The association between allergic rhinitis and sleep‐disordered breathing in children: a systematic review

Lin, Sandra Y.; Melvin, Thuy Anh N.; Boss, Emily F.; Ishman, Stacey L.

doi:10.1002/alr.21123

Cited by 67 publications

(46 citation statements)

References 29 publications

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“…2,3 Moreover, 33% of the articles did not identify a statistically significant association between rhinitis and sleep-breathing disorders in children. 10 This lack of evidence contrasts with the prevalent notion that OSA is associated with nasal inflammatory changes. 5,6 In support of the link between nasal inflammation and OSA in children, our data identified a high prevalence of rhinitis in children with overnight PSG-confirmed OSA (43%), which is similar to what has been previously described in adult studies.…”

Section: Discussionmentioning

confidence: 96%

The Link between Rhinitis and Rapid-Eye-Movement Sleep Breathing Disturbances in Children with Obstructive Sleep Apnea

Huseni

Gutiérrez

Rodríguez‐Martínez

et al. 2014

Am J Rhinol�Allergy

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Section: Discussionmentioning

confidence: 96%

The Link between Rhinitis and Rapid-Eye-Movement Sleep Breathing Disturbances in Children with Obstructive Sleep Apnea

Huseni

Gutiérrez

Rodríguez‐Martínez

et al. 2014

Am J Rhinol�Allergy

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“…Grading systems for pharyngeal anatomy, such as the Friedman palate position or the Mallampati score, are not related to AHI in children with symptoms of SDB (class I and IV) [19]. b) Evidence for the association between allergic rhinitis and OSAS comes from studies of low methodological quality [20]. Nasal septum deviation increases the risk for habitual snoring (class IV) and nasal turbinate hypertrophy is associated with mild OSAS (class I) [21,22].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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“…2 However, MB can be a habitual trait in individuals without obstruction or inflammation. Clinical recognition of MB and its etiology is important as it has been linked to behavioral disorders, learning deficits, 3 asthma morbidity, 4 distortions in jaw growth and dental malocclusions.…”

Section: Stacey D Quo Dds Msmentioning

confidence: 99%

It Is Just Attention-Deficit Hyperactivity Disorder…or Is It?

Won

Guilleminault

Koltai

et al. 2017

J Dev Behav Pediatr

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CASE: Carly is a 5-year-old girl who presents for an interdisciplinary evaluation due to behaviors at school and home suggestive of attention-deficit hyperactivity disorder (ADHD). Parent report of preschool teacher concerns was consistent with ADHD. Psychological testing showed verbal, visual-spatial, and fluid reasoning IQ scores in the average range; processing speed and working memory were below average. Carly's behavior improved when her mother left the room, and she was attentive during testing with a psychologist. Tests of executive function (EF) skills showed mixed results. Working memory was in the borderline range, although scores for response inhibition and verbal fluency were average. Parent ratings of ADHD symptoms and EF difficulties were elevated. Carly's parents recently separated; she now lives with her mother and sees her father on weekends. Multiple caregivers with inconsistent approaches to discipline assist with child care while her mother works at night as a medical assistant. Family history is positive for ADHD and learning problems in her father. Medical history is unremarkable. Review of systems is significant for nightly mouth breathing and snoring, but no night waking, bruxism, or daytime sleepiness. She has enlarged tonsils and a high-arched palate on physical examination. At a follow-up visit, parent rating scales are consistent with ADHD-combined type; teacher rating scales support ADHD hyperactive-impulsive type. Snoring has persisted. A sleep study indicated obstructive sleep apnea. After adenotonsillectomy, Carly had significant improvement in ADHD symptoms. She developed recurrence of behavior problems 1 year after the surgery.

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The association between allergic rhinitis and sleep‐disordered breathing in children: a systematic review

Cited by 67 publications

References 29 publications

The Link between Rhinitis and Rapid-Eye-Movement Sleep Breathing Disturbances in Children with Obstructive Sleep Apnea

The Link between Rhinitis and Rapid-Eye-Movement Sleep Breathing Disturbances in Children with Obstructive Sleep Apnea

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

It Is Just Attention-Deficit Hyperactivity Disorder…or Is It?

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