Snoring and Obstruction Sleep Apnea at the Child Age from the Otolaryngologist Point of View
Authors:
T. Pniak 1; Pavel Komínek 1; V. Novák 2
Authors‘ workplace:
Otorinolaryngologická klinika, FN Ostrava, Ostrava-Poruba
prednosta doc. MUDr. P. Komínek, Ph. D., MBA
1; Klinika dětské neurologie, FN Ostrava, Ostrava-Poruba
prednostka MUDr. M. Kunčíková
2
Published in:
Čes-slov Pediat 2009; 64 (12): 653-659.
Category:
Review
Overview
The most common sleeping disorders in childhood are:
simple snoring, Upper Airway Resistance Syndrome (UARS) and Obstructive Sleep Apnea (OSA), the last one affecting 1–3% of children. They are usually caused by adenoid vegetation and tonsillar hypertrophy, which are found by endoscopic ENT examination. In cases of obstructed rhinopharynx and oropharynx, adenoidectomy and tonsillectomy (tonsillotomy) are recommended.
Children with craniofacial and neurological abnormalities suffering from OSA, as well as children with unclear clinical findings, are referred for examination in the Sleep Laboratory to establish fast diagnosis and an early treatment. Such strategy helps to prevent the development of neurocognitive deficit, growth disorders and other associated consequences of fragmented sleep. We present a 13-year old patient, referred and admitted to our hospital for a long-lasting snoring. She was diagnosed with adenoid vegetation, tonsillar hypertrophy and a mild form of OSA, with AHI (apnoa/hypopnea index) of 8.5. Following successful adenoidectomy and tonsillotomy, the patient recovered and presently is without sequellae with normal levels of apnea/hypopnea confirmed by polygraphic examination.
Key words:
snoring, obstructive sleep apnea, adenoid vegetation, adenoidectomy, tonsillectomy
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2009 Issue 12
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