Wednesday, September 4, 2013

9/4/2013

9/4/2013

Answers:
According to the Powell-Riley protocol, stage I surgery for a Type II airway would consist of...?
A)Tonsillectomy 
B)UPPP 
C)Genioglossus advancement 
D) A+B 
E) B+C

-Type 1 (oropharyngeal obstruction) = UPPP
-Type II (oro/hypopharyngeal obstruction) = UPPP and genioglossus advancement w/ possible hyoid myotomy.

-Type III (hypopharyngeal obstruction = genioglossus advancement w/o palatal surg.

The pathogenesis of OSA in children in the majority of cases is...?

Adenotonsillar hypertrophy

MC Question:
Symptoms of OSA in children include all of the following except.
A) Snoring 
B) Hyperactivity 
C) Enuresis 
D) Daytime drowsiness 
E) All of the above

Free Response Question:
1st line treatment for OSA in children is---?

Quick Facts:
-In kids w/ secondary palates or submucous clefts, adenotonsillectomy may cause velopharyngeal insufficiency.
-Increased complications in kids under 3 y/o.
-However, the procedure is 85-95% effective in eliminating OSA.

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