Your doctor will work with you to find the most appropriate treatment for your child's sleep apnea. To treat pediatric obstructive sleep apnea, your doctor may recommend the following:
Sept. 24, 2015
- Avoid airway irritants and allergens. Children with pediatric obstructive sleep apnea should avoid tobacco smoke or other indoor allergens or pollutants, as they can cause airway irritation and congestion.
- Medications. Topical nasal steroids, such as fluticasone (Flonase) and budesonide (Rhinocort), may ease sleep apnea symptoms for some children. For kids with allergies, montelukast (Singulair) may help relieve your child's symptoms when used alone, or in combination with nasal steroids.
- Removal of the tonsils and adenoids (adenotonsillectomy). Your doctor may refer your child to a pediatric ear, nose and throat specialist to consider the removal of your child's tonsils or adenoids. An adenotonsillectomy (ad-uh-no-ton-sil-EK-tuh-me) may improve your child's obstructive sleep apnea by opening up the airway. Other forms of upper airway surgery may be recommended, based on the child's condition.
- Positive airway pressure therapy. In continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BPAP), small machines gently blow air through a tube and mask attached to your child's nose, or nose and mouth. The machine sends air pressure into the back of your child's throat to keep your child's airway open. Doctors often treat pediatric obstructive sleep apnea with positive airway pressure therapy.
- Weight loss. Doctors may recommend that your child lose weight if he or she is obese, as obesity is one of the causes of breathing problems in pediatric obstructive sleep apnea. Your doctor may provide you and your child with diet and nutrition information, or refer your child to other specialists with expertise in managing obesity.
- Oral appliances. Oral appliances, such as dental devices or mouthpieces, move your child's bottom jaw and tongue forward to keep your child's upper airway open. Mayo Clinic dental specialists have experience developing oral appliances to treat sleep apnea. Only some children benefit from such devices.
- Flint PW, et al. Pediatric obstructive sleep apnea. In: Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed July 7, 2015.
- Tapia IE, et al. Newer treatment modalities for pediatric obstructive sleep apnea. Paediatric Respiratory Reviews. 2013;14:199.
- Rosen GM. Mechanisms and predisposing factors for sleep related breathing disorders in children. http://www.uptodate.com/home. Accessed July 7, 2015.
- Find an AASM-accredited sleep facility. American Academy of Sleep Medicine. http://www.sleepcenters.org/. Accessed July 10, 2015.
- Riggs EA. Decision Support System. Mayo Clinic, Rochester, Minn. April 17, 2015.
- Alexander MS. Pediatric obstructive sleep apnea syndrome. Pediatric Clinics of North America. 2013;60:827.
- Paruthi S. Management of obstructive sleep apnea in children. http://www.uptodate.com/home. Accessed July 7, 2015.
- Kotagal S. Sleep in neurodevelopmental and neurodegenerative disorders. Seminars in Pediatric Neurology. 2015;22:126.