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Initial Patient Presentation and Assessment
A 4-year-old girl with trisomy 21 is being evaluated for parental reports of snoring and daytime somnolence.

Polysomnography during sleep demonstrates an apnea-hypopnea index (AHI) of 29 and nadir oxygen saturation of 62% with disordered sleep architecture. A diagnosis of obstructive sleep apnea (OSA) is made.

Which of the following options will MOST likely reduce OSA in this child with trisomy 21?

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