Pediatric Obstructive Sleep Apnea Syndrome

Katz, Eliot S.; D’Ambrosio, Carolyn

doi:10.1016/j.ccm.2010.02.002

Cited by 108 publications

(104 citation statements)

References 119 publications

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“…Increased upper airway resistance during sleep in children with OSA is most likely due to a combination of soft tissue hypertrophy, craniofacial dysmorphology, neuromuscular weakness or obesity [15,16]. Recently, the association between maxillofacial malformation and malocclusion to OSA has triggered more interest.…”

Section: Etiologymentioning

confidence: 99%

“…Recently, the association between maxillofacial malformation and malocclusion to OSA has triggered more interest. Most common facial anatomic abnormalities associated with airway obstruction include deviated nasal septum, narrow maxillary arch and retro-micrognathia [15,16].…”

Section: Etiologymentioning

confidence: 99%

“…Indeed, symptoms consistent with risk for SDB have been reported in 6% to 27% of children. [1,9,10,11] Children with SDB use greater health care resources [12] and display more frequent cardiovascular morbidity, [13,14] neurocognitive [15,16], metabolic complications [15,16], comorbid chronic illnesses [9,17], greater psychiatric and behavioral comorbidities [18,19,20,21,22], some of which may have long-term implications, well into adulthood. [1,2,4] Therefore, early diagnosis and treatment of pediatric OSAS is beneficial in improving a child's long-term cognitive development, social interaction, academic achievement, cardiovascular health and overall wellbeing [16].…”

Section: Introductionmentioning

confidence: 99%

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Obstructive Sleep Apnea in Children: Exploring the Role of Dentists in Diagnosis and Treatment

Murugesh¹

2014

IJDSR

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Among the many aspects important in a child's development is sleep. Sleep disorderscan impair children's sleep and result in negative consequences. Obstructive sleep apnea (OSA)is one such disorder which involves blockage of the airway during sleep. The impact of OSA on the growth and development of a child may have detrimental effects on health, neuropsychological development and quality of life.One of the main causes of childhood OSA is hypertrophic adenoids and tonsils. As dentists often look into children's mouth, they can play an active role in identifying those with enlarged tonsils and referring them for sleep assessment.Therapeutic measures include not only surgical extraction of hypertrophic adenoids and tonsils, but also nonsurgical alternatives such as continuous positive air pressure, anti-inflammatory agents and oral appliances (OAs). Hence the therapeutic interventions that are directed at the site of airway obstruction in the maxillofacial region are within the scope of dentistry.

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Section: Etiologymentioning

confidence: 99%

Section: Etiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Obstructive Sleep Apnea in Children: Exploring the Role of Dentists in Diagnosis and Treatment

Murugesh¹

2014

IJDSR

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“…systemic arterial hypertension, pulmonary arterial hypertension, cor pulmonale, and atherosclerosis), metabolic disorders (i.e. hyperleptinemia, insulin resistance, hypercholesterolemia, elevated transaminases, insulin-like growth factor type 1 (IGF-1), growth hormone (GH), and insulin-like factor binding protein type 3 (IGFBP3) decrease) and neuro-cognitive disorders (depression, anxiety and attention deficit and hyperactivity disorder) [6,7].…”

Section: Introductionmentioning

confidence: 99%

Frequency and severity of OSAHS in Mexican adolescents. The role of BMI and neck circumference

Partida-Gaytán¹,

Berber²,

Río-Navarro³

et al. 2013

Health

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Background: Overweight and obesity are major public-health issues in Mexico. Sleep breathing disorders directly impact the health of affected subjects. The aim of this study was to describe the frequency and severity of obstructive sleep apnea/hypopnea syndrome (OSAHS) in Mexican adolescents grouped by weight status. Secondary objectives were to describe the influence of body mass index (BMI) and neck circumference (NC) as predictive factors of OSAH. Method: Somatometric, demographic data and full-night polysomnography were done. Linear and logistic regression models described the relationship between BMI and NC with OSAHS presence and severity. Receiver-Operating-Characteristics (ROC) curves showed different sensitivity and specificity performances of BMI and NC cutoff-values. Results: OSAHS frequency and severity were significantly greater in obese and extremelyobese adolescents (8% vs 22% vs 67%; p < 0.001). Linear regression showed an AHI increase of 0.940 events/hour for every centimeter-increase in NC and 0.696 events/hour for every 1 kg/m 2 -increase in BMI. Logistic-regression showed extreme-obesity as the main risk factor (OR 9.9) for diagnosis of OSAHS. ROC curves showed an area under the curve (AUC) of 0.83 for BMI defined cutoff-values, and of 0.80 for BMI percentile-for-age cutoff-values. The AUC of NC ROC curve was 0.8043. Conclusion: This is the largest study made on Latin-American population evaluating the frequency and severity of OSAHS with full-night polysomnography. We showed that obese and extremelyobese Mexican-adolescents are at highest risk for OSAHS. Increasing BMI and NC showed positive correlation with AHI. Different BMI cut-off values showed similar diagnostic performance. Extreme-obesity increases 8 times the risk association for OSAHS.

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“…The collapse of airways is related to anatomical obstacles and also to changes in neuro-muscular activity that in healthy operation tend to prevent that collapse through the action of the dilating musculature of the pharynx, especially the gé nioglossus, the hypoglossus, and the styloglossus all of which help to regulate the inspiration of air 50 .…”

mentioning

confidence: 99%

How to detect Obstructive Sleep Apnea Syndrome (OSAS) in children

Seailles¹,

Couloigner²,

Cohen-Lévy³

2009

J Dentofacial Anom Orthod

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Obstructive Sleep Apnea Syndrome (OSAS) is a frequently occurring childhood malady, whose is incidence is largely underestimated, that can lead to serious complications. Because of their understanding of the anatomy and physiology of the masticatory apparatus and of the upper airways, orthodontist are in a strategic position to detect in their young patients developing disorders in these regions; accordingly when they suspect the existence of OSAS they should ask systematic and well targeted questions of parents who may not be aware of the relationship between certain symptoms their children display and sleep breathing problems. The goal of this article is to provide practitioners with a better understanding of the symptoms and the physio-pathological mechanics of OSAS so that they can spare their afflicted patients the complications it provokes by seeing that early treatment is undertaken. KEYWORDSObstructive sleep apnea syndrome Children Diagnosis Polysomnography.

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Pediatric Obstructive Sleep Apnea Syndrome

Cited by 108 publications

References 119 publications

Obstructive Sleep Apnea in Children: Exploring the Role of Dentists in Diagnosis and Treatment

Obstructive Sleep Apnea in Children: Exploring the Role of Dentists in Diagnosis and Treatment

Frequency and severity of OSAHS in Mexican adolescents. The role of BMI and neck circumference

How to detect Obstructive Sleep Apnea Syndrome (OSAS) in children

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