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Ear cartilage meatoplasty

  Ear cartilage meatoplasty (conchal cartilage reduction) for external ear canal stenosis — an operation to widen the entrance (outer/cartilaginous part) of the ear canal by reshaping/removing the obstructing conchal cartilage and associated soft tissue, so the canal stays open and can ventilate, drain, and be cleaned.  Why is this being recommended? Your ear canal is narrowed because the conchal cartilage (the bowl-shaped cartilage at the ear opening) is bulky or positioned in a way that crowds the canal entrance. This can lead to a cycle of wax trapping, recurrent otitis externa/inflammation, discharge, blocked hearing, difficulty examining the eardrum , and repeated need for microsuction. Meatoplasty aims to restore a stable, self-cleaning canal opening and reduce recurrent problems.  What benefit can you reasonably expect? The intended benefits are: easier ear toilet/cleaning, fewer blockages and infections, improved access for drops and examination, and (i...

Sleep apnoea in children is no laughing matter.

 



What are the signs of sleep apnoea in children?

 

Sleep apnea is a sleep disorder that affects both adults and children. In children, the signs of sleep apnea can be different from those in adults. Here are some signs of sleep apnea in children:

 

Snoring: Loud, persistent snoring is the most common sign of sleep apnea in children.

 

Pauses in breathing: Children with sleep apnea may stop breathing for a few seconds during sleep, and then gasp or snort to catch their breath.

 

Restless sleep: Children with sleep apnea may toss and turn in bed and may sleep in unusual positions.

 

Daytime sleepiness: Children with sleep apnea may be excessively sleepy during the day, have trouble staying awake in class, or have difficulty concentrating.

 

Bedwetting: Children with sleep apnea may wet the bed even after they have been potty-trained.

 

Behavioral problems: Sleep apnea in children can cause irritability, aggression, and other behavioral problems.

 

Developmental delays: Children with sleep apnea may experience delays in their physical or cognitive development.

 

If you suspect that your child has sleep apnea, it's important to consult with a pediatrician or sleep specialist. They can help diagnose the condition and recommend appropriate treatment options.



Can sleep apnoea affect my child's development?

 

Yes, sleep apnea can potentially affect a child's development if left untreated. Sleep apnea is a condition in which a person's breathing is repeatedly interrupted during sleep, which can cause a variety of problems. In children, sleep apnea can lead to:

 

Poor academic performance: Children with sleep apnea may have trouble concentrating and focusing in school, leading to poor academic performance.

 

Behavioural issues: Sleep apnea can cause irritability, hyperactivity, and other behavioural issues in children.

 

Growth problems: Sleep apnea has been linked to growth problems in children, such as delayed physical and cognitive development.

 

Cardiovascular problems: Sleep apnea can also lead to cardiovascular problems in children, such as high blood pressure.

 

It's important to note that not all children with sleep apnea will experience these problems, and some may only have mild symptoms. However, if you suspect your child has sleep apnea, it's important to talk to their healthcare provider. They may recommend a sleep study to diagnose the condition and suggest appropriate treatment options, including lifestyle changes, medical treatment, or surgery.

 

Does video recording help in the diagnosis of sleep apnoea in children?

 

Video recording may be useful in diagnosing sleep apnea in children. Video recording can provide valuable information about your child's sleep habits, such as snoring or pauses in breathing, which can help healthcare providers determine if further evaluation is necessary.

 

However, in some cases sleep study is needed diagnosing of sleep apnea in children. The sleep study measures multiple parameters, including breathing, oxygen levels, and brain waves, to diagnose sleep apnea and determine its severity.

 

In some cases, video recording may be used in conjunction with a sleep study to help diagnose sleep apnea. For example, a healthcare provider may ask you to record a video of your child sleeping at home before their sleep study to provide additional information about their sleep patterns.

 

If you suspect your child has sleep apnea, it's essential to talk to their healthcare provider. They can recommend the appropriate diagnostic tests and treatment options to help manage your child's sleep apnea and prevent potential complications.

 

 

 

How is the sleep apnoea treated in children?

 

The treatment for sleep apnea in children may vary depending on the severity of the condition and the underlying cause. Here are some common treatments that may be recommended by healthcare providers:

 

Adenotonsillectomy: If enlarged tonsils or adenoids are causing sleep apnea in children, a surgical procedure called adenotonsillectomy may be recommended. This procedure involves removing the tonsils and adenoids to open up the airway.

 

Continuous positive airway pressure (CPAP) therapy: CPAP therapy involves wearing a mask over the nose or mouth during sleep, which delivers a continuous stream of air to keep the airway open. This treatment is typically recommended for moderate to severe sleep apnea in children who are unable to have surgery.

 

Lifestyle changes: Lifestyle changes may be recommended for mild sleep apnea in children. These changes may include losing weight (if the child is overweight), avoiding allergens, and avoiding sedatives or alcohol.

 

Positional therapy: Sleeping in certain positions can worsen sleep apnea in some children. Positional therapy involves using devices that encourage sleeping on the side, which can help reduce sleep apnea symptoms.

 

Oral appliances: Oral appliances may be recommended for older children with mild to moderate sleep apnea. These devices are worn in the mouth during sleep and help keep the airway open.

 

It's important to work with your child's healthcare provider to determine the best treatment option for their individual needs. Treating sleep apnea in children can help improve their quality of life and prevent potential complications.

 

Mr Gaurav Kumar

Consultant ENT Surgeon

Call for an Appointment

07494914140

Book Online


Disclaimer: For general information only, always seek advice from your treating consultant.








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