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screening obstructive sleep syndrome before surgery

Narayan H Gandedkar, Chai Kiat Chng, Yong Chen Por, Vincent Kok Leng Yeow, Andrew Tjin Chiew Ow, Tian Ee Seah
PURPOSE: To evaluate pharyngeal airway space (PAS; nasopharyngeal, oropharyngeal, and total airway) volume and the correlation of an obstructive sleep apnea (OSA) and hypopnea syndrome screening questionnaire (STOP-BANG) with various mandibular setbacks during bimaxillary surgery and compare these findings with an age- and gender-matched skeletal Class I control group. PATIENTS AND METHODS: This retrospective cohort study was composed of patients with skeletal Class III discrepancy who underwent bimaxillary jaw surgery and were assessed with STOP-BANG score, cephalometry, and cone-beam computed tomography (of the PAS)...
November 2017: Journal of Oral and Maxillofacial Surgery
Martino Pavone, Valeria Caldarelli, Sonia Khirani, Marina Colella, Adriana Ramirez, Guillaume Aubertin, Antonino Crinò, Frédéric Brioude, Frédérique Gastaud, Nicole Beydon, Michèle Boulé, Lisa Giovannini-Chami, Renato Cutrera, Brigitte Fauroux
OBJECTIVES: Sleep disordered breathing (SDB) is common in patients with Prader-Willi syndrome (PWS) and systematic screening is recommended, especially before growth hormone treatment. The aim of the study was to describe the baseline SDB and therapeutic interventions in a large cohort of patients. STUDY DESIGN: Retrospective study. SUBJECT SELECTION: Eighty-eight patients with PWS, median [interquartile range] age of 5.1 [1.0-14.5] years old (range 0...
December 2015: Pediatric Pulmonology
William P Kennedy, Pamela A Mudd, Meg A Maguire, Margaret C Souders, Donna M McDonald-McGinn, Carole L Marcus, Elaine H Zackai, Cynthia B Solot, Thornton B Alexander Mason, Oksana A Jackson, Lisa M Elden
UNLABELLED: Otolaryngologic problems are common in the 22q11.2 deletion syndrome (DS) population. Structural anomalies and retrognathia may predispose these patients to obstructive sleep apnea (OSA). The current association of OSA in this population is not defined. OBJECTIVE: (1) Define the frequency of OSA in 22q11.2 DS patients referred for polysomnography (PSG). (2) Determine if OSA is present before and/or after surgery to correct velopharyngeal insufficiency (VPI)...
August 2014: International Journal of Pediatric Otorhinolaryngology
Ewa Olszewska, Justyna Rutkowska, Aneta Czajkowska, Marek Rogowski
BACKGROUND: The diagnostic process and the surgical procedures in patients with snoring and obstructive sleep apnea syndrome (OSAS) are crucial. The aim of this study was to assess the efficacy of surgical treatment in snoring and OSAS patients. MATERIAL/METHODS: A precise laryngological examination and screening polysomnography (Poly-Mesam) were performed in all patients with mild, moderate and severe OSAS before and 6 months after surgery. The patients completed questionnaires concerning their complaints...
January 2012: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Abuduhar Abulaiti, Pei-ru Xu, Li-kun Duo
OBJECTIVE: Currently people regard polysomnography (PSG) monitoring as the golden standard for diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS) in children. However, due to the high cost, time and manpower consuming, PSG is not applicable to epidemiological investigation and clinical screening, especially not suitable for child patients and remote hospitals in Xinjiang. Therefore, it is of important clinical significance to find out a simple method (e.g. a kind of serum index) to primarily screen out suspicious patients for early diagnosis and treatment...
April 2008: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Bobbie Jean Sweitzer
PURPOSE OF THE REVIEW: Preoperative evaluation and optimization of a patient's medical condition are important components of anesthesia practice. With ever increasing numbers of patients with serious comorbidities having complex procedures as outpatients, the task of gathering information and properly preparing for their care is challenging. Improvements in assessment and management can potentially reduce adverse events, improve patient and caregiver satisfaction, and reduce costs. RECENT FINDINGS: A growing body of literature and evidence-based practices and guidelines can assist clinicians who work in the expanding field of preoperative medicine...
