Peter J. Koltai, Stanford University
Professor
Stanford, California
koltai@stanford.edu
Office:
(650) 725-6500
Bio/Research
It has been well-recognized that tonsillectomy and adenoidectomy is the primary treatment for pediatric obstructive sleep disordered breathing. However, it is also recognized that approximately 15-20% of the children will continue to have problems with obstructive sleep disordered breathing, desp...
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Bio/Research
It has been well-recognized that tonsillectomy and adenoidectomy is the primary treatment for pediatric obstructive sleep disordered breathing. However, it is also recognized that approximately 15-20% of the children will continue to have problems with obstructive sleep disordered breathing, despite having their tonsils and adenoids out. The primary problem of sleep apnea in children who have had their tonsils and adenoids out was identifying the site of obstruction. Since fiberoptic laryngoscopy is a routine part of our office exam in our evaluation of children with sleep apnea, it seemed like a natural evolutionary step to perform a similar type of examination while the children are under anesthesia. Clearly an anesthetic induced sleep is not real sleep; on the other hand, it is about the closest model to real sleep that we have.
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