OSAS in children: Correlation between endoscopic and polysomnographic findings

Valera, Fabiana Cardoso Pereira; Avelino, Melissa Ameloti Gomes; Pettermann, Márcia B.; Fujita, Reginaldo Raimundo; Pignatari, Shirley Shizue Nagata; Moreira, Gustavo; Pradella-Hallinan, Márcia; Tufik, Sérgio; Weckx, Luc Louis Maurice

doi:10.1016/j.otohns.2004.09.033

Cited by 41 publications

(46 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mean age was 8.4 ± 3.99 years (range, 2-15 years), and 50% of the children were male. There were 3 children (7.9%) who were non-apneic, 16 Among the children with obstructive sleep disorder, the symptoms most often reported were snoring and nasal obstruction, which occurred in 75.8 and 73.3%, respectively. Complaints of restless legs during sleep were found in 61.1 and 37.5% reported difficulty in falling sleep.…”

Section: Resultsmentioning

confidence: 99%

“…Valera et al showed a greater tendency of OSAHS in preschoolers with the same degree of adenotonsillar obstruction, suggesting the influence of neurological and muscle maturation, as related by Ward and Marcus. (6,16) Stunted growth (weight and height) is most commonly observed in children with OSAHS, who experience an increase in the rate of growth after undergoing tonsillectomy. (25) Decreased production of the growth hormone during fragmented sleep and increased respiratory effort can contribute to the deficit in the growth of these children, (5) as well as to the cardiovascular alterations including pulmonary hypertension and right ventricle dysfunction, which can be potentially avoided by surgically removing the adenoid and tonsillar tissue.…”

Section: Resultsmentioning

confidence: 99%

“…A poor correlation was found between symptoms and polysomnography. (16) Questionnaires that collect clinical history or physical examination data do not have good predictive value to the diagnosis of OSAHS in children. (17) Their sensitivity and specificity are only 35 and 39%, respectively.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Sintomas da síndrome de apnéia-hipopnéia obstrutiva do sono em crianças

Gregório¹,

Athanazio

Bitencourt

et al. 2008

J. bras. pneumol.

View full text Add to dashboard Cite

OBJETIVOS: Investigar os sintomas mais freqüentes encontrados em crianças com diagnóstico polissonográfico de síndrome da apnéia-hipopnéia obstrutiva do sono (SAHOS). MÉTODOS: Foram avaliadas 38 crianças consecutivamente encaminhadas ao laboratório do sono com suspeita de SAHOS no período de junho de 2003 a dezembro de 2004. Os pacientes foram submetidos a um questionário pré-sono e a polissonografia. RESULTADOS: A idade média foi de 7,8 ± 4 anos (variação, 2-15 anos), sendo 50% das crianças do sexo masculino. Não apnéicos corresponderam a 7,9% dos pesquisados, distúrbio leve obstrutivo do sono ocorreu em 42,1%, moderado em 28,9% e severo em 22,1%. Observou-se maior freqüência de casos severos de apnéia entre crianças menores de seis anos (idade pré-escolar). Dentre as crianças com SAHOS, os sintomas mais citados foram ronco e obstrução nasal, presentes em 74,3 e 72,7% das crianças, respectivamente. Sonolência excessiva e bruxismo ocorreram em, respectivamente, 29,4 e 34,3% dos casos e doença do refluxo em apenas 3,1%. Agitação das pernas e dificuldade para iniciar o sono foram encontradas em, respectivamente, 65 e 33% dos avaliados. Todas as crianças que apresentaram SAHOS de grau severo tinham queixa de ronco e bruxismo. CONCLUSÕES: Nossos resultados mostraram que os sintomas mais freqüentes em crianças e adolescentes com SAHOS são ronco e obstrução nasal. Além disso, quadros mais graves da SAHOS estão associados à menor faixa etária.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Sintomas da síndrome de apnéia-hipopnéia obstrutiva do sono em crianças

Gregório¹,

Athanazio

Bitencourt

et al. 2008

J. bras. pneumol.

View full text Add to dashboard Cite

show abstract

“…The incidence of OSAS is elevated during the early childhood period (3 to 8 years old), and at the same time, adenotonsillar tissue enlargement occurs during this period 18 . Snoring is the most common symptom in 19,20 . Increased sympathetic system, endothelial, and autonomic dysfunctions have been shown in OSAS patients, and choroidal microcirculation, which is maintained by autonomic regulation, may be impaired as a result of one or more of these altered mechanisms 11,13 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of choroidal thickness measurements in pediatric obstructive sleep apnea syndrome patients

Bayraktar

Şimşek

2017

Turk J Pediatr

View full text Add to dashboard Cite

Choroidal vascular impairment and obstructive sleep apnea syndrome (OSAS) related disorders have been shown in adults, but there have been no investigations with regard to the choroidal thickness measurements in children with OSAS. Our aim was to investigate this relationship in the early childhood period, which correlates with OSAS peak incidence due to adenotonsillar enlargement. One-hundred and nine pediatric OSAS patients and 42 age-sex matched controls were enrolled in this study. Nocturnal pulse oximetry was used to define the OSAS patients. Demographic data like age, sex and body-mass index were recorded. All of the subjects underwent complete otolaryngologic and ophthalmologic examination including visual acuity, intraocular pressure, central corneal thickness, axial length and choroidal thickness measurements. Overall, the 1,000 µm and 1,500 µm nasal choroid measurements were found to be significantly lower in the patient group (p<0.05). However, only a poor inverse correlation emerged between the body-mass index (BMI) and the foveal center measurements in the patients. Observed alterations in the choroid may signify the initial impairment of known OSAS-related eye disorders, like glaucoma, floppy eyelid syndrome, and non-arteritic ischemic optic neuropathy. Ophthalmologists, otolaryngologists and pediatricians working together as a team may be able to prevent future eye diseases.

show abstract

“…Whilst it is true that the diagnostic evaluation of pediatric OSAS is rapidly evolving, the current literature would suggest that clinical evaluation poorly predicts the diagnosis of OSAS in children [2][3][4][5][6]. A recent systematic review by Breitzka et al [6] confirms this, quoting an overall positive predictive value of 55.8%, although there was a high degree of heterogeneity between studies.…”

mentioning

confidence: 99%