Obstructive sleep apnea syndrome in children

HNO. 2021 Mar 17. doi: 10.1007/s00106-021-01012-5. Online ahead of print.ABSTRACTPediatric obstructive sleep apnea syndrome (OSAS) has a high prevalence in the general population. Risk factors are adenotonsillar hyperplasia, preterm birth, obesity, and craniofacial dysmorphia. A special feature of pediatric OSAS is that it can manifest in behavioral problems. These patients also have an increased risk of perioperative anesthesiologic complications. Diagnostic and therapeutic options should be defined individually using the "Snoring in childhood" algorithm of the German Sleep Research and Sleep Medicine Society (DGSM). Diagnosis based on polysomnography (PSG) is reserved for specialized pediatric sleep centers. The most common surgical treatment for pediatric OSAS is adenoidectomy with tonsillotomy. Positive airway pressure (PAP) therapy in children is only indicated in individual cases. Monitoring of treatment success is important after OSAS therapy.PMID:33730248 | DOI:10.1007/s00106-021-01012-5
Source: HNO - Category: ENT & OMF Authors: Source Type: research

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Introduction: Obstructive sleep apnea is a chronic disease which include a variety of symptoms such as snoring, daytime sleepiness... known to be related with poor quality of life (QOL). We aimed to explore the relationships between excessive daytime sleepiness (EDS) and QOL in patients suffering from moderate to severe OSA.Materials and methods: A cross-sectional study including OSA patients, confirmed by overnight polygraphy, performed in Pneumology Department. Daytime sleepiness was assessed with the Epworth Sleepiness Scale (ESS). QOL and anxiety depression were assessed using the Medical Outcomes Short Form-36 (SF-36)...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Objective: The Sleep Clinical Record (SCR)1 has been used for the diagnosis of mild obstructive sleep apnea syndrome (OSAS) in children when access to polysomnography (PSG) is limited. We aimed to determine the cut-off value of the SCR that would be useful for the diagnosis of moderate-to-severe OSAS (obstructive AHI>5/h) in children with snoring.Methods: Otherwise, healthy children with snoring and adenotonsillar hypertrophy and/or obesity who were referred for PSG were recruited prospectively, and SCR score was calculated. Receiver operating characteristic curves (ROC) were plotted to determine the Area Under Curve (A...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric respiratory physiology and sleep Source Type: research
Polysomnography (PSG) is the gold standard method for evaluating severity of Obstructive Sleep Apnea Syndrome (OSAS), but it is not available in all settings. We hypothesized that Oxygen Desaturation (≥3%) Index (ODI3) ≥3.5/h from nocturnal oximetry predicts moderate-to-severe OSAS (apnea-hypopnea index-AHI>5/h) in children with snoring (Papadakis et al. Pediatrics 2018:142: e20173382).Methods: PSGs from 1-17 year-old, otherwise healthy children with snoring>3 nights/week and tonsillar hypertrophy with or without obesity were analyzed retrospectively. Logistic regression analysis was applied to assess the assoc...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric respiratory physiology and sleep Source Type: research
Introduction: Snoring is one of the most common symptoms of the obstructive sleep apnea-hypopnea syndrome (OSAHS). Many studies have shown that some medical problems are related to snoring independently of the Apnea-Hypopnea Index (AHI). The aim of this study was to explore the relations between the objectively measured intensity of snoring and high blood pressure.Methods: We retrospectively analyzed the medical records of 130 patients (2016-2018) referred for OSAHS suspicion and who underwent respiratory polygraphy with measurement of the intensity of snoring. The snorers with an AHI
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Int J Hypertens. 2021 Nov 11;2021:4717349. doi: 10.1155/2021/4717349. eCollection 2021.ABSTRACTBACKGROUND: Despite approximately 95% primary cases of hypertension, secondary hypertension seems to be common with resistant forms. Notably, obstructive sleep apnea (OSA) is known as a common cause of secondary hypertension and has a major characteristic of obesity. Irisin acts as a link between muscles and adipose tissues in obesity, playing an essential role in human blood pressure (BP) regulation. However, whether irisin is associated with secondary hypertension caused by OSA and how it takes effect essentially have not been ...
Source: International Journal of Hypertension - Category: Cardiology Authors: Source Type: research
This study aims to compare predictive values of these tests for prediction of DI in obese patients.METHODS: 196 patients with body mass index (BMI) ≥ 30 kg/m2 were included in this prospective study. Variables including intubation difficulty scale (IDS), thyromental height (TMH), hyomental distance (HMD) in extent and neutral neck position, HMD ratio (HMDR), sternomental distance (SMD), thyromental distance (TMD), ratio of height to TMD (RHTMD), width of mouth opening (MO), mandibular length (ML), Cormack-lehane (C-L) grade, upper lip bite test (ULBT), history of snoring, and obstructive sleep apnea were collected. Mult...
Source: Minerva Anestesiologica - Category: Anesthesiology Authors: Source Type: research
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