Pediatric sleep-related breathing disorders

Messner, Anna H.; Pelayo, Rafael

doi:10.1016/s0196-0709(00)85005-x

Cited by 59 publications

(50 citation statements)

References 76 publications

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“…[16,17,20] However, unlike in adults where daytime hypersomnolence is a frequent symptom of obstructive sleep apnoea, [21,22] it was not so in this study as only 10 % of the participants presented with daytime hypersomnolence. This finding agrees with the observations of Messner et al [23] and Arrate et al [16].…”

Section: Discussionsupporting

confidence: 94%

Comparing Oxygen Saturation of Normal Children with that of Children with Adenotonsillar Hypertrophy

Mbam

Adeosun

Akinyemi

et al. 2014

Indian J Otolaryngol Head Neck Surg

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To compare the nocturnal oxygen saturation profiles of children with adenotonsillar enlargement with that of normal children. A 1 year comparative study. The study was carried out at the Otorhinolaryngology Ward of the University College Hospital Ibadan. These comprise of 60 children (1-9 years) with clinically confirmed adenotonsillar enlargement admitted for adenotonsillectomy and 60 normal children matched for age and sex. The biodata and common clinical presentations of the study group were acquired with a structured proforma. The severity of nasopharyngeal obstruction was determined by the adenoidal-nasopharyngeal ratio while the degree of tonsillar enlargement was graded by the Brodsky's classification. The nocturnal oxygen saturation of all the participants were recorded with a wrist worn pulse oximeter. Recording was for at least for 4 h. Oxygen saturation \92 % was regarded as desaturation. The oximetric values of the study and control group were compared. The mean nocturnal SPO 2 (peripheral saturation of oxygen) profiles of children with adenotonsillar enlargement were as follows: basal = 96.86 %, minimum = 84.99 %; maximum = 99 % and average SPO 2 \92 % = 87.74 % while the saturation profiles of the control group were as follows; basal = 97.88 %, minimum = 89.71 %; maximum = 99 %, average SPO 2 \92 % = 90.82 %. Normal children have better nocturnal saturation profiles than children with adenotonsillar enlargement.

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Section: Discussionsupporting

confidence: 94%

Comparing Oxygen Saturation of Normal Children with that of Children with Adenotonsillar Hypertrophy

Mbam

Adeosun

Akinyemi

et al. 2014

Indian J Otolaryngol Head Neck Surg

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“…4 The mildest form of OSA in children is upper airway resistance syndrome. Affected children have symptoms of OSA but lack the accompanying polysomnographic findings.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

“…These alterations are accompanied by increased levels of catecholamines and frequent arousal that further contribute to enuresis. 4 Behavior and cognitive deficits can recur in children with OSA. 13 Poor academic performance in the teenaged years is associated with snoring.…”

Section: Historymentioning

confidence: 99%

“…22 children who have the entire clinical spectrum of sleep-disordered breathing. 4,11,13 Polysomnography is necessary for diagnosis and treatment of patients with multiple medical comorbidities, children with craniofacial syndromes, and patients with an unclear etiology (i.e., modest physical findings or examination findings inconsistent with severity of apnea), and to determine the degree of apnea. 22 …”

Section: Polysomnographymentioning

confidence: 99%

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Clinical Manifestations

Zhang

2013

Radiology of Influenza a (H1N1)

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“…[12][13][14][15] Thus adenoidectomy or adenotonsillectomy are the procedures of choice for treating OSDs in the pediatric population; these procedures effectively control nocturnal symptoms, relieving physical repercussions and normalizing the polysomnographic test. [16][17][18][19] Although the objective improvement of this condition has been well documented, there have been few reports about subjective improvements in the quality of life of children and the degree of satisfaction of their parents following adenotonsillectomy; the subjective improvement remains presumed.…”

Section: Introductionmentioning

confidence: 99%

Resultados na qualidade de vida em longo prazo de crianças submetidas à adenoidectomia/adenotonsilectomia por distúrbios obstrutivos do sono

Júnior

Silva

Freitas

2008

Rev. Bras. Otorrinolaringol.

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Obst ructive Sleep Disorders (OSD) affect mostly the pediatric population. Within this group, its main etiology is adenotonsillar hyperplasia, being adenoidectomy or adenotonsillectomy the best treatment option for quality of life improvement. Aim: To asses quality of life of children with OSD after adenoidectomy/adenotonsillectomy. Method: A prospective study was carried out with 48 children, between 2 and 11 years, with clinical manifestations of OSD and obstructive adenotonsillar hyperplasia. The OSA18 questionnaire was answered by the parents to evaluate their children's quality of life before surgery; at about thirty days and at least eleven months after the procedure. A higher score meant a worse quality of life. Results: Before surgery, the average OSA18 score was 82.83(SD=12.57), with an average global score for quality of life of 6.04(SD=1.66). Within thirty days after surgery, the average OSA18 score was 34.3 (SD=9.95) with an average global score of 9.6(SD=0.81), both showing significant reduction (p< 0.001). Thirty-four children (70.83%) were re-evaluated between 11 and 30 months (average=16.85; SD=5.16). The average OSA18 score was 35.44 (SD=19.95) with an average global score of 9.28 (SD=1.78). The postoperative evaluations weren't significantly different. Conclusion: surgery improves the quality of life of children with OSD, and such improvement maintains for the long run.

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Pediatric sleep-related breathing disorders

Cited by 59 publications

References 76 publications

Comparing Oxygen Saturation of Normal Children with that of Children with Adenotonsillar Hypertrophy

Comparing Oxygen Saturation of Normal Children with that of Children with Adenotonsillar Hypertrophy

Clinical Manifestations

Resultados na qualidade de vida em longo prazo de crianças submetidas à adenoidectomia/adenotonsilectomia por distúrbios obstrutivos do sono

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