Abstract
Controversies in the Evaluation and Treatment of Pediatric Sleep Apnea
Cristina Baldassari, MD (moderator); Ron B. Mitchell, MD; Stacey L. Ishman, MD, MPH; Scott E. Brietzke, MD, MPH; Norman R. Friedman, MD
Session Description: Sleep-disordered breathing (SDB) is a common pediatric problem seen by otolaryngologists, and adenotonsillectomy is one of the most common surgical procedures performed in children. Numerous controversies exist regarding the management of pediatric SDB. Published guidelines from national otolaryngology, sleep medicine, and pediatric societies differ significantly in their recommendations. There has also been a large amount of recent published research on new diagnostic and treatment options. Thus, it can be challenging for otolaryngologists to determine the most appropriate management strategies for children presenting with SDB. The primary aim of this miniseminar is to identify and discuss controversies in the evaluation and treatment of children with SDB. These include whether or not home polysomnogram can be used to diagnose pediatric obstructive sleep apnea (OSA), the most appropriate treatment for snoring and mild OSA, whether tonsillectomy or tonsillotomy has superior treatment outcomes for pediatric SDB, the role of drug-induced sleep endoscopy as a diagnostic procedure, and positive airway pressure versus further surgical therapy for persistent OSA following adenotonsillectomy. The miniseminar will include a panel discussion of these questions in a point-counterpoint format. Panelists will provide evidence-based “pro and con” arguments for each controversy. To provide the best care to pediatric patients presenting with SDB, otolaryngologists must be familiar with the most up-to-date management options and be able to incorporate the current literature into their practice.
Outcome Objectives: (1) Evaluate common controversies in the management of pediatric SDB. (2) Review new evidence-based literature that addresses these controversies. (3) Incorporate innovative diagnostic and treatment advances in the management of children with pediatric SDB.
Innovations in Pediatric Otolaryngology: A Video Forum
Sanjay R. Parikh, MD (moderator); Steven Goudy, MD; Paul Krakovitz, MD; Soham Roy, MD; Michael J. Rutter, MD, FRACS; David R. White, MD; Carlton Zdanski, MD
Session Description: In this state-of-the-art miniseminar, 7 experts will share video-based examples of new ideas in pediatric otolaryngology. New knowledge, techniques, and outcomes for emerging concepts will be discussed while ample opportunity for audience questions and answers will be provided:
Outcome Objectives: (1) Describe novel techniques for endoscopic management of congenital nasal lesions such as choanal atresia and nasal lacrimal cysts. (2) Recognize novel computer modeling and ultrasonographic techniques as they relate to the upper airway and predicting surgical outcomes, particularly with regard to craniofacial anomalies. (3) Evaluate challenging injuries to larynx and pharynx and understand novel tools for surgical correction in the pediatric population.
Pediatric Dysphagia: Challenges and Controversies
Julina Ongkasuwan, MD (moderator); Deepak Mehta, MD, FRCS; J. Paul Willging, MD; Claire K. Miller, PhD, MHA; Hamdy El-Hakim, MD; James W. Schroeder Jr, MD
Session Description: The ability to eat by mouth safely is essential for children’s growth and development. It is also an essential part of bonding for parents and their children. The management of swallowing dysfunction in infants and children can be daunting. It also crosses disciplines. Speech pathologists and feeding specialists are key partners in the treatment team. The objective of this miniseminar is to give general otolaryngologists and pediatric otolaryngologists the tools to assess pediatric dysphagia. Topics covered will include when and how often a modified barium swallow should be done, the assessment and management of type 1 laryngeal clefts, management of cricopharyngeal dysfunction/achalasia, and dysphagia in infants with laryngomalacia. The experts on the panel will share their opinions. The miniseminar will also involve audience participation.
Outcome Objectives: (1) Recognize the indications for and limitations of fiber-optic endoscopic evaluation of swallowing versus modified barium swallowing evaluation. (2) Demonstrate nonsurgical treatments for pediatric dysphagia. (3) Evaluate the surgical options for pediatric dysphagia.