Obese children are more likely to have persistent OSA. The primary treatment for these children is noninvasive ventilation;however, the compliance rate for children to these therapies is low. In addition, there is a risk of craniofacial changes caused by the mask interface, depending on the child’s age. Besides weight reduction programs and non-invasive ventilation, other management options for persistent OSA include oral appliances, medications, drug-induced sleep endoscopy and revision surgery. Despite the comprehensive review of therapies from Bluher et al., positional therapy is not listed as an option.
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