scholarly journals Snoring and obstructive sleep apnea in Thai school‐age children: Prevalence and predisposing factors

2001 ◽  
Vol 32 (3) ◽  
pp. 222-227 ◽  
Author(s):  
Wanaporn Anuntaseree ◽  
Korpong Rookkapan ◽  
Surachai Kuasirikul ◽  
Paramee Thongsuksai
SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A321-A321
Author(s):  
IE Tapia ◽  
JM Spergel ◽  
RM Bradford ◽  
MA Cornaglia ◽  
L Karamessinis ◽  
...  

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A187-A187
Author(s):  
C Arevalo ◽  
J Kim ◽  
S Castro ◽  
J Shults ◽  
M Xanthopoulos ◽  
...  

2005 ◽  
Vol 39 (5) ◽  
pp. 415-420 ◽  
Author(s):  
Wanaporn Anuntaseree ◽  
Surachai Kuasirikul ◽  
Somchai Suntornlohanakul

Author(s):  
Hai-Hua Chuang ◽  
Jen-Fu Hsu ◽  
Li-Pang Chuang ◽  
Ning-Hung Chen ◽  
Yu-Shu Huang ◽  
...  

Pediatric obstructive sleep apnea (OSA) is associated with adverse health outcomes; however, little is known about the diversity of this population. This retrospective study aims to investigate age-related differences in the anthropometric and clinical features of this population. A total of 253 Taiwanese children (70 (27.7%) girls and 183 (72.3%) boys) with OSA were reviewed. Their median age, body mass index (BMI) z-score, and apnea-hypopnea index were 6.9 years, 0.87, and 9.5 events/h, respectively. The cohort was divided into three subgroups: ‘preschoolers’ (≥2 and <6 years), ‘school-age children’ (≥6 and <10 years), and ‘adolescents (≥10 and <18 years)’. The percentage of the male sex, BMI z-score, neck circumference, systolic blood pressure z-score, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio tended to increase with age. Adenoid grades tended to decrease with age. Overall, disease severity was independently correlated with neck circumference, tonsil size, and adenoid grade. Increased neck circumference and tonsillar hypertrophy were the most influential factors for younger children, whereas adenoidal hypertrophy became more important at an older age. In conclusion, gender prevalence ratio, anthropometric measures, and clinical features varied with age, and the pathogenic drivers were not necessarily the same as the aggravating ones.


Author(s):  
Eun-Woo Seo ◽  
Ho-Kyung Lee ◽  
Min-Woo Han ◽  
Mi-Hyun Seo ◽  
Hyun-Jun Kim ◽  
...  

2019 ◽  
Vol 12 (2) ◽  
pp. 5-13
Author(s):  
Alexandra-Maria Kazala ◽  
Vasiliki Karagianni ◽  
George Grammatikas

Sleep disorders have reached epidemic rates in the modern world. It is important to note that they can affect children as well as adults. Sleep is of the utmost importance for the maintenance of body homeostasis. Many disease processes affecting sleep have been associated with numerous symptoms, including cognitive impairment, fatigue as well as a wide range of behavioral, hormonal and metabolic derangements. Sleep disorders in childhood can be classified by age of incidence (in infants, toddlers, school-age children or adolescents) and by the exact nature of the symptoms. They are classified in insomnias, hypersomnias, parasomnias, circadian rhythm disorders and respiratory disorders which affect sleep. Parasomnias are the most common sleep disorders in toddlers, with night terrors, nightmares and sleepwalking being the most common. Respiratory disorders are the most important in older children, especially obstructive sleep apnea syndrome. All sleep disorders are clinically manifested with symptoms of sleep deprivation. Their management always involves improvement of sleep hygiene, though in some cases (such as obstructive sleep apnea) specific medical treatment is also available and warranted. A three-way relationship of trust, compassion and cooperation between child, family and healthcare professional is a prerequisite for the effective management of childhood sleep disorders. Nursing staff are the main factor cultivating that relationship in the context of inpatient care.


2018 ◽  
Vol 69 (1) ◽  
pp. 248-250
Author(s):  
Delia Lidia Salaru ◽  
Carmen Elena Plesoianu ◽  
Adina Olaru ◽  
Catalina Arsenescu Georgescu

Obstructive sleep apnea (OSA) has been described as an independent predictor of mortality and cardiovascular morbidity, and several studies link OAS and atrial fibrillation, although further investigations are needed to fully understand the common physiological mechanisms. The aim of the study was to identify the cardiovascular risk and events of a population diagnosed with OAS and to discover the predisposing factors of the appearance of AF in these patients. Demographic, clinical, laboratory and echocardiographic data were taken from 101 patients previously diagnosed with OSA and admitted to our cardiovascular unit. In a population with cardiovascular risk factors and cerebrovascular events, the prevalence of atrial fibrillation was 63.7%, whereas ventricular arrythmias occurred in 31.4%. The only prediction factor for AF in OSA population was the history of myocardial infarction; other predisposing factors take account for a small number of cases. The presence of a significant association between OSA and markers of cardiovascular disease would warrant the development of a strategy to consider more aggressive therapeutic approaches.


2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352


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