Snoring and Obstructive Sleep Apnea in Children
Archives of Otolaryngology - Head and Neck SurgeryPublished 1 April 2000
Peter Nieminen, Uolevi Tolonen, Heikki Löppönen
Citations200
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TL;DR
Half of the children with symptoms raising the suspicion of OSAS with overnight polysomnography actually had the condition, and a normal PSG finding may help the clinician decide on an observation period.
Abstract
Half of the children or fewer with symptoms suggestive of OSAS actually had the condition. Clinical symptoms may raise the suspicion, but it is not possible to establish the diagnosis without PSG. Because snoring and obstructive symptoms may resolve over time, a normal PSG finding may help the clinician decide on an observation period. Adenotonsillectomy is curative in most cases of pediatric OSAS. Obstructive symptoms may continue after adenoidectomy alone.
Keywords
MedicineNeuroscience
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A significant familial aggregation of symptoms associated with sleep-disordered breathing that appears independent of familial similarities in weight is suggested.
The Journal of PediatricsAdenoid size is related to severity but not the number of episodes of obstructive apnea in children
168 Citations1998Lee J. Brooks, Bryan M. Stephens +1 more
Lymphoid hyperplasia affects the severity of apnea more than the number of obstructive apneas, and the pathophysiologic characteristics of OSA in children probably involve complex interactions between pharyngeal size and mechanics.
Acta PaediatricaA Novel Format for a Growth Chart
168 Citations1984Ritva Sorva, Jaakko Perheentupa +1 more
A novel format for a growth chart is proposed to facilitate early detection of aberrant growth and any deviation from this indicates abnormal change in growth.
International Journal of Pediatric OtorhinolaryngologyEndoscopic observations of obstructive sleep apnea in children with anomalous upper airways: predictive and therapeutic value
168 Citations1986Aaron E. Sher, Robert J. Shprintzen +1 more
The variability in the mechanism of upper airway collapse seen in children with obstructive apnea secondary to craniofacial anomalies is described.
American Journal of Respiratory and Critical Care MedicineEvaluation of Nasal Prongs for Estimating Nasal Flow
167 Citations1997Josep M. Montserrat, Ramón Farré +4 more
It is concluded that in order to quantitatively assess nasal flow with NP, data should be corrected for their nonlinear pressure-flow relationships and, that the square root of the flow signal measured with NP is the simplest method of correcting for the observed nonlinearity.
Pediatric PulmonologyHome testing for pediatric obstructive sleep apnea syndrome secondary to adenotonsillar hypertrophy
163 Citations1995S. V. Jacob, Angela Morielli +4 more
It is concluded that home testing, using a simplified cardiorespiratory montage plus video recording, is accurate and of practical use in the routine evaluation of OSAS in patients with adenotonsillar hypertrophy.
ThoraxNocturnal oximetry for the diagnosis of the sleep apnoea hypopnoea syndrome: a method to reduce the number of polysomnographies?
159 Citations1999Eusebi Chiner, Jaime Signes‐Costa +4 more
Nocturnal oximetry in patients with suspected SAHS and normal spirometric values permits the institution of therapeutic measures in most patients.
Pediatric PulmonologyClinical features of obstructive sleep apnea hypoventilation syndrome in otherwise healthy children
158 Citations1999Carol L. Rosen
Clinical features of OSAHS diagnosed by polysomnography in otherwise healthy children, recruited from patients referred by primary care and otorhinolaryngology physicians for evaluation of snoring and difficulty breathing are examined.
The Journal of PediatricsObstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence
158 Citations1980Richard E. Kravath, Charles P. Pollak +2 more
Three children who developed obstructive sleep apnea immediately following construction of pharyngeal flaps designed to improve the speech of these patients with velopharyngeals incompetence are observed.
International Journal of Pediatric OtorhinolaryngologyTonsillectomy or tonsillotomy? — a randomized study comparing postoperative pain and long-term effects
156 Citations1999Elisabeth Hultcrantz, Arne Linder +1 more
Tonsillotomy with CO2-laser is much less painful than TE and children recover more quickly and are cured from their breathing obstruction at 1-year follow-up.
American Journal of Respiratory and Critical Care MedicineMechanisms Of Apnea Termination In Obstructive Sleep Apnea. Role Of Chemoreceptor And Mechanoreceptor Stimuli
156 Citations1994R. John Kimoff, T H Cheong +5 more
The consistency of end-apneic TTdi values despite the varying chemical drive supports the hypothesis that apnea termination in OSA is mediated by mechanoreceptor feedback from the respiratory system, most likely fromThe respiratory muscles.
The Journal of PediatricsPhysiology of growth hormone secretion during sleep
153 Citations1996Eve Van Cauter, Laurence Plat
Because the sleep-onset GH pulse is often the major secretory output in adults, age-related decrements in sleep-related GH secretion likely play a major role in the hyposomatotropism of senescence.
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