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Pediatric snoring

Antonia Barceló, Daniel Morell-Garcia, Pilar Sanchís, José Antonio Peña-Zarza, Josep Miquel Bauça, Javier Piérola, Mónica de la Peña, Nuria Toledo-Pons, Paloma Giménez, Caterina Ribot, Alberto Alonso-Fernández
OBJECTIVE: Increased blood coagulation might be one important mechanism linking obstructive sleep apnea (OSA) with cardiovascular diseases. We tested the association between several hemostatic parameters and sleep breathing-related variables in a representative pediatric population with a clinical suspicion of OSA. METHODS: Polysomnography was performed in 152 snoring children to diagnose OSA. Anthropometric and clinical data were registered and venous blood samples were collected for the measurement of platelet count, plateletcrit, platelet distribution width (PDW), mean platelet volume (MPV), prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen and C-reactive protein...
October 13, 2018: Sleep Medicine
Zhifei Xu, Gonzalo C Gutiérrez-Tobal, Yunxiao Wu, Leila Kheirandish-Gozal, Xin Ni, Roberto Hornero, David Gozal
The ability of a cloud-driven Bluetooth oximetry-based algorithm to diagnose obstructive sleep apnea (OSA) was examined in habitually snoring children concurrently undergoing overnight polysomnography. Children clinically referred for overnight in-laboratory polysomnographic evaluation for suspected OSAS were simultaneously hooked with a Bluetooth oximeter linked to a smartphone. PSG findings were scored and the apnea hypopnea index (AHIPSG ) was tabulated while oximetry data yielded an estimated AHIOXI using a validated algorithm...
November 28, 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Aleksandar Perić, Tijana Vukadinović, Tarik Kujundžić, Milica Labus, Marko Stoiljkov, Biserka Vukomanović Đurđević
PURPOSE: Choanal polyps (CPs) are benign, solitary, soft-tissue lesions extending towards the junction between the nasal cavity and the nasopharynx through the choana. The aim of this retrospective study was to evaluate clinical and histological characteristics of CPs in children comparing to adult patients. METHODS: Characteristics of CPs treated in our hospital (demography, main complaints, side, localization, surgical approach, histological characteristics, accompanying paranasal sinus diseases, association with allergic rhinitis, postoperative follow-up period, and recurrence rates) were retrospectively reviewed...
November 14, 2018: European Archives of Oto-rhino-laryngology
G Modesti-Vedolin, C Chies, S Chaves-Fagondes, E Piza-Pelizzer, M Lima-Grossi
BACKGROUND: To evaluate the treatment efficacy of a mandibular advancement intraoral appliance (MOA) for treatment of obstructive sleep apnea syndrome (OSAS) in pediatric patients. MATERIAL AND METHODS: Eighteen patients (mean=8.39 years old, women=44.4%) were selected. Sleep disorders, sleep bruxism, and temporomandibular disorders were assessed by the Sleep Disturbance Scale for Children (SDSC), the BiteStrip® (portable SB device), and the Research Diagnostic Criteria for Temporomandibular Disorders, respectively...
November 1, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
Julia Cohen-Levy, Marie-Claude Quintal, Anthony Abela, Pierre Rompré, Fernanda R Almeida, Nelly Huynh
PURPOSE: To determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms. METHODS: The clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS)...
December 2018: Sleep & Breathing, Schlaf & Atmung
Ozan Gökler, Işıl Karanfil, İlker Koçak, Muzaffer Ozan Altuntaş, Ayşe Armutlu, Ömer Faruk Ünal
Nasopharyngeal glial heterotopia is a mass composed of mature neural tissue occurring outside the central nervous system and is extremely rare. The preoperative diagnosis of such a mass in the head and neck region is challenging. In this study, we report a case of a 16-month-old patient presenting with respiratory distress and snoring caused by nasopharyngeal glial heterotopia. Radiologic imaging and histopathology are obligatory for the definitive diagnosis of glial heterotopia. Preoperative evaluation of an intracranial connection is one of the most essential issues in the presence of pediatric nasopharyngeal masses...
September 2018: Turkish Archives of Otorhinolaryngology
S Shan, S Y Wang, Y H Miao, F Liu
Abstract Objective: To study the effect of obstructive sleep apnea(OSA) on the life quality of children. Method: Forty-four OSA children diagnosed with overnight polysomnography were selected as the research object, 35 cases of pediatric no snoring healthy children were as control. The inventory of subjective life quality and children's self-rating anxiety scale were used to assess children' s life quality. Result: Depending on the data of the inventory of subjective life quality questionnaire, each level and dimension of children' s life quality satisfaction scores in OSA group were significantly lower than that in healthy controls( P <0...
