Pediatric obstructive sleep apnea

by | Mar 28, 2013


Here’s a scientific article on childhood sleep apnea. 

Yu-Shu Huang1 and Christian Guilleminault2*

1Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital and University, Taiwan, China
2Sleep Medicine Division, Stanford University, Redwood City, CA, USA


Review of evidence in support of an oral-facial growth impairment in the development of pediatric sleep apnea in non-obese children.


Review of experimental data from infant monkeys with experimentally induced nasal resistance. Review of early historical data in the orthodontic literature indicating the abnormal oral-facial development associated with mouth breathing and nasal resistance. Review of the progressive demonstration of sleep-disordered-breathing (SDB) in children who underwent incomplete treatment of OSA with adenotonsillectomy, and demonstration of abnormal oral-facial anatomy that must often be treated in order for the resolution of OSA. Review of data of long-term recurrence of OSA and indication of oral-facial myofunctional dysfunction in association with the recurrence of OSA.


Presentation of prospective data on premature infants and SDB-treated children, supporting the concept of oral-facial hypotonia. Presentation of evidence supporting hypotonia as a primary element in the development of oral-facial anatomic abnormalities leading to abnormal breathing during sleep. Continuous interaction between oral-facial muscle tone, maxillary-mandibular growth, and development of SDB. load testing website Role of myofunctional reeducation with orthodontics and elimination of upper airway soft tissue in the treatment of non-obese SDB children.


Pediatric OSA in non-obese children is a disorder of oral-facial growth.

For more information on childhood sleep apnea, contact me.


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