Abstract

Objective: This review aims to critically analyze the risks and benefits of adenotonsillectomy in managing obstructive sleep apnea (OSA) in children with cerebral palsy (CP).

Background: Adenotonsillectomy is frequently performed to address OSA in children, but its application in those with CP presents unique challenges due to their complex medical conditions and varying degrees of motor impairment. This review seeks to provide a comprehensive understanding of the procedure’s efficacy, potential complications, and overall impact on this specific patient population.

Methods: A systematic review of existing literature was conducted, focusing on clinical outcomes, complication rates, and overall effectiveness of adenotonsillectomy in children with CP suffering from OSA.

Results: Adenotonsillectomy has been shown to improve OSA symptoms in children with CP; however, these patients face a higher risk of surgical complications compared to neurotypical children. Effective management requires a multidisciplinary approach to address both surgical and non-surgical aspects of care.

Conclusion: While adenotonsillectomy can offer significant benefits for children with CP and OSA, careful consideration of preoperative and postoperative care is essential. A tailored approach involving multiple healthcare professionals is recommended to optimize outcomes and minimize risks.