Managing snoring and obstructive sleep apnoea in childhood

Fitzgerald, Nicholas M; Fitzgerald, Dominic A.

doi:10.1111/jpc.12421

Cited by 13 publications

(12 citation statements)

References 69 publications

(120 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The practice guidelines established by the American Academy of Pediatricians proposes an adenotonsillectomy as the first line of therapy for childhood OSAS 4,17,18. Several meta-analyses have reported that an adenotonsillectomy leads to significant improvements in most cases of paediatric OSAS 4,19; however, the success rates are highly variable and range from 24 to 100% 20-22.…”

Section: Introductionmentioning

confidence: 99%

Managing obstructive sleep apnoea in children: the role of craniofacial morphology

Bozzini¹,

Francesco²

2016

Clinics

View full text Add to dashboard Cite

Obstructive sleep apnoea syndrome is a type of sleep-disordered breathing that affects 1 to 5% of all children. Pharyngeal and palatine tonsil hypertrophy is the main predisposing factor. Various abnormalities are predisposing factors for obstructive sleep apnoea, such as decreased mandibular and maxillary lengths, skeletal retrusion, increased lower facial height and, consequently, increased total anterior facial height, a larger cranio-cervical angle, small posterior airway space and an inferiorly positioned hyoid bone. The diagnosis is based on the clinical history, a physical examination and tests confirming the presence and severity of upper airway obstruction. The gold standard test for diagnosis is overnight polysomnography. Attention must be paid to identify the craniofacial characteristics. When necessary, children should be referred to orthodontists and/or sleep medicine specialists for adequate treatment in addition to undergoing an adenotonsillectomy.

show abstract

Section: Introductionmentioning

confidence: 99%

Managing obstructive sleep apnoea in children: the role of craniofacial morphology

Bozzini¹,

Francesco²

2016

Clinics

View full text Add to dashboard Cite

show abstract

“…(2, 3, 7) Adenotonsillar hypertrophy is the main remediable cause of SDB in young children. (10, 11) In the context of a childhood obesity epidemic, a second “obesity phenotype” of SDB, more similar to that seen in adults, has been proposed. (12) Short sleep duration also increases obesity risk(13, 14) in longitudinal data from early (15-17) and middle childhood,(18) through adolescence.…”

mentioning

confidence: 99%

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

Bonuck¹,

Chervin²,

Howe³

2015

The Journal of Pediatrics

View full text Add to dashboard Cite

Objectives To examine independent associations between sleep-disordered breathing (SDB), sleep duration from birth through 6.75 years, and body mass index (BMI) through 15 years of age in a population-based cohort. Study design The Avon Longitudinal Study of Parents and Children (ALSPAC) collected parent questionnaire data on child sleep duration and sleep disordered breathing (SDB) symptoms from birth through 6.75 years and child BMI from ALSPAC research clinics (n=1,899). For SDB, logistic regression models-- minimal, confounder, and confounder + sleep duration adjusted-- examined associations with BMI at 7, 10, and 15 years. For short sleep duration (≤ 10th centile), comparable SDB-adjusted models examined associations with BMI at 15 years. Results Children with the worst SDB symptoms vs. asymptomatic children, had increased odds of overweight at 7 (OR=2.08, 95% CI= 1.04-4.17), 10 (OR= 1.79, 95% CI= 1.02-3.16), and 15 years (OR= 2.25, 95% CI= 1.27-3.97) in models adjusted for sleep duration. Similarly, short sleep duration at ≈5-6 years was associated with overweight at 15 years, independent of SDB. Children with short sleep duration at 4.75 years were more likely to be overweight at 15 years in minimally (OR= 2.21, 95% CI= 1.52-3.20), confounder (OR= 1.99, 95% CI= 1.34-2.96), and SDB-adjusted (OR= 2.04, 95% CI= 1.36=3.04) models. Conclusion Both SDB and short sleep duration significantly and independently increase children’s odds of becoming overweight. Findings underscore the potential importance of early identification and remediation of SDB, along with insufficient sleep, as strategies for reducing childhood obesity.

show abstract

“…It is important to note that parental reports alone do not distinguish OSA from simple primary snoring. While parental video recordings on mobile phones may be suggestive of OSA, they are not specific and do not provide an assessment of OSA severity as discussed above …”

Section: Clinical Measures Of Osamentioning

confidence: 99%

Preoperative identification of children at high risk of obstructive sleep apnea

Ohn

Eastwood

Ungern‐Sternberg

2020

Pediatric Anesthesia

View full text Add to dashboard Cite

Obstructive sleep apnea is a common childhood disorder which can lead to serious health problems if left untreated. Enlarged adenoid and tonsils are the commonest causes, and adenotonsillectomy is the recommended first line of treatment. Obstructive sleep apnea poses as an anesthetic challenge, and it is a well‐known risk factor for perioperative adverse events. The presence and severity of an obstructive sleep apnea diagnosis will influence anesthesia, pain management, and level of monitoring in recovery period. Preoperative obstructive sleep apnea assessment is necessary, and anesthetists are ideally placed to do so. Currently, there is no standardized approach to the best method of preoperative screening for obstructive sleep apnea. Focused history, clinical assessments, and knowledge regarding the strengths and limitations of available obstructive sleep apnea assessment tools will help recognize a child with obstructive sleep apnea in the preoperative setting.

show abstract

Managing snoring and obstructive sleep apnoea in childhood

Cited by 13 publications

References 69 publications

Managing obstructive sleep apnoea in children: the role of craniofacial morphology

Managing obstructive sleep apnoea in children: the role of craniofacial morphology

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

Preoperative identification of children at high risk of obstructive sleep apnea

Contact Info

Product

Resources

About