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Polysomnographic and Clinical Findings in Children With Obstructive Sleep Apnea

Polysomnographic and Clinical Findings in Children With Obstructive Sleep Apnea Abstract • A retrospective study was conducted to determine which types of children might have polysomnographic findings that are most compatible with obstructive sleep apnea (OSA). The charts of 93 patients who were aged 18 months to 12 years were examined. All 93 patients had symptoms that were initially suggestive of OSA, and they underwent polysomnography. The types of presenting symptoms and associated illnesses were noted. Physical findings, including height, weight, and tonsil size, were examined. Of 93 patients with symptoms that were suggestive of OSA, 34 met sleep study criteria for OSA. In 44 patients, OSA was not demonstrated, and 15 patients had other results. On the basis of age, sex, and symptoms, no significant differences could be found between the group with OSA and the group with normal polysomnographic findings. Cor pulmonale, tonsil hypertrophy, and failure to thrive were associated with OSA. Surprisingly, obesity was not significantly associated with OSA. (Arch Otolaryngol Head Neck Surg. 1992;118:741-744) References 1. Osler W. The Principles and Practice of Medicine . East Norwalk, Conn: Appleton & Lange; 1912:541. 2. Gastaut H, Tassinari CA, Duron B. Etude polygraphique des manifestations episodiques (hypniques et respitoires), diurnes et nocturnes, du syndrome Pickwick . Rev Neurol. 1965;112:568-586. 3. Menasche VD, Farrchi C, Miller M. Hypoventilation and cor pulmonale secondary to chronic airway obstruction . J Pediatr. 1965;67:198-203.Crossref 4. Noonan JA. Reversible cor pulmonale due to hypertrophied tonsils and adenoids . Circulation . 1965;32( (suppl 2) ):164. 5. Schafer ME. Upper-airway obstruction and sleep disorders in children with obstructive sleep apnea syndrome . Clin Plast Surg. 1982;9:555-567. 6. Mangat D, Orr WC, Smith RO. Sleep apnea, hypersomnolence and upper-airway obstruction secondary to adenotonsillar enlargement . Arch Otolaryngol Head Neck Surg. 1977;103:383-386.Crossref 7. Guilleminaut C, Korobkin R, Winkle R. A review of 50 children with obstructive sleep apnea syndrome . Lung . 1981;159:275-287.Crossref 8. Simmons FB, Guilleminault C, Dement WC, Tilkian AG, Hill M. Surgical management of airway obstructions during sleep . Laryngoscope . 1976; 86:326-337. 9. Guilleminaut C, Eldridge FL, Simmons FB, Dement WC. Sleep apnea in eight children . Pediatrics . 1976;58:23-30. 10. Frank Y, Kravath RE, Pollak CP, Weitzman ED. Obstructive sleep apnea and its therapy: clinical and polysomnographic manifestations . Pediatrics . 1983;71:737-741. 11. Lind MG, Lundell BPW. Tonsillar hyperplasia in children . Arch Otolaryngol Head Neck Surg. 1982;108:650-654.Crossref 12. Guilleminaut C. Obstructive sleep apnea . Med Clin North Am. 1985; 69:1187-1203. 13. Brouillette RT, Fernbach SK, Hunt CE. Obstructive sleep apnea in infants and children . J Pediatr. 1982;100:31-40.Crossref 14. Richardson MA, Seid AB, Cotton RT, Benton C, Kramer, M. Evaluation of tonsils and adenoids in sleep apnea syndrome . Laryngoscope . 1980;90: 1106-1110.Crossref 15. Orr WC. Utilization of polysomnography in the assessment of sleep disorders . Med Clin North Am. 1985;69:1153-1166. 16. Stool SE, Eavey RD, Stein NL, Sharrar WG. 'Chubby puffer' syndrome . Clin Pediatr (Phila) . 1977;16:43-50.Crossref 17. Mauer KW, Staats BA, Olsen D. Upper-airway obstruction and disordered breathing in children . Mayo Clin Proc. 1983;58:349-353. 18. Eliaschar I, Lavie P, Halperin E, Gordon C, Alroy G. Sleep apneic episodes as indications for adenotonsillectomy . Arch Otolaryngol Head Neck Surg. 1980;106:492-496.Crossref 19. Mandel EM, Reynolds CF. Sleep disorders associated with upper-airway obstruction in children . Pediatr Clin North Am. 1981;28:897-893. 20. Felman AH, Loughlin GM, Leftridge CA, Cassisi NJ. Upper-airway obstruction during sleep in children . AJR Am J Roentgenol. 1979;133:213-216.Crossref 21. Sauerland EK, Harper RM. The human tongue during sleep . Exp Neurol. 1976;51:160-170.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Polysomnographic and Clinical Findings in Children With Obstructive Sleep Apnea

