University of Washington, Seattle, WA, Eastern Virginia Medical School, Norfolk, VA, University of Michigan, Ann Arbor, MI, Emory University, Atlanta, GA
Approximately 18% of children will have residual OSA (ROSA) after adenotonsillectomy (T&A). ROSA results in poorer quality of life, behavior, and school performance. Over the last few years, we have seen an emergence of a multi-disciplinary model to evaluate and treat children with ROSA after T&A. In this session, expert speakers from diverse geographic locations will share their own experience, model of care, and local innovations of care. Specifically, the session will discuss state of the art technologies and techniques for the evaluation and management of patients with ROSA after T&A. The panelists will discuss diagnostic techniques including Sleep Endoscopy, Cine MRI, and 3-D CT and will present models of decision making for ROSA. Each site will share their respective practice patterns with regards to a multi-discplinary care model and comparisons will be made to help audience members best optimize their own sleep surgery outcomes. Surgical and non-surgical therapeutic options will be presented, along with rationale for decision-making. State of the Art surgical techniques will also be shared for the mandible, palate, supraglottis, and tongue base (including hypoglossal nerve stimulator). Time will be dedicated for audience participation. Panelists will also discuss institutional and personal bias and how this may influence decision making.