August 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Nicholas J Scalzitti, Kathleen M Sarber
Sleep-disordered breathing has a prevalence of 12% in the pediatric population. It represents a spectrum of disorders encompassing abnormalities of the upper airway that lead to sleep disruption, including primary snoring, obstructive sleep apnea, central sleep apnea, and sleep-related hypoventilation. Sleep-disordered breathing is the most common indication for adenotonsillectomy, one of the most common procedures performed in children. In recent years, the American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, and the American Society of Anesthesiologists have crafted guidelines to help safely manage children with sleep-disordered breathing...
November 2018: Paediatric Anaesthesia
Wadha Alotaibi, Safa Eltahir, Mohmmed Rayis, Khalid Al-Mobaireek, Ayah Alsarheed, Gawahir Mukhtar, Jumageldi Jumayev, Suhail Al-Saleh
OBJECTIVE: The aim of the study was to evaluate snoring and obstructive sleep apnea (OSA) in Saudi children with sickle cell disease (SCD). MATERIALS AND METHODS: This cross-sectional study was conducted among children with SCD attending a hematology clinic were recruited. Demographics, clinical data, and sleep questionnaires were collected and overnight polysomnographies performed. RESULTS: Seventy children (31 of whom were females) with SCD were included in the study...
September 2018: Journal of Family & Community Medicine
Vitor Guo Chen, Viviane Maria Guerreiro da Fonseca, Jônatas Bussador Amaral, Cíntia Meirelles Camargo-Kosugi, Gustavo Moreira, Eduardo Macoto Kosugi, Reginaldo Raimundo Fujita
INTRODUCTION: Obstrutive sleep apnea syndrome is characterized by repeated episodes of upper airway obstruction, associated with intermittent hypoxia and hypercapnia, and the main risk factor in childhood is adenotonsillar hypertrophy. The lymphocytes in these structures are responsible for local and systemic immune responses. OBJECTIVE: Verify the levels of the inflammatory markers, IL-1β, IL-4, IL-6, IL-8, IL-10, IL-15, TNF-α, CRP and α1-GP, in the tonsils of children with and without obstructive sleep apnea syndrome...
August 31, 2018: Brazilian Journal of Otorhinolaryngology
Xiao-Dan Li, Jun Tai, Zhi-Fei Xu, Gui-Xiang Wang, Yun-Xiao Wu, Jiang-Nan Du, Jie Zhang, Xiao-Xia Peng, Xin Ni
Background: It is known that short sleep duration adversely affects children's behavior and physical development. This study aimed to investigate the status of sleep duration in 3-14-year-old children in Beijing and explore the related factors of sleep loss with them. Methods: In this study, a cross-sectional study of random stratified cluster sampling was conducted on 3-14-year-old children and adolescents in Beijing. According to the proportion of children in each district and school, the final cohort included a total of 11 kindergartens, 7 primary schools, and 8 junior high schools from 7 districts of Beijing...
August 5, 2018: Chinese Medical Journal
Erica C Jansen, Galit Levi Dunietz, Barbara T Felt, Louise M O'Brien
We examined whether gastrointestinal (GI) symptoms were associated with sleep disturbances in a community-based sample of 337 school-aged children from Ypsilanti, Michigan. Parents completed the sleep-related breathing disorder scale of the Pediatric Sleep Questionnaire and the Conners' parents rating scale, which included questions concerning GI symptoms. One fifth of the children screened positive for sleep-disordered breathing; the same fraction had sleepiness, and one-quarter snored more than half the time...
November 2018: Clinical Pediatrics
J Tai, Z F Xu, X D Li, J N Du, G X Wang, J Ma, P J Hu, X Y Yan, J Zhang, Y M Zhang, Y H Liu, J Zhao, L Zheng, J Chen, X Ni
Objective: To investigate the snoring status of school-aged children in Beijing and explore the association of snoring and academic performance. Methods: A total of 7 925 children aged from 6 to 14 were selected from 15 primary and middle schools at 7 districts (Xicheng, Chaoyang, Changping, Shunyi, Fangshan, Huairou and Mentougou) in Beijing in 2015, using multi-stage stratified cluster random sampling method. The recruited children were asked to complete the Pediatric Sleep Questionnaire (PSQ) and a questionnaire related to sleep behavior...
