:
Neurocognitive changes after pediatric OSA surgery – https://pmc.ncbi.nlm.nih.gov/articles/PMC7256902/
Rapid maxillary expansion for pediatric OSA – https://pubmed.ncbi.nlm.nih.gov/27796040/