December 2008: Current Opinion in Anaesthesiology
Julie L Wei, Matthew S Mayo, Holly J Smith, Matt Reese, Robert A Weatherly
OBJECTIVE: To determine changes in behavior and sleep in children before and after adenotonsillectomy for sleep-disordered breathing (SDB) using the validated Pediatric Sleep Questionnaire (PSQ) and Conners' Parent Rating Scale-Revised Short Form (CPRS-RS). DESIGN: Prospective, nonrandomized study. SETTING: Ambulatory surgery center affiliated with an academic medical center. PATIENTS: A total of 117 consecutive children (61 boys and 56 girls) (mean [SD] age, 6...
October 2007: Archives of Otolaryngology—Head & Neck Surgery
Y Dauvilliers, V Stal, B Abril, P Coubes, S Bobin, J Touchon, P Escourrou, F Parker, P Bourgin
OBJECTIVE: To estimate the frequency, mechanisms and predictive factors of sleep apnoea syndrome (SAS) in a large group of children and adults with type I (CMI) and II (CMII) Chiari malformation (CM). BACKGROUND: The anatomical and functional integrity of both respiratory circuits and lower cranial nerves controlling the upper airway is necessary for breathing control during sleep. These latter structures may be altered in CM, and a few investigations have reported CM related sleep disordered breathing...
December 2007: Journal of Neurology, Neurosurgery, and Psychiatry
Silke Anna Thereza Weber, Arlindo Cardoso Lima Neto, Fernando José de Souza Ternes, Jair Cortez Montovani
UNLABELLED: Neuropsychological disorders are frequently associated with obstructive ventilatory disorders (OVD). AIM: To analyze the incidence of neuropsychological disorders in Brazilian children with OVD, using a screening questionnaire and to compare the answers given before and after surgery. PATIENTS AND METHODS: We studied 30 children with clinical diagnosis of OVD. The children were divided into 3 groups: group I, children aged 4 to 7; group II, from 8 to 10; and group III, children over 11...
January 2006: Brazilian Journal of Otorhinolaryngology
J E Gordon, M S Hughes, K Shepherd, D A Szymanski, P L Schoenecker, L Parker, E C Uong
Morbid obesity and its association with obstructive sleep apnoea syndrome have been increasingly recognised in children. Orthopaedic surgeons are often the primary medical contact for older children with tibia vara, which has long been associated with obesity, but are unfamiliar with the evaluation and treatment of sleep apnoea in children. We reviewed all children with tibia vara treated surgically at one of our institutions over a period of five years. Thirty-seven patients were identified; 18 were nine years of age or older and 13 of these (72%) had morbid obesity and a history of snoring...
January 2006: Journal of Bone and Joint Surgery. British Volume
T Mochizuki, M Okamoto, H Sano, H Naganuma
Cephalometry is useful as a screening test for anatomical abnormalities in patients having obstructive sleep apnea syndrome. In this study, various conventional parameters in cephalometry, such as the distance and angles determining the oropharyngeal space, and the areas of the soft palate, oral cavity, tongue and pharynx in both posterior-anterior and lateral view X-ray films, were measured before and after surgery in order to evaluate the preoperative predictability and usefulness of uvulopalato-pharyngoplasty and/or midline laser glossectomy (MLG) for the purpose of preoperative assessment and evaluation of surgical treatment...
1996: Acta Oto-laryngologica. Supplementum
M E Klink, G K Sethi, J G Copeland, S F Quan
Clinically significant obstructive sleep apnea syndrome (OSAS) was diagnosed in five patients who had undergone heart transplantation and they represent 2.5 percent of our transplantation series. To determine if these individuals had unique clinical features that would have suggested the presence of OSAS, we reviewed their case histories. Although four of five patients had symptoms of OSAS prior to transplant, none was suspected of having the diagnosis before their surgery. Excessive daytime sleepiness and loud snoring were noted in all patients, and there were no unusual clinical features that characterized these individuals...
October 1993: Chest
D G Golding-Wood, M J Brockbank, A R Swanston, C B Croft
Snorers represent a heterogenous group that require adequate assessment before recommending surgical treatment. There are unfortunately no specific features either in the history or physical examination that might predict those chronic snorers with obstructive sleep apnoea. We have used trained observation together with pulse oximetry ('sleep screening') and fibreoptic nasendoscopy with Muller manoeuvre in our unit to assess snorers. This combination is a reliable means of distinguishing apnoeic patients from simple snorers and determining the level of the obstructing segment...
June 1990: Journal of the Royal Society of Medicine
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