July 6, 2018: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
Jason Z Bronstein, Li Xie, Thomas H Shaffer, Aaron Chidekel, Robert Heinle
STUDY OBJECTIVES: Objective measurements of thoracoabdominal asynchrony (TAA), such as average phase angle (θavg), can quantify airway obstruction. This study demonstrates and evaluates use of θavg for predicting obstructive sleep apnea (OSA) in pediatric polysomnography (PSG). METHODS: This prospective observational study recruited otherwise healthy 3- to 8-year-old children presenting for PSG due to snoring, behavioral problems, difficulty sleeping, and/or enlarged tonsils...
July 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Kristine M Stangenes, Mari Hysing, Silje K Fevang, Irene B Elgen, Thomas Halvorsen, Trond Markestad, Bjørn Bjorvatn
Objective: Prematurely born children have been reported to have more sleep problems throughout childhood than children born at term. The aim of this study was to explore if prenatal or neonatal factors can predict sleep problems at age 11 years in children born extremely preterm (EPT). Method: A prospective observational study of all infants who were born EPT in Norway in 1999 and 2000. Prenatal and neonatal data were collected by all Norwegian obstetric and pediatric departments. Parental questionnaire mapped sleep problems and sleep habits at the age of 11 years...
2018: Frontiers in Pediatrics
Ashok K Rohra, Catherine A Demko, Mark G Hans, Carol Rosen, Juan Martin Palomo
INTRODUCTION: Our objective was to evaluate the prevalence of high-risk factors for sleep disordered breathing (SDB) in an orthodontic population of children. SDB is a spectrum of breathing disorders ranging from primary snoring to obstructive sleep apnea. METHODS: The sample included 303 healthy children between the ages of 9 and 17. High risk of SDB was assessed using the Pediatric Sleep Questionnaire, a validated instrument that consists of 22 questions, and high risk is defined as positive answers to 33% or more of the questions answered...
July 2018: American Journal of Orthodontics and Dentofacial Orthopedics
Chi-Chih Lai, Pei-Wen Lin, Hsin-Ching Lin, Michael Friedman, Hsueh-Wen Chang, Anna M Salapatas, Meng-Chih Lin, Pa-Chun Wang
OBJECTIVE: To develop an adequate model using reliable clinical and physical factors to predict pediatric obstructive sleep apnea/hypopnea syndrome (OSAS). METHODS: Complete anthropometric measurements including BMI z score, tonsil size grading, and updated Friedman tongue position (uFTP) were evaluated. Subjective assessments of clinical symptoms/signs, including snoring visual analog scale (VAS), nasal obstruction, and mouth breathing, were recorded. RESULTS: Eighty-eight children (57 boys and 31 girls, mean age = 9...
September 2018: Annals of Otology, Rhinology, and Laryngology
Ariel Tarasiuk, Yael Segev
Pediatric obstructive sleep apnea (OSA) is a syndrome manifesting with snoring and increased respiratory effort due to increased upper airway resistance. In addition to cause the abnormal sleep, this syndrome has been shown to elicit either growth retardation or metabolic syndrome and obesity. Treating OSA by adenotonsillectomy is usually associated with increased risk for obesity, despite near complete restoration of breathing and sleep. However, the underlying mechanism linking upper airways obstruction (AO) to persistent change in food intake, metabolism, and growth remains unclear...
2018: Frontiers in Endocrinology
S Anderson, N Alsufyani, A Isaac, M Gazzaz, H El-Hakim
BACKGROUND: Drug induced sleep endoscopy (DISE) is hoped to identify reasons of failure of adenotonsillectomy (AT) in treating pediatric sleep disordered breathing (SDB). Maxillomandibular disproportion has been studied as another association which may explain alternative pathogenesis of SDB. We aimed to explore the relation between the size of the gonial angle and inclination of the epiglottis measured from cone beam CT (CBCT) and tongue base collapse based on DISE in children with SDB...
June 4, 2018: Journal of Otolaryngology—Head & Neck Surgery
G Q Zhao, Y R Li, X Y Wang, X Ding, C Y Wang, W Xu, D M Han
Objective: To evaluate the difference of accessing pediatric sleep symptoms and living qualities between 3 diagnostic criteria: American Thoracic Society (ATS), International Classification of Sleep Disorder (ICSD-3), domestic Urumqi criterion (Draft); To investigate the relationship of PSG parameters and quality of life scale OSA-18. Method: Children with snoring who received PSG in Capital Medical University Beijing Tongren Hospital were recruited from Jan 2016 to Apr 2017. Subjects were diagnosed and grouped to SS, ICSD, ATS&ICSD (ATS&ICSD1, ATS&ICSD2) according to 3 criteria: ATS (AHI>5 or OAI>1), ICSD-3 (OAHI≥1) and Urumqi (AHI>5 or OAI>1, with LSaO₂<92%)...
January 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
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