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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1992.01880070071013
Publisher site
See Article on Publisher Site

Abstract

Abstract • A retrospective study was conducted to determine which types of children might have polysomnographic findings that are most compatible with obstructive sleep apnea (OSA). The charts of 93 patients who were aged 18 months to 12 years were examined. All 93 patients had symptoms that were initially suggestive of OSA, and they underwent polysomnography. The types of presenting symptoms and associated illnesses were noted. Physical findings, including height, weight, and tonsil size, were examined. Of 93 patients with symptoms that were suggestive of OSA, 34 met sleep study criteria for OSA. In 44 patients, OSA was not demonstrated, and 15 patients had other results. On the basis of age, sex, and symptoms, no significant differences could be found between the group with OSA and the group with normal polysomnographic findings. Cor pulmonale, tonsil hypertrophy, and failure to thrive were associated with OSA. Surprisingly, obesity was not significantly associated with OSA. (Arch Otolaryngol Head Neck Surg. 1992;118:741-744) References 1. Osler W. The Principles and Practice of Medicine . East Norwalk, Conn: Appleton & Lange; 1912:541. 2. Gastaut H, Tassinari CA, Duron B. Etude polygraphique des manifestations episodiques (hypniques et respitoires), diurnes et nocturnes, du syndrome Pickwick . Rev Neurol. 1965;112:568-586. 3. Menasche VD, Farrchi C, Miller M. Hypoventilation and cor pulmonale secondary to chronic airway obstruction . J Pediatr. 1965;67:198-203.Crossref 4. Noonan JA. Reversible cor pulmonale due to hypertrophied tonsils and adenoids . Circulation . 1965;32( (suppl 2) ):164. 5. Schafer ME. Upper-airway obstruction and sleep disorders in children with obstructive sleep apnea syndrome . Clin Plast Surg. 1982;9:555-567. 6. Mangat D, Orr WC, Smith RO. Sleep apnea, hypersomnolence and upper-airway obstruction secondary to adenotonsillar enlargement . Arch Otolaryngol Head Neck Surg. 1977;103:383-386.Crossref 7. Guilleminaut C, Korobkin R, Winkle R. A review of 50 children with obstructive sleep apnea syndrome . Lung . 1981;159:275-287.Crossref 8. Simmons FB, Guilleminault C, Dement WC, Tilkian AG, Hill M. Surgical management of airway obstructions during sleep . Laryngoscope . 1976; 86:326-337. 9. Guilleminaut C, Eldridge FL, Simmons FB, Dement WC. Sleep apnea in eight children . Pediatrics . 1976;58:23-30. 10. Frank Y, Kravath RE, Pollak CP, Weitzman ED. Obstructive sleep apnea and its therapy: clinical and polysomnographic manifestations . Pediatrics . 1983;71:737-741. 11. Lind MG, Lundell BPW. Tonsillar hyperplasia in children . Arch Otolaryngol Head Neck Surg. 1982;108:650-654.Crossref 12. Guilleminaut C. Obstructive sleep apnea . Med Clin North Am. 1985; 69:1187-1203. 13. Brouillette RT, Fernbach SK, Hunt CE. Obstructive sleep apnea in infants and children . J Pediatr. 1982;100:31-40.Crossref 14. Richardson MA, Seid AB, Cotton RT, Benton C, Kramer, M. Evaluation of tonsils and adenoids in sleep apnea syndrome . Laryngoscope . 1980;90: 1106-1110.Crossref 15. Orr WC. Utilization of polysomnography in the assessment of sleep disorders . Med Clin North Am. 1985;69:1153-1166. 16. Stool SE, Eavey RD, Stein NL, Sharrar WG. 'Chubby puffer' syndrome . Clin Pediatr (Phila) . 1977;16:43-50.Crossref 17. Mauer KW, Staats BA, Olsen D. Upper-airway obstruction and disordered breathing in children . Mayo Clin Proc. 1983;58:349-353. 18. Eliaschar I, Lavie P, Halperin E, Gordon C, Alroy G. Sleep apneic episodes as indications for adenotonsillectomy . Arch Otolaryngol Head Neck Surg. 1980;106:492-496.Crossref 19. Mandel EM, Reynolds CF. Sleep disorders associated with upper-airway obstruction in children . Pediatr Clin North Am. 1981;28:897-893. 20. Felman AH, Loughlin GM, Leftridge CA, Cassisi NJ. Upper-airway obstruction during sleep in children . AJR Am J Roentgenol. 1979;133:213-216.Crossref 21. Sauerland EK, Harper RM. The human tongue during sleep . Exp Neurol. 1976;51:160-170.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jul 1, 1992

References