{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:52:05Z","timestamp":1753354325075},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2018,8,3]],"date-time":"2018-08-03T00:00:00Z","timestamp":1533254400000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118001160_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To search the international literature (any language) for publications reporting outcomes of tracheostomy performed to treat obstructive sleep apnoea in children.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001160_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Data sources included: Google Scholar, Cumulative Index to Nursing and Allied Health Literature, Embase, Scopus, and PubMed\/Medline. Four authors searched systematically through to 20 January 2018.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001160_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 597 studies were screened; 64 were downloaded and 11 met criteria. A total of 196 patients underwent tracheostomy (mean age, 4.2 years; range, newborn to 18 years); 40 had detailed qualitative data and 6 had detailed quantitative data. Apnoea\/hypopnoea index showed a 97 per cent reduction (<jats:italic>n<\/jats:italic>= 2) and apnoea index showed a 98 per cent reduction (<jats:italic>n<\/jats:italic>= 3). Lowest oxygen saturation showed a 34 oxygen saturation point improvement (<jats:italic>n<\/jats:italic>= 3). Several patients demonstrated significant improvement in breathing. All identified patients were syndromic, had significant co-morbidities or had severe obstructive sleep apnoea.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001160_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Based on reports of children who have undergone a tracheostomy, for whom there are pre- and post-operative data, tracheostomy appears to be a successful treatment for obstructive sleep apnoea. 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